Evidence map›Paper›PMID 31510975›Full record

SynthesisBMC public health2019

Systematic review of burnout among healthcare providers in sub-Saharan Africa.

Benyam W Dubale, Lauren E Friedman, Zeina Chemali, John W Denninger, Darshan H Mehta, Atalay Alem, Gregory L Fricchione, Michelle L Dossett, Bizu Gelaye

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 158 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
158citing papers in PubMed, 9 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

158 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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  5. Prevalence of Burnout in Healthcare Specialties: A Systematic Review Using Copenhagen and Maslach Burnout Inventories.Medical science monitor : international medical journal of experimental and clinical research · 2022
    Pooled it
  6. Determinants of Burnout among Teachers: A Systematic Review of Longitudinal Studies.International journal of environmental research and public health · 2022
    Pooled it
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  8. Burnout among Nurses Working in Ethiopia.Behavioural neurology · 2020
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98 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Benyam W DubaleDepartment of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia.
Lauren E FriedmanDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Kresge 505, Boston, MA, 02115, USA.
Zeina ChemaliThe Chester M. Pierce, M.D. Division of Global Psychiatry, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
John W DenningerBenson Henry Institute for Mind Body Medicine at Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Darshan H MehtaBenson Henry Institute for Mind Body Medicine at Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Atalay AlemDepartment of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia.
Gregory L FricchioneThe Chester M. Pierce, M.D. Division of Global Psychiatry, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Michelle L DossettBenson Henry Institute for Mind Body Medicine at Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Bizu GelayeDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Kresge 505, Boston, MA, 02115, USA. bgelaye@hsph.harvard.edu.ORCID http://orcid.org/0000-0001-7934-548X

Funding

Improving Health Outcomes Through Enhanced Patient-Provider RelationshipsK23AT009218 · NCCIH · UNIVERSITY OF CALIFORNIA AT DAVIS · PI DOSSETT, MICHELLE L · 2016 to 2020
$801k
NCCIH NIH HHS K23 AT009218NCCIH NIH HHS K23AT009218
6 · The paper itself

Abstract

backgroundBurnout is characterized by physical and emotional exhaustion from long-term exposure to emotionally demanding work. Burnout affects interpersonal skills, job performance, career satisfaction, and psychological health. However, little is known about the burden of burnout among healthcare providers in sub-Saharan Africa.

methodsRelevant articles were identified through a systematic review of PubMed, Web of Science (Thomson Reuters), and PsycINFO (EBSCO). Studies were selected for inclusion if they examined a quantitative measure of burnout among healthcare providers in sub-Saharan Africa.

resultsA total of 65 articles met our inclusion criteria for this systematic review. Previous studies have examined burnout in sub-Saharan Africa among physicians (N = 12 articles), nurses (N = 26), combined populations of healthcare providers (N = 18), midwives (N = 2), and medical or nursing students (N = 7). The majority of studies assessed burnout using the Maslach Burnout Inventory. The highest levels of burnout were reported among nurses, although all healthcare providers showed high burnout. Burnout among healthcare providers is associated with their work environments, interpersonal and professional conflicts, emotional distress, and low social support.

conclusionsAvailable studies on this topic are limited by several methodological challenges. More rigorously designed epidemiologic studies of burnout among healthcare providers are warranted. Health infrastructure improvements will eventually be essential, though difficult to achieve, in under-resourced settings. Programs aimed at raising awareness and coping with burnout symptoms through stress management and resilience enhancement trainings are also needed.

Indexed as

Job SatisfactionAdaptation, PsychologicalAdultAfrica South of the SaharaBurnout, ProfessionalFemaleHealth PersonnelHumansMaleOccupational StressPhysiciansWorkplaceBurnoutHealth personnelSub-Saharan Africa

Identifiers

PMID31510975
PMCPMC6737653

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.