Conceptualisation of job-related wellbeing, stress and burnout among healthcare workers in rural Ethiopia: A qualitative study

BMC Health Services Research

Volumn 17, Issue 1, 2017, Pages

  Selamu, Medhin ^a   Thornicroft, Graham ^b   Fekadu, Abebaw ^a,b   Hanlon, Charlotte ^a,b  

^a ADDIS ABABA UNIVERSITY   (Ethiopia)

^b KING'S COLLEGE LONDON   (United Kingdom)

Author keywords

Burnout; Ethiopia; Healthcare workers; Job related stress; Primary care; Stress; Stressor; Wellbeing

Indexed keywords

ADULT; BURNOUT; ETHIOPIA; FEMALE; HEALTH AUXILIARY; HEALTH CARE PERSONNEL; HUMAN; JOB SATISFACTION; MALE; MENTAL HEALTH; MIDDLE AGED; PERSONNEL MANAGEMENT; PSYCHOLOGY; QUALITATIVE RESEARCH; RURAL HEALTH CARE; WORKLOAD;

ADULT; BURNOUT, PROFESSIONAL; COMMUNITY HEALTH WORKERS; ETHIOPIA; FEMALE; HEALTH PERSONNEL; HUMANS; JOB SATISFACTION; MALE; MENTAL HEALTH; MIDDLE AGED; PERSONNEL TURNOVER; QUALITATIVE RESEARCH; RURAL HEALTH SERVICES; WORKLOAD;

EID: 85020901500     PISSN: None     EISSN: 14726963     Source Type: Journal    
DOI: 10.1186/s12913-017-2370-5     Document Type: Article

References (64)

