Evidence map›Paper›PMID 41200047›Full record

SynthesisFrontiers in psychology2025

Prevalence of burnout and its risk and protective factors among healthcare workers in the Middle East, North Africa, and Turkey: a systematic review and meta-analysis.

Mohammed A Alhassan, Mohammed A Alarabi, Shaden Abdulrahman Alhassan, Waled M Albalawi, Ebraheem S AlRabiah

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
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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

5 authors.

Mohammed A AlhassanDepartment of Medical Specialties, College of Medicine, Majmaah University, Majmaah, Saudi Arabia.
Mohammed A AlarabiDepartment of Psychiatry, King Saud University, Riyadh, Saudi Arabia.
Shaden Abdulrahman AlhassanDar Al Uloom University, Riyadh, Saudi Arabia.
Waled M AlbalawiKing Salman Armed Forces Hospital, Tabuk, Saudi Arabia.
Ebraheem S AlRabiahSpecial Security Forces Healthcare Center, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Burnout, defined as persistent work-related stress, is a critical concern among healthcare workers (HCWs), particularly in high-demand environments such as the Middle East, North Africa, and Turkey (MENAT) region. This systematic review and meta-analysis aimed to assess the pooled prevalence of burnout and examine its associated risk and protective factors among HCWs in the MENAT context. Methods: A comprehensive search of studies published between 2013 and 2024 identified 123 studies involving 36,769 participants. Only studies using the Maslach Burnout Inventory - Human Services Survey (MBI-HSS) were included. Burnout was evaluated across its three dimensions: emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA). The protocol is registered with PROSPERO (CRD420251051167). Results: The pooled prevalence was 40% for high emotional exhaustion, 31% for high depersonalization, and 38% for low personal accomplishment. The overall mean scores were 22.02 for EE, 10.07 for DP, and 25.49 for PA. Substantial heterogeneity across studies reflected wide variation in healthcare system capacity and workforce conditions. Burnout was more pronounced in countries such as Saudi Arabia, Iran, and Turkey. Common risk factors included high workload, lack of institutional support, younger age, and female gender. Protective factors were linked to increased autonomy, leadership support, and strong peer relationships. Conclusion: Burnout is prevalent among HCWs across the MENAT region, with significant variability across countries. Targeted interventions to reduce occupational stressors and enhance protective workplace structures are urgently needed to safeguard provider wellbeing and improve healthcare delivery. Systematic review registration: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD420251051167, identifier CRD420251051167.

Indexed as

burnoutdepersonalizationemotional exhaustionhealthcare workersMBI-HSSMENAT regionpersonal accomplishmentwork stress

Identifiers

PMID41200047
PMCPMC12586964

What OpenQuestion holds

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LicenceCC BY
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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.