Professional Burn out among physicians and nurses in ICUs of Bangladesh: a multi-center study

Authors

  • Mohammad Omar Faruq Professor and Chief Consultant, General ICU and Emergency, United Hospital, Dhaka 1212, Bangladesh
  • AK Qumrul Huda Professor ICU, Dept. of Anesthesia, BSM Medical University, Dhaka 1000, Bangladesh
  • Rownak Jahan Tamanna Consultant, Chief of ICU, Uttara Crescent Hospital, Dhaka 1230, Bangladesh
  • ASM Areef Ahsan Professor, Critical care Medicine, Birdem Hospital, Dhaka 1000, Bangladesh
  • Kaniz Fatema Associate Professor, Critical care Medicine, Birdem Hospital, Dhaka 1000, Bangladesh
  • Uzzwal Kumar Mallick Assistant Professor, ICU, National Institute of Neurosciences and Hospital, Dhaka 1207, Bangladesh
  • Mohammad Asaduzzaman Assistant Professor, ICU, National Institute of Neurosciences and Hospital, Dhaka 1207, Bangladesh
  • Raihan Rabbani Consultant, ICU, Square Hospitals, Dhaka 1205, Bangladesh
  • Md Rezaul Karim Senior Resident Medical Officer, ICU, IBN Sina Hospital, Dhaka 1207, Bangladesh
  • Dewan Muhammad Mahmudul Gafur Resident Medical Officer, ICU, IBN Sina Hospital, Dhaka 1207, Bangladesh
  • Abdul Hamid Consultant, Cardiac Surgery ICU, Ibrahim Cardiac Hospital and Research Institute. Dhaka 1000, Bangladesh
  • Samira Humaira Habib Principal Research officer and Associate Professor, Health Economics unit, Diabetic Association of Bangladesh, Dhaka 1000, Bangladesh
  • Mohammad Saif Uddin Senior House Officer, Nephrology, United Hospital Ltd, Dhaka 1212, Bangladesh

DOI:

https://doi.org/10.3329/bccj.v8i1.47702

Keywords:

Burn out, Burn out Syndrome, ICU, Doctors, Nurses

Abstract

Background: Burn out is a common syndrome observed among health care workers in highly stressed environment of ICU. We investigated prevalence of burn out and its associated risk factors among doctors and nurses working in ICUs of Bangladesh.

Methods: We conducted a cross sectional survey on 93 physicians and 247 nurses working in 12 ICUs of Bangladesh. Maslach Burn out Inventory-Human services Survey was used to measure Burn out outcome. Univariate and multivariate random effects logistic regression analysis of predictors for burnout as outcome measure among physicians and nurses were performed.

Results: 21.3 % of all study physicians and nurses suffer moderate to high burn out. 51% of all study doctors and 87 % of all study nurses suffer from low burn out. For doctors working in ICU having a religious back ground, imbalance between professional working time and time for personal life, monthly salary, hours of sleep per day, years of working experience, percentage of work time spent in ICU and number of ICU patients cared for per day, no of stay-at-home night calls or night shifts per month at work appeared significantly associated with high burn out. For nurses having a religious back ground or belief, having child more than two, higher educational qualification (bachelor degree), low monthly salary; less hours per week engaged in charity work, low level of personal control over work, imbalanced work‑life, more than 26 work days per month, more frequent shifts in work, conflicts with colleagues all were associated with high burn out.

Conclusion: Among all interventions, promoting reduction of work load and improving work-life balance need to be addressed as a priority in order to reduce burn out.

Bangladesh Crit Care J March 2020; 8(1): 5-16

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Published

2020-06-20

How to Cite

Faruq, M. O., Huda, A. Q., Tamanna, R. J., Ahsan, A. A., Fatema, K., Mallick, U. K., Asaduzzaman, M., Rabbani, R., Karim, M. R., Gafur, D. M. M., Hamid, A., Habib, S. H., & Uddin, M. S. (2020). Professional Burn out among physicians and nurses in ICUs of Bangladesh: a multi-center study. Bangladesh Critical Care Journal, 8(1), 5–16. https://doi.org/10.3329/bccj.v8i1.47702

Issue

Vol. 8 No. 1 (2020)

Section

Original Articles

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