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Burnout syndrome among frontline doctors of secondary and tertiary care hospitals of Bangladesh during COVID-19 pandemic

Author

Listed:
  • Fahmida Rashid
  • Rabiul Alam Md Erfan Uddin
  • H M Hamidullah Mehedi
  • Satyajit Dhar
  • Nur Hossain Bhuiyan
  • Md Abdus Sattar
  • Shahanara Chowdhury

Abstract

Introduction: During the COVID-19 pandemic, healthcare workers had a high workload and were exposed to multiple psychosocial stressors. However, a knowledge gap exists about the levels of burnout among Bangladeshi frontline doctors during this COVID-19 pandemic. The study investigated burnout syndrome (BOS) among frontline doctors in two public secondary and tertiary care hospitals in Chattogram, Bangladesh. Materials & methods: This cross-sectional study involved frontline doctors working at two hospitals treating COVID-19 and non-COVID patients from June to August 2020. A self-administered questionnaire that included Maslach Burnout Inventory for Human Services Survey (MBI-HSS) was used to capture demographic and workplace environment information. ANOVA and t-test were used to determine the statistical differences in the mean values of the three dimensions of MBI-HSS. Scores for three domains of burnout: emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA) were calculated. Post-hoc analysis was done to identify the significant pair-wise differences when the ANOVA test result was significant. Multiple logistic regression was performed to determine the influence of factors associated with BOS. Results: A total of 185 frontline doctors were invited to participate by convenience sampling, and 168 responded. The response rate was 90.81%. The overall prevalence of BOS was 55.4% (93/168) (95% CI: 47.5% to 63.0%). Moderate to high levels of EE was found in 95.8% of the participants. High DP and reduced PA were observed in 98.2% and 97% of participants. Younger age (25–29 years), being female, and working as a medical officer were independently associated with high levels of burnout in all three domains. EE was significantly higher in females (P = 0.011). DP was significantly higher in medical officers, those at earlier job periods, and those working more than 8 hours per day. Conclusion: During the COVID-19 outbreak, BOS was common among Bangladeshi frontline doctors. Females, medical officers, and younger doctors tended to be more susceptible to BOS. Less BOS was experienced when working in the non-COVID ward than in the mixed ward.

Suggested Citation

  • Fahmida Rashid & Rabiul Alam Md Erfan Uddin & H M Hamidullah Mehedi & Satyajit Dhar & Nur Hossain Bhuiyan & Md Abdus Sattar & Shahanara Chowdhury, 2022. "Burnout syndrome among frontline doctors of secondary and tertiary care hospitals of Bangladesh during COVID-19 pandemic," PLOS ONE, Public Library of Science, vol. 17(11), pages 1-13, November.
    • Handle: RePEc:plo:pone00:0277875
    DOI: 10.1371/journal.pone.0277875
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    1. repec:plo:pone00:0159015 is not listed on IDEAS
    2. Zhi Xuan Low & Keith A. Yeo & Vijay K. Sharma & Gilberto K. Leung & Roger S. McIntyre & Anthony Guerrero & Brett Lu & Chun Chiang Sin Fai Lam & Bach X. Tran & Long H. Nguyen & Cyrus S. Ho & Wilson W. , 2019. "Prevalence of Burnout in Medical and Surgical Residents: A Meta-Analysis," IJERPH, MDPI, vol. 16(9), pages 1-22, April.
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