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Do Low Self-Esteem and High Stress Lead to Burnout Among Health-Care Workers? Evidence From a Tertiary Hospital in Bangalore, India

Safety and Health at Work 2020년 11권 3호 p.347 ~ 352
Johnson Avita R., Jayappa Rakesh, James Manisha, Kulnu Avono, Kovayil Rajitha, Joseph Bobby,
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 ( Johnson Avita R. ) - St. John’s Medical College Department of Community Health
 ( Jayappa Rakesh ) - S. S. Institute of Medical Sciences and Research Centre Department of Community Medicine
 ( James Manisha ) - St. John’s Medical College Department of Community Health
 ( Kulnu Avono ) - St. John’s Medical College Department of Community Health
 ( Kovayil Rajitha ) - St. John’s Medical College Department of Community Health
 ( Joseph Bobby ) - St. John’s Medical College Department of Community Health

Abstract


Background: Low self-esteem can be an issue among health-care workers due to the hierarchical medical system. Health-care workers are also in a high pressure environment that can lead to stress and burnout. This study was conducted to estimate the proportion of health-care workers with low self-esteem, high stress, and burnout and the factors associated with these in a private hospital in Bangalore city.

Methods: This cross-sectional study included a random sample of health-care workers of various cadres ? doctors, nurses, nursing aides, technicians, and workers in ancillary departments such as laundry, dietary, central sterile supply department, and pharmacy, with probability proportional to size. Rosenberg Scale for Self-esteem, Cohen's Perceived Stress Scale, and Shirom?Melamed Burnout Measure were used as study tools.

Results: Among the 306 health-care workers, there were high levels of low self-esteem (48.4%), stress (38.6%), and burnout (48.7%), with the lowest levels being among doctors. Those aged younger than 30 years had significantly lower self-esteem and greater stress.

Conclusions: Health-care workers with low self-esteem were nearly thrice more likely to suffer high stress, Odds Ratio (OR) = 2.84 (1.36?5.92), and those who were stressed had more than three times higher chance of experiencing burnout, OR = 3.6 (2.02?6.55). Path analysis showed that low self-esteem among health-care workers had a direct effect on burnout, as well as an indirect effect through stress (mediator variable). This study indicates the need for screening and counseling for low self-esteem, stress, and burnout as part of a periodic medical examination of all cadres of health workers.

키워드

Burnout; Health-care workers; Self-esteem; Stress

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