Evidence map›Paper›PMID 31550281›Full record

ArticlePloS one2019

Factors associated with burnout amongst healthcare workers providing HIV care in Malawi.

Maria H Kim, Alick C Mazenga, Xiaoying Yu, Katie Simon, Phoebe Nyasulu, Peter N Kazembe, Thokozani Kalua, Elaine Abrams, Saeed Ahmed

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.3field-weighted citation impact, top 10% of its field
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

15 citing papers in PubMed, 32 citations in OpenAlex.

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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 at 4 institutions in 2 countries.

Maria H KimBaylor College of Medicine Children's Foundation Malawi, Lilongwe, Malawi.
Alick C MazengaBaylor College of Medicine Children's Foundation Malawi, Lilongwe, Malawi.ORCID 0000-0001-9544-754X
Xiaoying YuUniversity of Texas Medical Branch at Galveston, Galveston, Texas, United States of America.
Katie SimonBaylor College of Medicine Children's Foundation Malawi, Lilongwe, Malawi.ORCID 0000-0001-9232-2653
Phoebe NyasuluBaylor College of Medicine Children's Foundation Malawi, Lilongwe, Malawi.
Peter N KazembeBaylor College of Medicine Children's Foundation Malawi, Lilongwe, Malawi.
Thokozani KaluaMinistry of Health, Department of HIV and AIDS, Lilongwe, Malawi.
Elaine AbramsICAP at Columbia University, Mailman School of Public Health, New York, New York, United States of America.
Saeed AhmedBaylor College of Medicine Children's Foundation Malawi, Lilongwe, Malawi.
Baylor College of Medicine · USICAP Global HealthMinistry of Health · MWThe University of Texas Medical Branch at Galveston · US

Funding

Improving prevention of mother-to-child HIV transmission outcomes in MalawiK01TW009644 · FIC · BAYLOR COLLEGE OF MEDICINE · PI KIM, MARIA HYOUN · 2013 to 2017
$663k
FIC NIH HHS K01 TW009644
6 · The paper itself

Abstract

contextHigh rates of burnout have been reported in low and medium income countries and can detrimentally impact healthcare delivery. Understanding factors associated with burnout amongst health care workers providing HIV care may help develop interventions to prevent/treat burnout.

objectivesWe sought to understand factors associated with burnout amongst health care workers providing HIV care in Malawi.

methodsThis was a sub-study of a larger cross-sectional study measuring burnout prevalence amongst a convenience sample of healthcare workers providing HIV care in 89 health facilities in eight districts in Malawi. Burnout was measured using the Maslach Burnout Inventory. Anonymously administered surveys included questions about sociodemographics, work characteristics (work load, supervisor support, team interactions), depression, life stressors, assessment of type D personality, and career satisfaction. We performed univariable and multivariable regression analyses to explore associations between variables and burnout.

resultsWe received 535 responses (response rate 99%). Factors associated with higher rates of burnout on multivariable regression analyses included individual level factors: male gender (OR 1.75 [CI 1.17, 2.63]; p = 0.007), marital status (widowed or divorced) (OR 3.24 [CI 1.32, 7.98]; p = 0.011), depression (OR 3.32 [CI 1.21, 9.10]; p = 0.020), type D personality type (OR 2.77 [CI 1.50, 5.12]; p = 0.001) as well as work related factors: working at a health center vs. a rural hospital (OR 2.02 [CI 1.19, 3.40]; p = 0.009); lack of a very supportive supervisor (OR 2.38 [CI 1.32, 4.29]; p = 0.004), dissatisfaction with work/team interaction (OR 1.76 [CI 1.17, 2.66]; p = 0.007), and career dissatisfaction (OR 0.76 [CI 0.60, 0.96]; p = 0.020).

conclusionThis study identified several individual level vulnerabilities as well as work related modifiable factors. Improving the supervisory capacity of health facility managers and creating conditions for improved team dynamics may help reduce burnout amongst healthcare workers proving HIV care in Malawi.

Indexed as

AdultBurnout, ProfessionalCross-Sectional StudiesDepressionFemaleHealth PersonnelHIV InfectionsHumansJob SatisfactionMalawiMaleMarital StatusPrevalenceRisk FactorsSex FactorsSurveys and Questionnaires

Identifiers

PMID31550281
PMCPMC6759146
OpenAlexW2976849067

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.