Professional burnout in doctors in medical institutions in Republic of Ghana

Cover Page

Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription Access

Abstract

Introduction. Professional burnout among medical workers is known to be associated with increased workloads, for example, when medical institutions are understaffed with medical personnel, overtime work, and stressful situations. These factors also apply to medical staff in Ghanaian health care institutions. However, there is a lack of research examining how different professionals in healthcare settings in Ghana respond to burnout. There is a need to plan and develop interventions aimed at preventing burnout among healthcare workers in Ghana.

Materials and methods. Survey questions for the conduct of this study included the Maslach Burnout Inventory (MBI) survey, which was used to assess the level of emotional burnout. At the same time, we added special questions to the questionnaire, which assessed the intensity of work of representatives of various specialties of medical institutions in Ghana. We conducted sociological survey to collect data about risk factors for diseases, which were present from the period 2018 to 2022, among workers of medical facilities in Ghana. One thousand eighty three workers participated. In this study, doctors were divided into professional groups, 4 in total. These groups were represented by the following specialties: surgery, therapy, laboratory diagnostics, representatives of the administrative level. We analyzed the data by the use of SPSS, and presented the results in descriptive statistics and correlation analysis.

Results. The study found differences in the levels of professional burnout, as well as differences in the intensity of work functions among doctors in various specialties. Thus, surgeons were characterized by the highest intensity of work (p <0.001). The therapeutic group, on the other hand, was characterized by an average level. Specialists of laboratory and diagnostic units and administrative level were distinguished by work of the least intensity. However, signs of burnout are common among surgeons, therapists, laboratory technicians, and administrators in Ghanaian hospitals.

Limitations. The lack of regulations governing the conduct and assessment of working conditions, a system for recording and investigating cases of occupational diseases, and special equipment for measuring working conditions in Ghana served as limitations to our scientific research.

Conclusion. Taking into account the results of our study to establish the facts of the development of professional burnout among medical workers in medical institutions in Ghana, it is necessary to apply preventive measures at the level of the Government of Ghana (development of a legal framework, regulatory documents, accounting and reporting forms for registration, measuring instruments and methods for their use for assessing working conditions, preventive programs).

Compliance with ethical standards. The study does not require the conclusion of the biomedical ethics committee or any other document. All participants gave informed voluntary written consent to participate in the study.

Contributions:
Akuoko E. – data acquisition for analysis, study design, data curation, conceptualization, writing the text of the manuscript, review of publications on the topic of the article;
Alenitskaia M.V. – software, editing material, writing the text of the manuscript, examination, visualization.
All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.

Conflict of interest. The authors declare no conflict of interest.

Acknowledgement. The study had no sponsorship.

Received: March 26, 2024 / Revised: May 8, 2024 / Accepted: June 19, 2024 / Published: January 31, 2025

About the authors

Ebenezer Akuoko

Far Eastern Federal University

Email: noemail@neicon.ru

Graduate student, Department of Public Health and Preventive Medicine School of Medicine and Life Sciences Far Eastern Federal University, Vladivostok, 690922, Russian Federation

Marina V. Alenitskaia

Far Eastern Federal University

Author for correspondence.
Email: trial766@mail.ru

DSc (Medicine), Department of Public Health and Preventive Medicine School of Medicine and Life Sciences, Far Eastern Federal University, Vladivostok, 690922, Russian Federation

