Evidence map›Paper›PMID 41754017›Full record

ArticleHealthcare (Basel, Switzerland)2026

Caught Between Care and Collapse: An Interpretive Qualitative Exploration of Burnout and Resilience Among Respiratory Therapists in Saudi Arabia.

Rayan A Siraj, Maryam M Almulhem

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2026. 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

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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

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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

2 authors.

Rayan A SirajDepartment of Respiratory Therapy, College of Applied Medical Sciences, King Faisal University, Al-Ahsa 31982, Saudi Arabia.ORCID 0000-0002-4238-9419
Maryam M AlmulhemDepartment of Respiratory Therapy, College of Applied Medical Sciences, King Faisal University, Al-Ahsa 31982, Saudi Arabia.ORCID 0000-0002-3994-0185

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough burnout among respiratory therapists (RTs) is well documented, qualitative insights into their lived experiences in Saudi Arabia remain limited. This study explored RTs' experiences of burnout, systemic and organisational drivers of professional strain, and strategies for resilience and retention within Saudi hospitals.

methodsA qualitative descriptive design was employed. Purposive sampling was used to recruit 11 RTs from diverse regions across Saudi Arabia. Semi-structured interviews were conducted in Arabic between September and November 2025, audio-recorded, and transcribed verbatim. Data management and analysis followed a hybrid approach using NVivo 12 software alongside manual coding to support deep immersion in the data. Analysis was guided by Braun and Clarke's reflexive thematic analysis. Methodological rigour was enhanced through reflexive memoing, peer debriefing, and adherence to a 15-point trustworthiness checklist.

resultsAnalysis generated one overarching theme, "Caught Between Care and Collapse: The Human Cost of Institutional Burnout," alongside three interrelated themes. Participants described (1) "Living within a system that drains the self," highlighting sustained physical and emotional exhaustion driven by understaffing and extended shifts; (2) "Losing meaning and recognition," illustrating how organisational neglect eroded professional passion and replaced it with obligation and frustration; and (3) "Coping strategies and informal support," reflecting quiet resilience through self-regulation, peer solidarity, and humane leadership. Many participants framed their endurance as an act of moral defiance rather than passive resignation.

conclusionsThese findings suggest that RT burnout reflects not individual failure but a structural outcome of sustained strain and deficits in reciprocity. Burnout emerges as an institutional crisis in which therapists remain deeply committed to patient care while being pushed toward professional collapse by systemic neglect. Culturally informed, system-level interventions are urgently needed to preserve this essential workforce.

Indexed as

burnoutcopingorganizational supportrespiratory therapistsSaudi Arabia

Identifiers

PMID41754017
PMCPMC12940855

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