Abstract
Burnout, a state of vital exhaustion, has frequently been related to work-related stress and job dissatisfaction. Given the emotionally and physically challenging nature of their work, high rates of burnout have been reported among health care professionals. This may put them at a higher risk for of suffering from adverse mental health outcomes, including depression, anxiety and stress. In our study, we aim to assess the prevalence i of and associations among burnout and job dissatisfaction and adverse mental health outcomes in a developing country, where the challenges faced by the health care system are unique. Facilities are over-burdened and there is a sharp contrast between doctor to patient ratios in developing and developed countries. We plan to conduct a cross sectional study at the largest tertiary care hospital in Pakistan and its peripheral affiliated health centers. A proportionate sampling technique will be employed to include medical and nursing students, interns, residents and consultants. Previously validated questionnaires, including the Maslach Burnout tool, DASS 21, and Job Satisfaction Survey will be disseminated through Survey Monkey. Statistical analysis will be conducted using IBM SPSS Statistics Version 23 to study the association among burnout, job dissatisfaction, adverse health outcomes and demographic and work-related factors This study may begin laying the foundation for prioritizing the novel concept of physician mental health in the developing world. Further research building on to the results of this study will generate evidence to make recommendations about routine screening for mental illness and policy changes in the health care system.
Highlights
The term “Burnout” was first coined in the 1970s by an American psychologist, Herbertt Freudenberger (InformedHealth.org [Internet], 2006)
Health care professionals may experience Job dissatisfaction from a failure to cope with competitive work environments, long work hours coupled with overtime and an encroachment on personal life by the psychological burden associated with ethical dilemmas and decision making for patients (Cooper et al, 1989; Theorell et al, 1990; Sutherland and Cooper, 1993; Enzer and Sibbald, 1999; Coomber et al, 2002)
Given the emotionally and physically challenging nature of their work, the rates of burnout are alarmingly high in health care professionals, with previous studies reporting rates as high as 54.3% in professionals and 45% in medical students (Bauer et al, 2006; Dyrbye et al, 2014; Lee et al, 2015)
Summary
The term “Burnout” was first coined in the 1970s by an American psychologist, Herbertt Freudenberger (InformedHealth.org [Internet], 2006). Depletion of coping abilities may even lead to the development of unhealthy coping strategies, including substance abuse and suicide (Sonneck and Wagner, 1996; Riley, 2004) Do such high levels of stress adversely affect the health and emotional well-being of doctors, they are a direct threat to the quality of care that doctors can provide to their patients While concern for the health of professional caregivers is paramount, such high rates of burnout are a direct threat to the quality of care doctors can provide for their patients (Felton, 1998). Primary Aim To study the associations among burnout, job dissatisfaction and mental health outcomes in medical students, interns, residents, fellows and attendings at a tertiary care hospital its peripheral affiliated centers in Pakistan. It has potential to scale up to becoming grounds for routine screening and possibly policy changes in the health care system
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