Abstract
BackgroundHealthcare workers are a burnout-prone occupational group and the prevalence is particularly high among physicians. With the prevailing low physician-patient ratio in Nigeria which has worsened with the recent wave of physician emigration, among other socio-economic constraints; a setting for high physician burnout may have been nurtured. Our survey set out to determine the prevalence of burnout among physicians practicing in Nigeria, ascertain the factors that were associated with the development of burnout and evaluate the respondents’ perceived impact of physician burnout on patient safety.MethodsWe used the Oldenburg burnout inventory as the measurement tool for burnout in the cross-sectional study conducted between November and December, 2019 among physicians in five tertiary health institutions in Nigeria. A 5- point Likert-type scale was used to evaluate the participants rating of their perceived impact of physician burnout on patient safety. Data entry and analysis were done using IBM Statistical package for social sciences software version 25 and the level of statistical significance was determined by a p value < 0.05.ResultsThe response rate was 61% (535/871), and burnout prevalence was 75.5% (404/535). Majority of the physicians (74.6%) perceive that physician burnout could impact patient safety. Physicians’ professional grade, age and years in practice, but not specialty, gender or marital status were associated with the exhaustion domain, whereas only the physicians’ age was associated with the disengagement domain of burnout. No socio-demographic or work-related characteristics determined overall burnout in our respondents.ConclusionPhysician burnout in Nigeria is high and pervasive, and this should alert physicians to be wary of their general and mental health status. Public health policy should address this development which has implications for patient safety, physician safety and healthcare system performance.
Highlights
Healthcare workers are a burnout-prone occupational group and the prevalence is high among physicians
Further evidence from a systematic review supports that physician burnout is associated with an increased risk of patient safety incidents, poorer quality of care due to low professionalism, and reduced patient satisfaction [10]
We found that 75.5% of the physicians surveyed were burnt-out, but no individual or institutional predictors of overall burnout were identified
Summary
Healthcare workers are a burnout-prone occupational group and the prevalence is high among physicians. Our survey set out to determine the prevalence of burnout among physicians practicing in Nigeria, ascertain the factors that were associated with the development of burnout and evaluate the respondents’ perceived impact of physician burnout on patient safety. There is strong evidence that burnout is associated with poorer self-rated health and depression among healthcare workers [5]. Physician burnout and patient safety There has been consistency in the association between burnout syndrome in healthcare workers and suboptimal and unsafe care of patients [6]. Further evidence from a systematic review supports that physician burnout is associated with an increased risk of patient safety incidents, poorer quality of care due to low professionalism, and reduced patient satisfaction [10]
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