e-mail: trial766@mail.ru

References

  1. Archakov V.Yu., Savkov P.I. Foreign experience in ensuring biological safety in the context of modern challenges and threads. Nauka i innovatsii. 2021; (10): 1–6. https://elibrary.ru/slwzrf (in Russian)
  2. Zhavoronkova N.G., Agafonov A.B. Environmental, biological, social security: an organizational and legal aspect. Lex Russica. 2020; 73(7): 43–9. https://doi.org/10.17803/1729-5920.2020.164.7.043-049 https://elibrary.ru/ttiflp (in Russian)
  3. Kobyakova O.S., Kulikov E.S., Khomyakov K.V. The professional burnout of physicians of various specialties. Zdravookhranenie Rossiiskoi Federatsii. 2017; 61(6): 322–9. https://elibrary.ru/ypwxbr (in Russian)
  4. Panasenko T.V., Azarko E.M. Emotional burn out in medical workers. Molodoi issledovatel’ Dona. 2021; (5): 1–7. https://elibrary.ru/jnhyyv (in Russian)
  5. Popov V.V., D’yakova Yu.A., Novikova I.A. Professional burnout factors in physicians of polyclinics. Gigiena i Sanitaria (Hygiene and Sanitation, Russian journal). 2017; 96(3): 265–9. https://elibrary.ru/yhswpd (in Russian)
  6. Aldali H.J., Khan A., Alshehri A.A., Aldali J.A., Meo S.A., Hindi A., et al. Hospital-acquired infections caused by carbapenem-resistant enterobacteriaceae: an observational study. Microorganisms. 2023; 11(6): 1595. https://doi.org/10.3390/microorganisms11061595
  7. Alencar-Feijó L.D.C., Vasconcelos Barbalho E.D., Monteiro-Sampaio R.M., Barros-Silva P.G.D., Pinto F.J.M. Occupational accidents among dental surgeons: exposure to biological material. Revista de Salud Publica. 2022; 24(1): 273–9. https://doi.org/10.1590/rou.2014.043
  8. Alhassan R.K., Nketiah-Amponsah E. Frontline staff motivation levels and health care quality in rural and urban primary health facilities: a baseline study in the Greater Accra and Western regions of Ghana. Health Econ. Rev. 2016; 6(1): 39. https://doi.org/10.1186/s13561-016-0112-8
  9. Beheza L.E. Theoretical and empirical analysis of emotional burnout of doctors. Fund. Appl. Res. Pract. Lead. Sci. Schools. 2021; 6(42).
  10. Bin-Ghouth A. Occupational Hazards among Health Workers in Hospitals of Mukalla City, Yemen. In: ISEE Conference Abstracts. 2022; 2022(1). https://doi.org/10.1289/isee.2022.P-1110
  11. Bubulac L., Nica A.E., Ionesc D., Purcarea V.L. The management of burnout syndrome and its impact on health care organizational behavior 2019. In: IBIMA International Conference. Granada, Spain; 2019.
  12. Dong X., Wang S., Ren K. Application of composite antibacterial nanoparticle non-woven fabric in sterilization of hospital infection. Prev. Med. 2023; 173(4): 107597. https://doi.org/10.1016/j.ypmed.2023.107597
  13. Gungordu N. Evaluation of perception, knowledge and attitudes of anesthesia healthcare workers on occupational health and safety. Anestezi Dergisi. 2023; 2(31): 134–42. https://doi.org/10.54875/jarss.2023.26122
  14. Hagopian A., Thompson M.J., Fordyce M., Johnson K.E., Hart L.G. The migration of physicians from sub-Saharan Africa to the United States of America: measures of the African brain drain. Hum. Resour. Health. 2004; 2(1): 17. https://doi.org/10.1186/1478-4491-2-17
  15. Karamova L.M., Valeeva E.T., Vlasova N.V., Galimova R.R., Basharov G.R. Analysis of occupational risk factors causing diseases of the circulatory system in medical workers: literature review. Health Risk Analysis. 2021; (4): 171–7. https://doi.org/10.21668/health.risk/2021.4.19.eng
  16. Khammissa R.A. The burnout construct with reference to healthcare providers: A narrative review. SAGE Open Medicine. 2022; 10: 205031212210830. https://doi.org/10.1177/20503121221083080
