Electronic Theses and Dissertations (Masters)

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Browsing Electronic Theses and Dissertations (Masters) by Keyword "Burnout"

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    A survey of the professional quality of life of pharmacists and rehabilitation therapists at three public sector hospitals in Gauteng, South Africa
    (2024) Moyo, Nonkazimulo
    Background- The global goal of Universal Health Coverage (UHC) cannot be achieved without a wellmotivated and productive health workforce. Central to their motivation and productivity is the notion of professional quality of life (ProQOL) that captures both the positive and negative emotions of caring work. However, there is a dearth of empirical studies on the ProQOL of pharmacists and rehabilitation therapists, especially in an African setting. Study aim -The aim of the study was to examine the self-reported ProQOL of pharmacists and rehabilitation therapists at three public sector hospitals in the Gauteng Province of South Africa. Methodology- During 2021, a cross-sectional analytical study was conducted at three public sector hospitals in the Gauteng Province of South Africa. Following informed consent, all eligible pharmacists, pharmacist assistants, occupational therapists, physiotherapists and speech therapists and audiologists completed a self-administered questionnaire electronically. In addition to sociodemographic information, the questionnaire obtained information on compassion satisfaction, burnout, and secondary traumatic stress using the ProQOL scale (version 5) and work-related experiences during the COVID-19 pandemic. STATA® 17 was used for descriptive and multivariate analysis of the survey data. Results- A total of 118 pharmacists and rehabilitation therapists completed the survey. The majority were female (83.00%), single (63.46%), with mean age 30.77 years (SD=9.08). The results revealed moderate mean scores for compassion satisfaction (39.62; SD=5.48), burnout (24.26; SD=5.12) and secondary traumatic stress (23.03; SD=6.31). The predictors of compassion satisfaction were moderate positive COVID-19 experiences score (β=+2.61;95% CI 0.54; 4.68; p=0.014) and high positive COVID-19 experiences score (β =+ 2.68; 95%CI 0.40; 4.96; p=0.021); moderate overall job satisfaction score (β =+ 3.17; 95% CI 0.16; 6.18; p=0.039) and high overall job satisfaction score (β =+ 7.26; 95% CI 4.06; 10.47; p<0.001). The predictors of burnout were being single (β=+2.02 95% CI 0.07; 3.97; p=0.042), full professional registration (β=+4.23; 95% CI 1.79; 6.67; p=0.001), direct involvement in patient care (β=+3.24; 95% CI 0.22; 6.26; p=0.036) and reporting a heavy workload (β=+ 2.61; 95% CI 0.75; 4.48; p=0.007). The predictors of secondary traumatic stress were being male (β=+ 3.26; 95% CI 0.36; 6.15; p=0.028), and full registration (β=+ 5.72; 95% CI 2.41; 9.03; p<0.001). Conclusion- The ProQOL of pharmacists and rehabilitation therapists is influenced by a combination of individual, workplace, and health system factors, suggesting the need for a multifaceted approach to optimise their contribution to the achievement of UHC. Such approach should include provincial health, hospital management, and peer support as well as self-care activities.
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    Factors associated with burnout among healthcare workers in a rural context, South Africa: a cross-sectional study
    (2024) Moses, Alexandra
    Background. Healthcare providers (HCP) were at risk of burnout related to high levels of occupational stress in the workplace. However, there was little research in rural and primary care settings in subSaharan Africa. This study aimed to describe the individual and workplace factors of public sector HCP working in Mpumalanga province, their experience of burnout and to examine the factors associated with burnout.. Methods. A quantitative study design using a cross-sectional survey was employed. The research site was Nkomazi Local Municipality in Mpumalanga Province. All HCPs (n=1 139) working at the primary healthcare clinics, community health centres and district hospitals were invited to participate in the survey. Data were collected between April and September 2022 via a selfadministered, electronic questionnaire. A demographic and occupational questionnaire, the General Help Seeking Questionnaire and the Health and Safety Executive (HSE) indicator tool were used to assess individual and workplace factors. Burnout was assessed using the Maslach Burnout Inventory– Human Services Survey. Univariate and multivariate regression analyses were used to examine factors associated with burnout. Results. Just over a quarter (n=302; 26.5%) of HCP participated. Participants were aged between 23 and 61 years, mostly female (n=252; 83.44%) and nurses (n=235; 77.81%). Most participants (n=215; 71.19%) would seek help if they had an emotional problem, most likely from mental health professionals, and least likely from traditional healers. Increased work-related stress was present due to the demands and roles of HCP. High levels of burnout were observed for Emotional Exhaustion (Median score 26 (IQR: 18)) and Personal Accomplishment (median score 29 (IQR: 9)) but not for Depersonalisation (median score 7 (IQR: 9)). On univariate regression analysis, the individual factor of being married and the workplace factor of increased years of experience were statistically significant to all three subscales of burnout. HSE factors of demands, control, management support, peer support, relationships, role and change were highly statistically significant to Emotional Exhaustion, Depersonalisation and Personal Accomplishment. On multivariate regression analysis, no individual demographic, occupational or HSE factors were significantly associated with Emotional Exhaustion or Depersonalisation. Personal Accomplishment ii improved by 0.49 (95%CI: 0.10-0.89) for every one point increase towards improved work demands, by 0.84 (95%CI: 0.01-1.67) for every point score increase towards improved management support, and by 1.19 (95%CI: 0.48-1.90) for every point score increase towards having improved role. Conclusions. During 2022, HCPs working in a rural area in South Africa displayed high levels of burnout for Emotional Exhaustion and Personal Accomplishment but not for Depersonalisation. Improvements in work demands, managerial support and role were significantly associated with an increase in the experience of Personal Accomplishment. Further research is recommended to better understand the nuances of the work environment. Solutions should be explored and implemented to prevent burnout, with special consideration given to work demands, managerial support and role clarity as part of the effort to retain rural HCP in the public health system.