Burnout, Job Dissatisfaction, and Mental Health Outcomes Among Medical Students and Health Care Professionals at a Tertiary Care Hospital in Pakistan: Protocol for a Multi-Center Cross-Sectional Study.

Syed Hamza Mufarrih, Aeman Naseer, Nada Qaisar Qureshi, Zohaib Anwar, Nida Zahid, Riaz Hussain Lakdawala, Shahryar Noordin
Author Information
  1. Syed Hamza Mufarrih: Department of Biological and Biomedical Sciences, The Aga Khan University Hospital, Karachi, Pakistan.
  2. Aeman Naseer: The Aga Khan University Hospital, Karachi, Pakistan.
  3. Nada Qaisar Qureshi: Department of Medicine, The Aga Khan University, Karachi, Pakistan.
  4. Zohaib Anwar: The Aga Khan University Hospital, Karachi, Pakistan.
  5. Nida Zahid: Department of Surgery, The Aga Khan University Hospital, Karachi, Pakistan.
  6. Riaz Hussain Lakdawala: Department of Surgery, The Aga Khan University Hospital, Karachi, Pakistan.
  7. Shahryar Noordin: Department of Surgery, The Aga Khan University Hospital, Karachi, Pakistan.

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.

Keywords

References

  1. GMS Health Technol Assess. 2010 Jul 05;6:Doc09 [PMID: 21289882]
  2. Lancet. 1996 Mar 16;347(9003):724-8 [PMID: 8602002]
  3. Int J Environ Res Public Health. 2019 Apr 26;16(9): [PMID: 31027333]
  4. Dtsch Arztebl Int. 2011 Nov;108(46):781-7 [PMID: 22163259]
  5. Am J Community Psychol. 1985 Dec;13(6):693-713 [PMID: 4083275]
  6. Psychol Rep. 1998 Apr;82(2):627-42 [PMID: 9621740]
  7. Afr Health Sci. 2008 Mar;8(1):6-7 [PMID: 19357725]
  8. Mayo Clin Proc. 2016 Dec;91(12):1678-1679 [PMID: 27836111]
  9. World J Emerg Med. 2018;9(3):178-186 [PMID: 29796141]
  10. Healthcare (Basel). 2016 Jun 30;4(3): [PMID: 27417625]
  11. Neurology. 2017 May 2;88(18):1727-1735 [PMID: 28381514]
  12. Int Arch Occup Environ Health. 2006 Mar;79(3):199-204 [PMID: 16258752]
  13. Front Psychol. 2015 Jan 22;5:1573 [PMID: 25657627]
  14. Spinal Cord. 2008 Aug;46(8):547-51 [PMID: 18071354]
  15. Fam Pract Manag. 2015 Sep-Oct;22(5):42-7 [PMID: 26554564]
  16. Soc Sci Med. 1993 Sep;37(5):575-81 [PMID: 8211271]
  17. Perspect Med Educ. 2014 Apr;3(2):136-43 [PMID: 24706177]
  18. BMC Med. 2004 Aug 18;2:29 [PMID: 15317650]
  19. J Clin Psychol. 2016 Jan;72(1):22-37 [PMID: 26451877]
  20. Med J Aust. 2004 Oct 4;181(7):350-3 [PMID: 15462646]
  21. Eur Arch Psychiatry Clin Neurosci. 2012 Nov;262 Suppl 2:S65-9 [PMID: 22926058]
  22. Br J Anaesth. 2002 Dec;89(6):873-81 [PMID: 12453932]
  23. Ann Med Surg (Lond). 2016 Feb 02;6:60-3 [PMID: 26955475]
  24. JAMA. 2010 Sep 15;304(11):1173-80 [PMID: 20841530]
  25. Occup Med (Lond). 1998 May;48(4):237-50 [PMID: 9800422]
  26. Arch Dis Child. 2005 Nov;90(11):1112-6 [PMID: 16243862]
  27. J R Coll Physicians Edinb. 2015;45(2):104-7 [PMID: 26181523]
  28. JAMA. 2010 Dec 22;304(24):2732-7 [PMID: 21177508]
  29. BMJ. 1989 Feb 11;298(6670):366-70 [PMID: 2493939]
  30. Psychol Assess. 2013 Jun;25(2):435-41 [PMID: 23356679]
  31. J Coll Physicians Surg Pak. 2018 Dec;28(12):899-901 [PMID: 30501822]
  32. Acad Med. 2014 Mar;89(3):443-51 [PMID: 24448053]
  33. J Pak Med Assoc. 2010 Aug;60(8):699-702 [PMID: 20726214]
  34. Cureus. 2019 Mar 16;11(3):e4257 [PMID: 31139516]
  35. Soc Work Res. 1994 Mar;18(1):27-35 [PMID: 10134784]
  36. Br J Psychiatry. 1996 Sep;169(3):334-7 [PMID: 8879720]
  37. J Adv Nurs. 2008 Apr;62(1):84-95 [PMID: 18352967]
  38. Br J Clin Psychol. 2005 Jun;44(Pt 2):227-39 [PMID: 16004657]

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