  17. Köroğlu M., Altındiş S., Aydemir Ö., Yüksel B., Demiray T., Erkorkmaz Ü., et al. Employee safety and biosafety applications in microbiology laboratories; a multicenter evaluation in Turkey. Mikrobiyol. Bul. 2020; 54(3): 347–67. https://doi.org/10.5578/mb.69634
  18. Kumar A., Panigrahi A. Occupational health hazards among health care personnel working in public health facilities in Bhubaneswar, India. J. Publ. Health (Germany). 2021; 29(3). https://doi.org/10.1007/s10389-019-01167-0
  19. Kwon J.H., Nickel K.B., Reske K.A., Stwalley D., Dubberke E.R., Lyons P.G., et al. Risk factors for hospital-acquired infection during the SARS-CoV-2 pandemic. J. Hosp. Infect. 2023; 133: 8–14. https://doi.org/10.1016/j.jhin.2022.11.020
  20. Landford W.N., Stewart T., Abousy M., Ngaage L.M., Kambouris A., Slezak S. A roadmap for navigating occupational exposures for surgeons: a special consideration for the pregnant surgeon. Plast. Reconstr. Surg. 2021; 147(2): 513–23. https://doi.org/10.1097/PRS.0000000000007581
  21. Lim W.Y., Ong J., Ong S., Hao Y., Abdullah H.R., Koh D.L., et al. The abbreviated maslach burnout inventory can overestimate burnout: a study of anesthesiology residents. J. Clin. Med. 2019; 9(1): 61. https://doi.org/10.3390/jcm9010061
  22. Maida C.M., Aprea L., Calamusa G., Campisi F., Favaro D., Russo Fiorino G., et al. Blood and body fluids exposure of healthcare workers in a university hospital of Palermo, Italy: fourteen years long surveillance. Ann. Ig. 2020; 32(6). https://doi.org/10.7416/ai.2020.2380
  23. Pisarenco C., Pisarenco S. The problem of medical errors in the context of Burnout syndrome. Bull. Acad. Sci. Moldova. Med. Sci. 2022; 74(3). https://doi.org/10.52692/1857-0011.2022.3-74.08
  24. Rotstein S., Hudaib A.R., Facey A., Kulkarni J. Psychiatrist burnout: a meta-analysis of Maslach Burnout Inventory means. Australas. Psychiatry. 2019; 27(3): 249–54. https://doi.org/10.1177/1039856219833800
  25. Seluch M., Volchansky M., Safronov R. Dependence of emotional burnout on personality typology in the COVID-19 pandemic. Work. 2021; 70(3): 713–21. https://doi.org/10.3233/WOR-210428
  26. Song J., Fan C., Li Q., Wang A., Wang W., Zhou L., et al. The status of emotional labour and its influence on job burnout among village doctors during the COVID-19 pandemic in China: a cross-sectional study. BMC Prim. Care. 2023; 24(1): 19. https://doi.org/10.1186/s12875-023-01982-1
  27. Sottani C., Favorido Barraza G., Frigerio F., Corica G., Robustelli Della Cuna F.S., Cottica D., et al. Effectiveness of a combined UV-C and ozone treatment in reducing healthcare-associated infections in hospital facilities. J. Hosp. Infect. 2023; 139: 207–16. https://doi.org/10.1016/j.jhin.2023.06.029
  28. Stehman C.R., Testo Z., Gershaw R.S., Kellogg A.R. Burnout, drop out, suicide: physician loss in emergency medicine, part I. West J. Emerg. Med. 2019; 20(3): 485–94. https://doi.org/10.5811/westjem.2019.4.40970
  29. Swerdlow B.N. Surgical smoke and the anesthesia provider. J. Anesth. 2020; 34(4): 575–84. https://doi.org/10.1007/s00540-020-02775-x
  30. Goh L.P.W., Marbawi H., Goh S.M., Bin Abdul Asis A.K., Gansau J.A. The prevalence of hospital-acquired infections in Southeast Asia (1990–2022). J. Infect. Dev. Ctries. 2023; 17(2): 139–46. https://doi.org/10.3855/jidc.17135

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2025



СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 37884 от 02.10.2009.