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- DOI 10.18231/j.jpmhh.2019.004
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CrossMark
- Citation
Association between burnout & sleep quality among physicians working in primary health care centers under ministry of health, Jeddah 2019
- Author Details:
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Lama Almostadi
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Amal H. Alghamdi
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Hassan Bin Usman Shah
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Aseel Alghanemi *
Introduction: Physician’s multiple struggles with time and prolonged stress, in addition to poor sleep would lead to physical and emotional exhaustion. Therefore, physician’s burnout occurs; consequently their performance, judgment and ability to conduct a proper patient care will be affected. The current study aimed at enhancing the quality of care provided to the patients by assessing the relationship between burnout & sleep quality among physicians working in Primary health care centers (PHCC) under Saudi ministry of health, Jeddah 2019.
Materials and Methods: Through a cross-sectional design, a representative sample of 229 of physicians working at primary health care centers were randomly selected to answer two Self-administered validated questionnaire, Sleep Quality Index (PSQI) to evaluate the sleep quality over a one-month period and Maslach burnout Inventory (MBI) to assess the overall of burnout. Chi-square analysis and univariate regression analysis were performed using statistical package for the social science (SPSS version 23).
Results: Overall, a moderate to high burnout scores in the present study was seen among 37.2% physicians, Depersonalization was noted in 89.1%, Emotional exhaustion and personal accomplishment was (67,2% and 42, 1%) respectively. Regression analysis showed being a resident, having specific PHCC administrative tasks, few available doctors (less than 5), and high patients load in OPD per day (OR= 1.06, p<0 OR=1.93, p=0.059) xss=removed xss=removed OR=2.77, p=0.035).>
Conclusion: More than one-third of the physicians working at Jeddah PHCCs had moderate to high burnout score with sleep disturbance. Several factors like increasing number of doctors, limiting additional workload and improving the facilities need to be addressed to decrease burnout level among physicians. This will ultimately improve the patient care.
Keywords: Burnout, Exhaustion, Family physician, Insomnia, Sleep.
References
- Tsutsumi A. Occupational health--items on the research agenda. Int J Behav Med. 2011;18(4):293-4.
- Maslach C. Understanding burnout: Definitional issues in analyzing a complex phenomenon. In: Paine W, editor. Job stress and burnout. Beverly Hills, CA1982. p. 29-40.
- Kushnir T, Levhar C, Cohen AH. Are burnout levels increasing? The experience of Israeli primary care physicians. Isr Med Assoc J 2004;6(8):451-5.
- Rachiotis G, Kourousis C, Kamilaraki M, Symvoulakis EK, Dounias G, Hadjichristodoulou C. Medical supplies shortages and burnout among greek health care workers during economic crisis: a pilot study. Int J Med Sci. 2014;11(5):442-7.
- Collier R. Burnout symptoms common among medical residents but rates vary across specialties. CMAJ 2018;190(41):E1239-E1239.
- Schaufeli WB, Buunk BP. Burnout: An overview of 25 years of research and theorizing2003. 282-424.
- Armon G, Shirom A, Shapira I, Melamed S. On the nature of burnout-insomnia relationships: a prospective study of employed adults. J Psychosom Res 2008;65(1):5-12.
- De Jonge J, Dormann C, Janssen PP, Dollard MF, Landeweerd JA, Nijhuis FJ. Testing reciprocal relationships between job characteristics and psychological well‐being: A cross‐lagged structural equation model. J Occup Organ Psychol 2001;74(1):29-46.
- Roth T, Roehrs T, Pies R. Insomnia: pathophysiology and implications for treatment. Sleep Med Rev 2007;11(1):71-9.
- Thomas NK. Resident burnout. Jama 2004;292(23):2880-89.
- Tucker P, Bejerot E, Kecklund G, Aronsson G, Akerstedt T. The impact of work time control on physicians' sleep and well- being. Appl Ergon 2015;47:109-116.
- Bawakid K, Abdulrashid O, Mandoura N, Shah HBU, Ibrahim A, Akkad NM, et al. Burnout of Physicians Working in Primary Health Care Centers under Ministry of Health Jeddah, Saudi Arabia. Cureus 2017;9(11):e1877.
