TY - JOUR
T1 - Occupational stress and burnout among health care workers caring for people living with HIV in Eswatini
AU - Bhembe, Lomthandazo Queeneth
AU - Tsai, Feng Jen
N1 - Funding Information:
The authors acknowledge the contribution of Dr. R.K Mthetwa for her active role in supervising the field study and facilitation of data collection. The authors thank Mr. Ghislain Poda and Mike Wu for their support and encouragement and also the research assistants Musa Collin Bhembe and Sipho Matsenjwa. Special thanks to all clinicians who contributed and participated in the study.
PY - 2019/11/1
Y1 - 2019/11/1
N2 - We used the Effort-Reward Imbalance Questionnaire and Copenhagen Burnout Inventory in our cross-sectional study to examine associations between occupational stress and burnout among 368 health care workers (HCW) who cared for people living with HIV (PLWH) in Eswatini. Chi-square and logistic regression analyses were conducted. HCW caring for PLWH reported high efforts, imbalanced effort-reward ratios, overcommitment, and low rewards. Health care managers, physicians, and nurses reported higher work efforts, effort-reward ratios, overcommitment, and personal, work-related, and client-related burnout than laboratory staff or peer counselors. HCW with high work efforts, effort-reward ratios, and overcommitment had significantly higher risks of having personal (odds ratio [OR] 5 4.60), work-related (OR 5 3.96), and client-related burnout (OR 5 2.20). HCW with low rewards had a significant risk of having personal (OR 5 3.13) and work-related (OR 5 2.08) burnout. Our results suggested the need for policies to reduce work stress for HCW caring for PLWH.
AB - We used the Effort-Reward Imbalance Questionnaire and Copenhagen Burnout Inventory in our cross-sectional study to examine associations between occupational stress and burnout among 368 health care workers (HCW) who cared for people living with HIV (PLWH) in Eswatini. Chi-square and logistic regression analyses were conducted. HCW caring for PLWH reported high efforts, imbalanced effort-reward ratios, overcommitment, and low rewards. Health care managers, physicians, and nurses reported higher work efforts, effort-reward ratios, overcommitment, and personal, work-related, and client-related burnout than laboratory staff or peer counselors. HCW with high work efforts, effort-reward ratios, and overcommitment had significantly higher risks of having personal (odds ratio [OR] 5 4.60), work-related (OR 5 3.96), and client-related burnout (OR 5 2.20). HCW with low rewards had a significant risk of having personal (OR 5 3.13) and work-related (OR 5 2.08) burnout. Our results suggested the need for policies to reduce work stress for HCW caring for PLWH.
KW - Burnout
KW - Eswatini
KW - Health care workers
KW - Occupational stress
KW - People living with HIV
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U2 - 10.1097/JNC.0000000000000068
DO - 10.1097/JNC.0000000000000068
M3 - Article
C2 - 30865060
AN - SCOPUS:85073277382
SN - 1055-3290
VL - 30
SP - 639
EP - 647
JO - Journal of the Association of Nurses in AIDS Care
JF - Journal of the Association of Nurses in AIDS Care
IS - 6
ER -