3. Electronic Theses and Dissertations (ETDs) - All submissions
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Item A programme to reduce burnout among hospital nurses in Gaza-Palestine.(2014-04-24) Alhajjar, Bashir IbrahimBackground: This thesis concerns an investigation into burnout among hospital nurses in the Gaza Strip-Palestine. The purpose of this study was to explore the prevalence and nature of burnout in a population of nurses in Gaza-Palestine and then to develop a strategy for reducing burnout and test its effectiveness. From this purpose a number of research objectives were set and from those objectives, a number of research questions were established. Method: A quantitative survey design was employed as the method for data collection, with a self-administered questionnaire pack being the data collection technique. Data were collected on burnout using Maslach Burnout Inventory (MBI). Demographic data were also collected. Data were analysed using a variety of descriptive and inferential statistical methods using the SPSS system version 17. In particular, parametric and non-parametric tests of comparison were employed. The burnout assessment was stratified into three levels (high, moderate, and low). Thirty participants of each level of burnout (15 interventions, and 15 controls) were randomly chosen on the base of 1:1 assignation, provided that they agreed to participate in part two of study. The control groups were assured that they would receive the same burnout reduction programme if found to be effective. The intervention programme consisted of 9 sessions and was provided for each intervention group separately. After completing the programme, the same questionnaire (MBI) was applied for intervention and control groups to check the effectiveness of the programme. Sample: The study population in this study is the entire cohort of nurses who are working in 16 hospitals in Gaza (n=1801). Only 1500 nurses were asked to complete a questionnaire pack, and 1330 packs were returned and used in analysis with response rate=88.7%. Results: The results of this study revealed a high prevalence of burnout (EE=44.9%, DP=53.6%, Low PA=58.4%). Emotional exhaustion (EE) was significantly associated with gender, hospital type, night shifts, and specialisation. Depersonalisation (DP) was significantly associated with hospital type extra time, night shifts, experience and specialisation. Low personal accomplishment (LPA) was significantly associated with hospital type, night shifts, and experience. The burnout reduction programme was effective with moderate and severe burnout but not with low levels of burnout. Conclusion: Being a nurse in Gaza hospitals appears to be a stressful experience. Continuation of this burnout reduction programme or a similar process is recommended to reduce burnout among Palestinian nurses in Gaza.Item Measurement of burnout and associated factors in the surgical staff at Chris Hani Baragwanath Hospital(2012-03-16) Rajaram, Sinola KarishmaItem Determination of prevalence of factors associated with burnout among health professionals in Maseru District, Lesotho.(2012-01-17) Tiam, ApploninaireBACKGROUND: Burnout is a syndrome of emotional exhaustion, depersonalization and a sense of low personal accomplishment that leads to decreased effectiveness at work. The researcher has chosen this particular topic because of recent developments in Lesotho where HIV/AIDS care scale up has been shifted to the clinics. The primary health care staff is requested to take care of very sick patients that need more home care and more social support. This adds to the load of the already overstretched personnel. METHODS: A cross-sectional descriptive study was carried out among health professionals (doctors and nurses) working in public health institutions in Maseru district of Lesotho using anonymous self administered questionnaires. Data were captured electronically into Epi info version 6 and analysed using Stata version 10.0 and Epi info software to generate frequency tables, to test relationship between demographic data and burnout factors. RESULTS: 200 questionnaire were administered, 155 (77.5%) were filled by health care workers. The age of respondents ranged from 20 to 65 years with 85.6% of them being female, 92.8% were nurses, 11.2% doctors. Working index data analysis showed variable results with 81.8% disagreeing that there were enough staff to provide quality patient care, 78.1% disagreeing that there were enough staff to get the work done and 72.8% that they had opportunity to work on a highly specialized patient care unit. Importantly, 61% of respondents agreed that health care workers had good working relationship. Concerning burnout profile of respondents, 63.3% felt that they were emotionally drained while 79.7% felt used up at the end of work day. 79.3% of respondents obtained satisfaction from working with HIV patients although 60.8% found working with HIV patients emotionally draining. Concerning job satisfaction, 84.2% of respondents were not satisfied with their wage. Considering association between demographics and burnout factors, male respondents were significantly more worried about the risk of contracting HIV from patients (p-value 0.01). In addition, doctors were also worried about the risk of contracting HIV from patients (p-value 0.02). This same feeling was significant among respondents working in hospitals (p-value 0.00). Hospital based respondents were also significantly more emotionally drained from their work than those in health centres (p-value 0.01). CONCLUSION: Key factors associated with burnout in this population include young age, low staffing capacity, low wage and lack of appreciation by managers. Individuals, health facility managers and government should take necessary steps in addressing these factors and thus preventing further worsening of the situation.