Evidence map›Paper›PMID 32995060›Full record

ArticleSafety and health at work2020

Do Low Self-Esteem and High Stress Lead to Burnout Among Health-Care Workers? Evidence From a Tertiary Hospital in Bangalore, India.

Avita R Johnson, Rakesh Jayappa, Manisha James, Avono Kulnu, Rajitha Kovayil, Bobby Joseph

Open access · goldAbstract read
In one paragraph

Article in Safety and health at work, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
8.1field-weighted citation impact, top 2% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Eldercare's Turnover Intention and Human Resource Approach: A Systematic Review.International journal of environmental research and public health · 2023
    Pooled it
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  18. Burnout and Suicidal Behaviours in Health Professionals in Portugal: The Moderating Effect of Self-Esteem.International journal of environmental research and public health · 2023
    Article
  19. Article
  20. Global Self-Esteem and Stress Intensity in a Group of Polish Nurses-A Mediatory Role of a Sense of Coherence.International journal of environmental research and public health · 2022
    Article
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

6 authors at 2 institutions in 1 country.

Avita R JohnsonDepartment of Community Health, St. John's Medical College, Bangalore, 560034, India.
Rakesh JayappaDepartment of Community Medicine, S.S Institute of Medical Sciences and Research Centre, Davangere, Karnataka, India.
Manisha JamesDepartment of Community Health, St. John's Medical College, Bangalore, 560034, India.
Avono KulnuDepartment of Community Health, St. John's Medical College, Bangalore, 560034, India.
Rajitha KovayilDepartment of Community Health, St. John's Medical College, Bangalore, 560034, India.
Bobby JosephDepartment of Community Health, St. John's Medical College, Bangalore, 560034, India.
St.John's Medical College Hospital · INShamnur Shivashankarappa Institute of Medical Sciences & Research Centre · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow self-esteem can be an issue among health-care workers due to the hierarchical medical system. Health-care workers are also in a high pressure environment that can lead to stress and burnout. This study was conducted to estimate the proportion of health-care workers with low self-esteem, high stress, and burnout and the factors associated with these in a private hospital in Bangalore city.

methodsThis cross-sectional study included a random sample of health-care workers of various cadres - doctors, nurses, nursing aides, technicians, and workers in ancillary departments such as laundry, dietary, central sterile supply department, and pharmacy, with probability proportional to size. Rosenberg Scale for Self-esteem, Cohen's Perceived Stress Scale, and Shirom-Melamed Burnout Measure were used as study tools.

resultsAmong the 306 health-care workers, there were high levels of low self-esteem (48.4%), stress (38.6%), and burnout (48.7%), with the lowest levels being among doctors. Those aged younger than 30 years had significantly lower self-esteem and greater stress.

conclusionsHealth-care workers with low self-esteem were nearly thrice more likely to suffer high stress, Odds Ratio (OR) = 2.84 (1.36-5.92), and those who were stressed had more than three times higher chance of experiencing burnout, OR = 3.6 (2.02-6.55). Path analysis showed that low self-esteem among health-care workers had a direct effect on burnout, as well as an indirect effect through stress (mediator variable). This study indicates the need for screening and counseling for low self-esteem, stress, and burnout as part of a periodic medical examination of all cadres of health workers.

Indexed as

BurnoutHealth-care workersSelf-esteemStress

Identifiers

PMID32995060
PMCPMC7502605
OpenAlexW3035754099

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.