Evidence map›Paper›PMID 39304463›Full record

ArticleBritish journal of anaesthesia2024

Lived experience of burnout and fatigue in perioperative healthcare professionals in Rwanda: a qualitative study.

M Dylan Bould, Eugene Tuyishime, Charles Nkurunziza, Christophe Mpirimbanyi, Gedeon Mutabezi, Logan Wiwchar, Lydia Yilma, Christopher Charles, Christian Rangel

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In one paragraph

Article in British journal of anaesthesia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

9 authors.

M Dylan BouldDepartment of Anesthesiology and Pain Medicine, University of Ottawa, Ottawa, ON, Canada; Department of Innovation in Medical Education, University of Ottawa, Ottawa, ON, Canada. Electronic address: dbould@cheo.on.ca.
Eugene TuyishimeDepartment of Anesthesia Critical Care and Emergency Medicine, University of Rwanda, Kigali, Rwanda.
Charles NkurunzizaDepartment of Obstetrics and Gynecology, University Teaching Hospital of Butare (CHUB), Butare, Rwanda.
Christophe MpirimbanyiDepartment of Surgery, Kibagabaga Level II Teaching Hospital, Kigali, Rwanda.
Gedeon MutabeziIntensive Care Unit, University Teaching Hospital of Kigali (CHUK), Kigali, Rwanda.
Logan WiwcharDepartment of Anesthesiology and Pain Medicine, University of Ottawa, Ottawa, ON, Canada.
Lydia YilmaThe Ottawa Hospital Research Institute, Ottawa, ON, Canada.
Christopher CharlesDepartment of Anesthesiology and Pain Medicine, Mount Sinai Hospital, Toronto, ON, Canada.
Christian RangelDepartment of Innovation in Medical Education, University of Ottawa, Ottawa, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a lack of qualitative data on the negative effects of workplace stressors on the well-being of healthcare professionals in hospitals in Africa. It is unclear how well research methods developed for high-income country contexts apply to different cultural, social, and economic contexts in the global south.

methodsWe conducted a qualitative interview-based study including 64 perioperative healthcare professionals across all provinces of Rwanda. We used an iterative thematic analysis and aimed to explore the lived experience of Rwandan healthcare professionals and to consider to what extent the Maslach model aligns with these experiences.

resultsWe found mixed responses of the effects on individuals, including the denial of burnout and fatigue to the points of physical exhaustion. Responses aligned with Maslach's three-factor model of emotional exhaustion, decreased personal accomplishment, and depersonalisation, with downstream effects on the healthcare system. Other factors included strongly patriotic culture, goals framed by narratives of Rwanda's recovery after the genocide, and personal and collective investment in developing the Rwandan healthcare system.

conclusionsThe Rwandan healthcare system presents many challenges which can become profoundly stressful for the workforce. Consideration of reduced personal and collective accomplishment, of moral injury, and its diverse downstream effects on the whole healthcare system may better represent the costs of burnout Rwanda. It is likely that improving the causes of work-based stress will require a significant investment in improving staffing and working conditions.

Indexed as

Burnout, ProfessionalFatigueHealth PersonnelQualitative ResearchAdultFemaleHumansMaleMiddle AgedRwandaWorkplaceburnoutfatigueperioperative careRwandaworkforce

Identifiers

PMID39304463
PMCPMC11488159

What OpenQuestion holds

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Registered trials

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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.