OCCUPATIONAL BURNOUT AMONG PUBLIC MEDICAL OFFICERS DURING THE EARLY STAGE OF COVID-19 PANDEMIC IN KOTA KINABALU, SABAH

  • Ahmad Hazim Mohammad Department of Community and Family Medicine, Faculty of Medicine and Health Sciences, University Malaysia Sabah, 88400, Kota Kinabalu, Sabah, Malaysia
  • Shamsul Bahari Shamsudin Department of Community and Family Medicine, Faculty of Medicine and Health Sciences, University Malaysia Sabah, 88400, Kota Kinabalu, Sabah, Malaysia https://orcid.org/0000-0002-9096-2312
  • Nornazirah Ahmad Kamarudin Department of Community and Family Medicine, Faculty of Medicine and Health Sciences, University Malaysia Sabah, 88400, Kota Kinabalu, Sabah, Malaysia
  • Lim Mei Ching Department of Community and Family Medicine, Faculty of Medicine and Health Sciences, University Malaysia Sabah, 88400, Kota Kinabalu, Sabah, Malaysia.
  • Ahmad Syukri Radzran Department of Community and Family Medicine, Faculty of Medicine and Health Sciences, University Malaysia Sabah, 88400, Kota Kinabalu, Sabah, Malaysia.
  • Muhamad Hanif Mohd Deris Department of Community and Family Medicine, Faculty of Medicine and Health Sciences, University Malaysia Sabah, 88400, Kota Kinabalu, Sabah, Malaysia.
  • Mohamad Hafiz Mukhsam Department of Community and Family Medicine, Faculty of Medicine and Health Sciences, University Malaysia Sabah, 88400, Kota Kinabalu, Sabah, Malaysia. http://orcid.org/0000-0003-4579-5567
Keywords: Occupational burnout, public health, Covid-19, doctors

Abstract

Burnout syndrome has affected many doctors globally, and this problem has caused various negative impacts on public health services such as reduced productivity and reduced quality care of patients. Various factors were associated with burnout among doctors, but the factors vary in different countries. This study aimed to investigate the prevalence and associated risk factors of burnout among public service medical officers in Kota Kinabalu, Sabah, who were involved in combating the Covid-19 outbreaks. A cross-sectional study involving 201 medical officers working in all government hospitals and health clinics was carried out. Using the Copenhagen Burnout Inventory (CBI), the prevalence of personal-related and work-related burnout were 61.2% and 48.8% respectively, while the prevalence of client-related burnout was 39.8%. Working in different medical departments and the length of working experience were the significant associated risk factors of burnout among the doctors. Meanwhile, other predictors were found not to be significantly associated with the prevalence of burnout. The prevalence of burnout among medical officers in Kota Kinabalu was relatively high especially among the less experienced doctors and among those who work in surgical based departments, and these issues require multilevel interventions which involve policymakers in the Ministry of Health, organizational and administrative managers at the various health departments and the medical officers themselves.

References

Sibeoni, J. et al. Physicians ’ Perspectives About Burnout : a Systematic Review and Metasynthesis. 1578–1590 (2019). doi:10.1007/s11606-019-05062-y

West, C. P., Dyrbye, L. N. & Shanafelt, T. D. Physician burnout: contributors, consequences and solutions. J. Intern. Med. 283, 516–529 (2018).

Scheepers, R., Silkens, M., van den Berg, J. & Lombarts, K. Associations between job demands, job resources and patient-related burnout among physicians: results from a multicentre observational study. BMJ Open 10, e038466 (2020).

Patel, R. S., Sekhri, S., Bhimanadham, N. N., Imran, S. & Hossain, S. A Review on Strategies to Manage Physician Burnout. Cureus 11, 3–12 (2019).

Yates, S. W. Physician Stress and Burnout. Am. J. Med. 133, 160–164 (2020).

Morales, J. et al. Stress and autonomic response to sleep deprivation in medical residents : A comparative cross-sectional study. 1–14 (2019).

Mak, N. T., Li, J. & Wiseman, S. M. Resident Physicians are at Increased Risk for Dangerous Driving after Extended- duration Work Shifts : A Systematic Review. 11, (2019).

Reith, T. P. Burnout in United States Healthcare Professionals: A Narrative Review. Cureus 10, (2018).

Maslach, C. & Leiter, M. P. Understanding the burnout experience : recent research and its implications for psychiatry. 103–111 (2016).

Wolfshohl, J. A. et al. Association Between Empathy and Burnout Among Emergency Medicine Physicians. J. Clin. Med. Res. 11, 532–538 (2019).

Ali, N. F., Jannah, N. & Raduan, N. A cE-Bs2019LangkawiIsland Burnout and Coping Skills amongst Medical Officers : A study in a tertiary hospital in Malaysia. Environ. Proc. J. 4, 141 (2019).

Žutautienė, R. The prevalence of burnout and its associations with psychosocial work environment among kaunas region (Lithuania) hospitals’ physicians. Int. J. Environ. Res. Public Health 17, (2020).