- Dwivedi A, Purohit B. Is Dentistry Turning Into Weary Profession? Dimensionality of Experienced Professional Burnout among Dentists in Central India. Dent 2016;6(8).
- Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989;28(2):193-213.
- Shanafelt TD, West CP, Sinsky C, Trockel M, Tutty M, Satele DV, et al. Changes in Burnout and Satisfaction With Work- Life Integration in Physicians and the General US Working Population Between 2011 and 2017. Mayo Clin Proc 2019.
- Bazemore A, Petterson S, Peterson LE, Phillips RL, Jr. More Comprehensive Care Among Family Physicians is Associated with Lower Costs and Fewer Hospitalizations. Ann Fam Med 2015;13(3):206-13.
- Hansen A, Peterson LE, Fang B, Phillips RL, Jr. Burnout in Young Family Physicians: Variation Across States. J Am Board Fam Med 2018;31(1):7-8.
- Puffer JC, Knight HC, O'Neill TR, Rassolian M, Bazemore AW, Peterson LE, et al. Prevalence of Burnout in Board Certified Family Physicians. J Am Board Fam Med 2017;30(2):125-6.
- Lee FJ, Stewart M, Brown JB. Stress, burnout, and strategies for reducing them: what's the situation among Canadian family physicians? Can Fam Physician 2008;54(2):234-5.
- Kotb AA, Mohamed KA, Kamel MH, Ismail MA, Abdulmajeed AA. Comparison of burnout pattern between hospital physicians and family physicians working in Suez Canal University Hospitals. Pan Afr Med J 2014;18:164. Lama Almostadi et al. Association between burnout & sleep quality among physicians working in… Journal of Preventive Medicine and Holistic Health, January-June, 2019;5(1):20-26 26
- Yilmaz A. Burnout, job satisfaction, and anxiety-depression among family physicians: A cross-sectional study. J Family Med Prim Care 2018;7(5):952-6.
- Johnson EO, Roth T, Breslau N. The association of insomnia with anxiety disorders and depression: exploration of the direction of risk. J Psychiatr Res 2006;40(8):700-8.
- Ripp J, Fallar R, Babyatsky M, David R, Reich L, Korenstein D. Prevalence of resident burnout at the start of training. Teach Learn Med 2010;22(3):172-5.
- Papp KK, Stoller EP, Sage P, Aikens JE, Owens J, Avidan A, et al. The effects of sleep loss and fatigue on resident- physicians: a multi-institutional, mixed-method study. Acad Med 2004;79(5):394-406.
- Devi S. Doctors in distress. Lancet 2011;377(9764):454-5.
- Shanafelt TD, Sloan JA, Habermann TM. The well-being of physicians. Am J Med 2003;114(6):513- How ti
How to Cite This Article
Vancouver
Almostadi L, Alghamdi AH, Shah HBU, Alghanemi A. Association between burnout & sleep quality among physicians working in primary health care centers under ministry of health, Jeddah 2019 [Internet]. J Prev Med Holist Health. 2019 [cited 2025 Oct 12];5(1):20-26. Available from: https://doi.org/10.18231/j.jpmhh.2019.004
APA
Almostadi, L., Alghamdi, A. H., Shah, H. B. U., Alghanemi, A. (2019). Association between burnout & sleep quality among physicians working in primary health care centers under ministry of health, Jeddah 2019. J Prev Med Holist Health, 5(1), 20-26. https://doi.org/10.18231/j.jpmhh.2019.004
MLA
Almostadi, Lama, Alghamdi, Amal H., Shah, Hassan Bin Usman, Alghanemi, Aseel. "Association between burnout & sleep quality among physicians working in primary health care centers under ministry of health, Jeddah 2019." J Prev Med Holist Health, vol. 5, no. 1, 2019, pp. 20-26. https://doi.org/10.18231/j.jpmhh.2019.004
Chicago
Almostadi, L., Alghamdi, A. H., Shah, H. B. U., Alghanemi, A.. "Association between burnout & sleep quality among physicians working in primary health care centers under ministry of health, Jeddah 2019." J Prev Med Holist Health 5, no. 1 (2019): 20-26. https://doi.org/10.18231/j.jpmhh.2019.004