1. Dagget T, Molla A, Belachew T. Job related stress among nurses working in Jimma Zone public hospitals, South West Ethiopia: a cross sectional study. BMC Nurs. 2016;15:39.
2. Lasebikan VO, Oyetunde MO. Burnout among nurses in a Nigerian general Hospital: prevalence and associated factors. ISRN Nursing. 2012;2012:402157.
3. Aloulou J, Damak R, Masmoudi F, Sidhom O, Amami O. Burn out in health care providers: a Tunisian study about 142 nurses. La Tunisie Medicale. 2013;91(01):44-9.
4. Maslach C, Leiter PM. Understanding the burnout experience: recent research and its implications for psychiatry. World Psychiatr. 2016;15:103-11.
5. Abdulla L, Al-Qahtani D, Al-Kuwari M. Prevalence and determinants of burnout sydnrome among primary health care physicans in Quatar. South African Fam Pract. 2011;53(4):380-3.
6. Abdulghafour Y, Bo-hamra A, Al-Randi M, Kamel M, El-Shazly M. Burnout syndrome among physicians working in primary health care centers in Kuwait. Alexandria J Med. 2011;47:351-7.
7. Johnson S, Osborn D, Araya R, Wearn E, Paul M, Stafford M, et al. Morale in the English mental health workforce: questionnaire survey. British J Psyciatr. 2012;201:239-46.
8. Asrat B, Girma E, Soboka M, Tesfay K. Mental distress and associated factors among health professionals working in tertiary teaching Hospital, South West Ethiopia. J Depress Anxiety. 2015;4:192.
9. Kazmi R, Amjad S, Khan D. Occupational stress and its effect on job performance a Case study of medical house officers of district Abbottabad. Journal of Ayub Medical College, Abbottabad: JAMC. 2008;20(3):135-9.
10. WHO: The Kampala Declaration and Agenda for Global Action. In. Edited by alliance Ghw. Geneva; 2008.
11. Chen L, Evans T, Anand S, Boufford J, Brown H, Chowdhury M, et al. Human resources for health: overcoming the crisis. Lancet. 2004;364:1984-90.
12. Belita A, Mbindyo P, English M. Absenteeism amongst health workers - developing a typology to support empiric work in low-income countries and characterizing reported associations. BMC Hum Res Health. 2013;11:34.
13. Dal Poz M, Kinfu Y, Dräger S, Kunjumen T: Counting health workers: definitions, data, methods and global results. World Health Organization: Department of Human Resources for Health 2007.
14. Haq Z, Iqbal Z, Rahman A. Job stress among community health workers: a multi-method study from Pakistan. Int J Ment Heal Syst. 2008;2(15):1-6.
15. Crabbe J, Bowley D, Boffard K, Alexander D, Klein S. Are health professionals getting caught in the crossfire? The personal implications of caring for trauma victims. Emerg Med J. 2004;21:568-72.
16. Bonenberger M, Aikins M, Akweongo P, Wyss K. The effects of health worker motivation and job satisfaction on turnover intention in Ghana: a cross-sectional study. Hum Resour Health. 2014;12:43.
17. Graveling R, Crawford J, Cowie H, Amati C, Vohra S. A review of workplace interventions that promote mental wellbeing in the workplace. IOM. 2008. p. 246.
18. Mateen F, Dorji C. Health-care worker burnout and the mental health imperative. http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)61483-5/fulltext. 2009. p. 374.
19. Dovlo D. Wastage in the health workforce: some perspectives from African countries. Hum Resour Health. 2005;3:6.
20. Jensen N. The health worker crisis: an analysis of the issues and main international responses. UK: Health poverty action; 2013.
21. WHO. WHO: working together for health. Geneva: WHO; 2006.
22. Hall HL, Johnson J, Watt I, Tsipa A, O'Connor BD. Healthcare staff wellbeing, burnout, and patient safety: a systematic review. PLoS One. 2016;11(7):e0159015.
23. Alhassan KR, Spieker N, Ostenberg P, Ogink A, Nketiah-Amponsah E, Rinke de Wit FT. Association between health worker motivation and healthcare quality efforts in Ghana. Hum Resour Health. 2013;11:37.
24. FMOH. Health policy of the transitional government of Ethiopia. Policy. 1993
25. Girma S, Yohannes AG, Kitaw Y, Ye-Ebiyo Y, Seyoum A, Desta H, et al. Human resource development for health in Ethiopia: challenges of achieving the millennium development goals. Ethiop J Health Dev. 2007;21(3):216-31.
26. FMOH. Health sector development program IV 2010/11 - 2014/15 FINAL DRAFT. Policy. 2010
27. El-Saharty S, Kebede S, Olango P, Siadat B. Health, nutrition and population (HNP) discussion paper Ethiopia: improving health service delivery. World Bank. 2009
28. FMOH: National Health Sector Transformation Plan. In. Edited by Health Mo. Addis Ababa; 2015.
29. Agency CS: Population size and characterstics. 2015.
30. Fekadu A, Hanlon C, Medhin G, Alem A, Selamu M, Giorgis TW, et al. Development of a scalable mental healthcare plan for a rural district in Ethiopia. Br J Psychiatry. 2015:s1-9.
31. Health Facility lists http://www.snnprhb.gov.et/?option=com-phocadownload&view=category&id=4:hospitals&Itemid=65. Accessed Jan 2017.
32. Lund C, Tomlinson M, De Silva M, Fekadu A, Shidhaye R, Jordans M, et al. PRIME: a Programme to reduce the treatment gap for mental disorders in five low- and middle-income countries. PLoS Med. 2012;9(12):e1001359.