Fernando, B. M. S. & Samaranayake, D. L. Burnout among postgraduate doctors in Colombo: prevalence, associated factors and association with self-reported patient care. BMC Med. Educ. 19, 373 (2019).

Kane, L. Medscape National Physician Burnout & Suicide Report 2020: The Generational Divide. (2020). Available at: https://www.medscape.com/slideshow/2020-lifestyle-burnout-6012460.

Low, Z. X., Yeo, K. A. & Sharma, V. K. Prevalence of Burnout in Medical and Surgical Residents : A Meta-Analysis. 1–22 (2019).

Rodrigues, H. et al. Burnout syndrome among medical residents: A systematic review and meta-analysis. PLoS One 13, 1–17 (2018).

Carmen, M. G. et al. Trends and Factors Associated With Physician Burnout at a Multispecialty Academic Faculty Practice Organization. 2, 1–10 (2019).

Zarei, E., Ahmadi, F. & Sial, M. S. Prevalence of Burnout among Primary Health Care Sta ff and Its Predictors : A Study in Iran. (2019).

Chemali, Z., Ezzeddine, F. L. & Gelaye, B. Burnout among healthcare providers in the complex environment of the Middle East : a systematic review. 1–21 (2019).

Patel, R. S., Bachu, R., Adikey, A., Malik, M. & Shah, M. Factors related to physician burnout and its consequences: A review. Behav. Sci. (Basel). 8, (2018).

Eden, A. R., Jabbarpour, Y. & Morgan, Z. J. Burnout Among Family Physicians by Gender and Age. 1247, 355–356 (2020).

Azam, K., Khan, A. & Alam, M. T. Causes and Adverse Impact of Physician Burnout : 27, 495–501 (2017).

Lasalvia, A. et al. Levels of burn- ­ out among healthcare workers during the COVID-19 pandemic and their associated factors : a sectional study in a tertiary hospital of a highly burdened area of. 1–12 (2021). doi:10.1136/bmjopen-2020-045127

Matsuo, T., Kobayashi, D., Taki, F., Sakamoto, F. & Uehara, Y. Prevalence of Health Care Worker Burnout During the Coronavirus Disease 2019 ( COVID-19 ) Pandemic in Japan. 2019, 2019–2022 (2020).

Garcia, L. C. et al. Burnout , Depression , Career Satisfaction , and Work-Life Integration by Physician Race / Ethnicity. 1–13 (2020). doi:10.1001/jamanetworkopen.2020.12762

Odonkor, S. T. Burnout among Healthcare Professionals in Ghana : A Critical Assessment. 2020, (2020).

Duarte, I. et al. Burnout among Portuguese healthcare workers during the COVID-19 pandemic. BMC Public Health 20, 1–10 (2020).

Marzouki, H. et al. Burnout and job satisfaction among physicians in a Saudi tertiary care center : a cross-sectional study. 3, 990–997 (2019).

Adam, S., Mohos, A. & Kalabay, L. Potential correlates of burnout among general practitioners and residents in Hungary : the significant role of gender , age , dependant care and experience. 1–10 (2018).

Minn, Y. C. & Fei, S. H. Psychological morbidities amongst house officers in sarawak general hospital kuching. Med. J. Malaysia 74, 307–311 (2019).

Motala, M. I. & Wyk, J. M. Van. Experiences of foreign medical graduates ( FMGs ), international medical graduates ( IMGs ) and overseas trained graduates ( OTGs ) on entering developing or middle- income countries like South Africa : a scoping review. (2019).

Barreck, A. A correlation exists between commuting stress factors and the likelihood of suffering from burnout. (2015).

Geng, H. et al. High rate of burnout among residents under standardized residency training in a tertiary teaching hospital of middle China: Results from a cross-sectional survey. Medicine (Baltimore). 99, e20901 (2020).

Ng, A. P. P., Chin, W. Y., Wan, E. Y. F., Chen, J. & Lau, C. S. Prevalence and severity of burnout in Hong Kong doctors up to 20 years post-graduation: A cross-sectional study. BMJ Open 10, 1–10 (2020).

Alrawashdeh, H. M. et al. Occupational Burnout and Job Satisfaction Among Physicians in Times of COVID-19 Crisis : A Convergent Parallel Mixed-Method Study. 1–30 (2020).

O’Dowd, E. et al. Stress, coping, and psychological resilience among physicians. BMC Health Serv. Res. 18, 1–11 (2018).

Published
2021-04-28
How to Cite
Mohammad, A. H., Shamsudin , S. B., Ahmad Kamarudin, N., Ching, L. M., Radzran, A. S., Mohd Deris, M. H., & Mukhsam, M. H. (2021). OCCUPATIONAL BURNOUT AMONG PUBLIC MEDICAL OFFICERS DURING THE EARLY STAGE OF COVID-19 PANDEMIC IN KOTA KINABALU, SABAH. Malaysian Journal of Public Health Medicine, 21(1), 317-326. https://doi.org/10.37268/mjphm/vol.21/no.1/art.893