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The repercussions of burnout among health care professionals in medical oncology in tunisia

Published online by Cambridge University Press:  13 August 2021

A. Daldoul*
Affiliation:
Medical Oncology, Fattouma Bourguiba University Hospital, Monastir, Tunisia
W. Khechin
Affiliation:
Medical Oncology, Fattouma Bourguiba University Hospital, Monastir, Tunisia
W. Krir
Affiliation:
Psychiatry, Military Hospital, Tunis, Tunisia
F. Ezzairi
Affiliation:
Medical Oncology, University Hospital, sousse, Tunisia
H. Kefi
Affiliation:
Psychiatry, Military Hospital, Tunis, Tunisia
S. Zaied
Affiliation:
Medical Oncology, Fattouma Bourguiba University Hospital, Monastir, Tunisia
S. Ben Ahmed
Affiliation:
Medical Oncology, University Hospital, sousse, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Freudenberger was the first to define burnout as a feeling of helplessness and guilt, as well as boredom and disinterest.

Objectives

Our study aimed to analyze functional complaints and the behavior of healthcare professionals in this area associated with this syndrome.

Methods

This was a cross sectional study including health care professionals in medical oncology working in public hospitals in Tunisia. It was carried out from 15 January 2019 to 15 June 2019. Health professionals were asked to answer the Maslach –Burnout Inventory Test.

Results

The average age was 34 years ± 6.7. Burn-out was found in 15 of the participants, (21%). In our population, a high emotional exhaustion score was significantly associated with its repercussions: Sadness, Blockage, sleep disturbances, unexplained pain, Epigastralgia / fatigue, Addictive behavior ; avoidance behavior, repercussions on the relationship with those around them, desire for a transfer, regret for choosing a profession, suicidal thoughts, absenteeism and smoking. A high depersonalization score was significantly associated with several functional and behavior complaints, in particular: irritability, anger, feeling of indifference, guilt, unexplained pain, decreased performance, suicidal thoughts. A low personal achievement score was significantly associated with psychotropic drug use. Global burn-out was significantly associated with feeling of blockage, guilt, unexplained pain, epigastralgia and fatigue, addictive behaviors and avoidance behaviors as well as suicidal thoughts, absenteeism and consumption of psychotropic drugs.

Conclusions

Through its impact on professionals, burnout in medical oncology represents a major threat to the quality of care and the survival of institutions.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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