33. Hanlon C, Luitel NP, Kathree T, Murhar V, Shrivasta S, Medhin G, et al. Challenges and opportunities for implementing integrated mental health care: a district level situation analysis from five low- and middle-income countries. PLoS One. 2014;9:2.
34. FMOH: National Mental Health Strategy 2012/13-2015/16. 2012.
35. Lund C, De Silva M, Plagerson S, Cooper S, Chisholm D, Das J, et al. Poverty and mental disorders: breaking the cycle in low-income and middle income countries. Lancet. 2011;378(9801):1502-14.
36. Petersen I. Comprehensive integrated primary mental health care for South Africa. Pipedream or possibility. Soc Sci Med. 2000;51(3):321-34.
37. Sandelowski M. Focus on qualitative methods sample size in qualitative research. Res Nurs Health. 1995;18:179-83.
38. Vaismoradi M, Turunen H, Bondas T. Content analysis and thematic analysis: implications for conducting a qualitative descriptive study. Nurs Health Sci. 2013;15:398-405.
39. Berg B: Qualitative research methods for the social sciences. In. Edited by Kelbaugh S, Fourth edition edn. Printed in the United States of America; 2001.
40. Bordens K, Abbott B. Research Design and Methods A Process Approach. Eighth ed. New York: The McGraw-Hill Companies; 2011.
41. Cohen L, Manion L, Morrison K. Research methods in education. Sixth ed. USA: Taylor & Francis; 2007.
42. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24:105-12.
43. NVivo: NVivo qualitative data analysis software. Version 9. QSR International Pty Ltd 2010.
44. Rolfe G. Validity, trustworthiness and rigour: quality and the idea of qualitative research. J Adv Nurs. 2004;53(3):304-10.
45. Sharts-Hopko CN. Assessing rigor in qualitative research. J Assoc Nurses AIDS Care. 2002;13(4):84-6.
46. James G. Well-Being Its Meaning, Measurement and Moral Importance. Book 1988:299.
47. Andrews G: A glossary of terms for community health care and services for older persons. WHO Document 2004.
48. Stranks J. Stress at work management and prevention. Book. 2005
49. Johnson S, Osborn D, Araya R, Wearn E, Paul M, MEA S. Morale in the English mental health workforce: questionnaire survey. British J Psyciatr. 2012;201:239-46.
50. Totman J, Hundt LG, Wearn E, Paul M, Johnson S. Factors affecting staff morale on inpatient mental health wards in England: a qualitative investigation. BMC Psychiatry. 2011;11:68.
51. Abera E, Yitayal M, Gebreslassie M. Turnover intention and associated factors among health professionals in University of Gondar Referral Hospital, Northwest Ethiopia. Int J Econ Manag Sci. 2014;3(4):1-4.
52. Shin YS, Lee GS. Effects of Hospital workers' friendship networks on job stress. PLoS One. 2016;11(2):1-15.
53. Ratanawongsa N, Roter D, Beach M, Laird S, Larson S, Carson K, et al. Physician burnout and patient -physician communication during primary care encounter. J Gen Intern Med. 2008;23(10):1581-8.
54. Dollard M, Winefield H, Winefield AH, Jong J. Psychosocial job strain and productivity in human service workers: a test of the demand-control-support model. J Organ Psychol. 2000;73:501-10.
55. Boran A, Shawaheen M, Khader Y, Amarin Z, Hill Rice V. Work-related stress among health professionals in northern Jordan. Occup Med. 2012;62:145-7.
56. Dall'Ora C, Griffiths P, Ball J, Simon M, Aiken HL. Association of 12 h shifts and nurses' job satisfaction, burnout and intention to leave: findings from a cross-sectional study of 12 European countries. BMJ Open. 2015;5(9):e008331.
57. Maslach C, Schaufeli W, Leiter P. Job Burnout. Annu Rev Psychol. 2001;52:397-422.
58. Felton J. Burnout as a clinical entity its importance for health care workers. Occup Med. 1998;48(4):237-50.
59. Burch J, Tom J, Zahi Y, Criswell L, Leo E, Ogoussan K. Shiftwork impacts and adaptation among health care workers. Occup Med. 2009;59:159-66.
60. Mutale W, Ayles H, Bond V, Mwanamwenge TM, Balabanova D. Measuring health workers' motivation in rural health facilities: baseline results from three study districts in Zambia. Hum Resour Health. 2013;11:8.
61. Vesel L, Waller K, Dowden J, Fotso CJ. Psychosocial support and resilience building among health workers in Sierra Leone: interrelations between coping skills, stress levels, and interpersonal relationships. BMC Health Serv Res. 2015;15(Suppl 1):S3.
62. English M, Irimu G, Agweyu A, Gathara D, Oliwa J, Ayieko P, et al. Building learning health systems to accelerate research and improve outcomes of clinical Care in low- and Middle-Income Countries. PLoS Med. 2016;13:4.
63. Buykx P, Humphreys J, Wakerman J, Pashen D. Systematic review of effective retention incentives for health workers in rural and remote areas: towards evidence-based policy. Aust J Rural Health. 2010;18:102-9.
64. Shibre T, Negash A, Kullgren G, Kebede D, Alem A, Fekadu A, et al. Perception of stigma among family members of individuals with schizophrenia and major affective disorders in rural Ethiopia. Soc Psychiatry Psychiatr Epidemiol. 2001;36(6):299-303.