Burnout and presenteeism among healthcare workers in Nigeria: Implications for patient care, occupational health and workforce productivity

Background: Burnout and presenteeism are two emerging occupational health challenges which share same locus among healthcare workers, and the trend is rising. We aim to define the magnitude of burnout and presenteeism among frontline members of the health workforce and explore any correlation betwee...

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Main Authors: Arinze D.G. Nwosu, Edmund Ossai, Okechukwu Onwuasoigwe, Maureen Ezeigweneme, Jude Okpamen
Format: Article
Language:English
Published: SAGE Publishing 2021-02-01
Series:Journal of Public Health Research
Subjects:
Online Access:https://www.jphres.org/index.php/jphres/article/view/1900
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author Arinze D.G. Nwosu
Edmund Ossai
Okechukwu Onwuasoigwe
Maureen Ezeigweneme
Jude Okpamen
author_facet Arinze D.G. Nwosu
Edmund Ossai
Okechukwu Onwuasoigwe
Maureen Ezeigweneme
Jude Okpamen
author_sort Arinze D.G. Nwosu
collection DOAJ
description Background: Burnout and presenteeism are two emerging occupational health challenges which share same locus among healthcare workers, and the trend is rising. We aim to define the magnitude of burnout and presenteeism among frontline members of the health workforce and explore any correlation between the two in order to provide empirical data from our socioeconomic and geographical background.  Design and Methods: We used self-administered questionnaire to conduct a cross-sectional study among the physicians and nurses in a regional trauma centre in Enugu, Eastern Nigeria; with the respondents selected by stratified random sampling. The Oldenburg burnout inventory and Stanford presenteeism scale were used to measure burnout and presenteeism respectively, while the 2-item patient-health questionnaire (PHQ-2) was used to screen for depression. The level of statistical significance was determined by a p value of <0.05. Results: Among the healthcare workers surveyed (n=155); 34 (21.9%) were physicians, while 121 (78.1%) were nurses. Burnout prevalence was 69%. Burnout was associated with self-rated health status and length of years in professional service but not the occupation or depression screen status of the worker. Sixty-two healthcare workers (40%) screened positive for depression. A positive screen for depression was the only factor that had significant association with lower presenteeism scores (p=0.002). The mean presenteeism scores had strong negative correlation with both the exhaustion (p<0.001) and disengagement (p<0.001) domains of burnout. Conclusion: Burnout is high among the healthcare workers and correlates with presenteeism scores. The mental health of the workforce greatly impaired their productivity.
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spelling doaj.art-b2411c0e0887470f91a0b65f88f395852023-01-02T01:37:30ZengSAGE PublishingJournal of Public Health Research2279-90282279-90362021-02-0110110.4081/jphr.2021.1900Burnout and presenteeism among healthcare workers in Nigeria: Implications for patient care, occupational health and workforce productivityArinze D.G. Nwosu0Edmund Ossai1Okechukwu Onwuasoigwe2Maureen Ezeigweneme3Jude Okpamen4Department of Anaesthesia, National Orthopaedic Hospital, EnuguCollege of Health Sciences, Ebonyi State University, Abakaliki College of Medicine, University of Nigeria, Nsukka, Enugu StateDepartment of Nursing Services, National Orthopaedic Hospital, EnuguDepartment of Orthopaedics, National Orthopaedic Hospital, EnuguBackground: Burnout and presenteeism are two emerging occupational health challenges which share same locus among healthcare workers, and the trend is rising. We aim to define the magnitude of burnout and presenteeism among frontline members of the health workforce and explore any correlation between the two in order to provide empirical data from our socioeconomic and geographical background.  Design and Methods: We used self-administered questionnaire to conduct a cross-sectional study among the physicians and nurses in a regional trauma centre in Enugu, Eastern Nigeria; with the respondents selected by stratified random sampling. The Oldenburg burnout inventory and Stanford presenteeism scale were used to measure burnout and presenteeism respectively, while the 2-item patient-health questionnaire (PHQ-2) was used to screen for depression. The level of statistical significance was determined by a p value of <0.05. Results: Among the healthcare workers surveyed (n=155); 34 (21.9%) were physicians, while 121 (78.1%) were nurses. Burnout prevalence was 69%. Burnout was associated with self-rated health status and length of years in professional service but not the occupation or depression screen status of the worker. Sixty-two healthcare workers (40%) screened positive for depression. A positive screen for depression was the only factor that had significant association with lower presenteeism scores (p=0.002). The mean presenteeism scores had strong negative correlation with both the exhaustion (p<0.001) and disengagement (p<0.001) domains of burnout. Conclusion: Burnout is high among the healthcare workers and correlates with presenteeism scores. The mental health of the workforce greatly impaired their productivity.https://www.jphres.org/index.php/jphres/article/view/1900Burnoutpresenteeismdepressionhealthcare workerNigeria
spellingShingle Arinze D.G. Nwosu
Edmund Ossai
Okechukwu Onwuasoigwe
Maureen Ezeigweneme
Jude Okpamen
Burnout and presenteeism among healthcare workers in Nigeria: Implications for patient care, occupational health and workforce productivity
Journal of Public Health Research
Burnout
presenteeism
depression
healthcare worker
Nigeria
title Burnout and presenteeism among healthcare workers in Nigeria: Implications for patient care, occupational health and workforce productivity
title_full Burnout and presenteeism among healthcare workers in Nigeria: Implications for patient care, occupational health and workforce productivity
title_fullStr Burnout and presenteeism among healthcare workers in Nigeria: Implications for patient care, occupational health and workforce productivity
title_full_unstemmed Burnout and presenteeism among healthcare workers in Nigeria: Implications for patient care, occupational health and workforce productivity
title_short Burnout and presenteeism among healthcare workers in Nigeria: Implications for patient care, occupational health and workforce productivity
title_sort burnout and presenteeism among healthcare workers in nigeria implications for patient care occupational health and workforce productivity
topic Burnout
presenteeism
depression
healthcare worker
Nigeria
url https://www.jphres.org/index.php/jphres/article/view/1900
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