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Burnout Syndrome Among Anesthesia Providers Working in Public Hospitals in Rwanda: A Cross-Sectional Survey
Anesthesia & Analgesia ( IF 4.6 ) Pub Date : 2022-09-15 , DOI: 10.1213/ane.0000000000006053
Eugene Tuyishime 1, 2 , Daniel I. McIsaac 2, 3 , Mbangu C. Mumbwe 4 , Paulin Ruhato Banguti 1 , Jean Paul Mvukiyehe 1 , Josue Nzarora 5 , M. Dylan Bould 4
Affiliation  

pitals and (2) to determine factors associated with burnout among anesthesia providers in Rwandan hospitals. METHODS: A questionnaire was sent to selected Rwandan anesthesia providers working in public hospitals. The questionnaire assessed burnout using the Maslach Burnout Inventory Human Services Survey, a validated 22-item survey used to measure burnout among health professionals. Sociodemographic and work-related factors found to be associated with burnout were also assessed using logistic regression in a Bayesian framework to estimate odds ratios (OR) and associated credible intervals (CrIs). RESULTS: Surveys were distributed to 137 Rwandan anesthesia providers; 99 (72.3%) were returned. Sixty-six (67%) respondents were nonphysician anesthesia providers. Burnout was present in 26 of 99 (26.3%) participants (95% confidence interval [CI], 17.9–36.1). When considering weakly informative priors, we found a 99% probability that not having the right team (OR, 5.36%; 95 CrI, 1.34–23.53) and the frequency of seeing patients with negative outcomes such as death or permanent disability (OR, 9.62; 95% CrI, 2.48–42.84) were associated with burnout. CONCLUSIONS: In a cross-sectional survey of anesthesia providers in Rwanda, more than a quarter of respondents met the criteria for burnout. Lacking the right team and seeing negative outcomes were associated with higher burnout rate. These identified factors should be addressed to prevent the negative consequences of burnout, such as poor patient outcomes....

中文翻译:

在卢旺达公立医院工作的麻醉提供者的倦怠综合征:一项横断面调查

(2) 确定与卢旺达医院麻醉提供者职业倦怠相关的因素。方法:向在公立医院工作的选定卢旺达麻醉提供者发送问卷调查。该问卷使用 Maslach 倦怠清单人类服务调查评估了倦怠,这是一项经过验证的 22 项调查,用于衡量卫生专业人员的倦怠。还使用贝叶斯框架中的逻辑回归评估发现与倦怠相关的社会人口统计学和工作相关因素,以估计优势比 (OR) 和相关的可信区间 (CrIs)。结果:调查被分发给 137 名卢旺达麻醉提供者;99 (72.3%) 被退回。六十六 (67%) 名受访者是非医师麻醉提供者。99 名参与者中有 26 名 (26.3%) 出现倦怠(95% 置信区间 [CI], 17. 9–36.1)。在考虑信息量不足的先验时,我们发现没有合适团队的概率为 99%(OR,5.36%;95 CrI,1.34-23.53),以及看到死亡或永久性残疾等负面结果的患者的频率(OR,9.62 ; 95% CrI, 2.48–42.84) 与倦怠有关。结论:在卢旺达麻醉提供者的横断面调查中,超过四分之一的受访者符合倦怠标准。缺乏合适的团队并看到负面结果与更高的倦怠率有关。应解决这些已确定的因素,以防止倦怠的负面后果,例如患者预后不佳…… 53) 以及出现诸如死亡或永久性残疾等负面结果的患者的频率 (OR, 9.62; 95% CrI, 2.48–42.84) 与倦怠相关。结论:在卢旺达麻醉提供者的横断面调查中,超过四分之一的受访者符合倦怠标准。缺乏合适的团队并看到负面结果与更高的倦怠率有关。应解决这些已确定的因素,以防止倦怠的负面后果,例如患者预后不佳…… 53) 以及出现诸如死亡或永久性残疾等负面结果的患者的频率 (OR, 9.62; 95% CrI, 2.48–42.84) 与倦怠相关。结论:在卢旺达麻醉提供者的横断面调查中,超过四分之一的受访者符合倦怠标准。缺乏合适的团队并看到负面结果与更高的倦怠率有关。应解决这些已确定的因素,以防止倦怠的负面后果,例如患者预后不佳…… 缺乏合适的团队并看到负面结果与更高的倦怠率有关。应解决这些已确定的因素,以防止倦怠的负面后果,例如患者预后不佳…… 缺乏合适的团队并看到负面结果与更高的倦怠率有关。应解决这些已确定的因素,以防止倦怠的负面后果,例如患者预后不佳……
更新日期:2022-09-15
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