Burnout among medical residents in Haiti: a mixed-methods study

BMJ Open, Journal Year: 2025, Volume and Issue: 15(4), P. e087847 - e087847

Published: April 1, 2025

Objectives To investigate the prevalence and risk factors associated with burnout among residents to explain their experiences burnout. Design Mixed-methods convergent parallel study an explanatory follow-up. Settings One tertiary hospital in Mirebalais one community Saint-Marc. Participants Of 127 registered both settings, 26 were excluded because they on leave. Therefore, 101 asked participate. We received responses from 98 (response rate 97.02%). Interventions Data collection took part two stages: quantitative data was first made over a 2-week period July 2023 using questionnaire which included Maslach Burnout Inventory. simultaneously conducted qualitative analysis based three questions around stress related work, personal fulfilment social issues questionnaire. Second, following preliminary results, focus group held seven chief bring in-depth understanding of Primary secondary outcomes Sociodemographic clinical linked for data. The themes explored issues. explained, main causes medical residents, influencing factors, coping strategies perspectives. Results Five major findings emerged data, including following: (a) 79.59%; (b) 43% estimated working more than 80 hours/week; (c) highest rates second-year postgraduate (p=0.01); (d) paediatrics family medicine had mean score emotional exhaustion (e) general surgery/orthopaedics depersonalisation (p<0.01). For five categories burnout: residents’ quality life, feelings ineffectiveness, regrets choosing do residency Haiti, hospital’s admission policy factors. Conclusions significantly high. education department needs implement initiatives that improve patient healthcare, boost morale comply accreditation standards. A cohort or improvement project investigating impact interventions might also be suitable, at different times academic year less volatile time Haiti provide complete picture onset this syndrome.

Language: Английский

Martial law in Ukraine as a risk factor for gestational disorders

INTERNATIONAL JOURNAL OF ENDOCRINOLOGY (Ukraine), Journal Year: 2025, Volume and Issue: 21(2), P. 237 - 240

Published: April 1, 2025

The war in Ukraine brings new challenges to primary care and mental health services all over Europe. Although for most European citizens, the date of outburst is February 24, 2022, Ukraine, with consequences civil population, including pregnant postpartum women, started 2014. A study conducted 2016 demonstrated that 34.8 % women displaced internally had post-traumatic stress disorder. Another showed an increased risk reactive personal anxiety, depressive manifestations, autonomic dysfunction, insomnia, premature termination pregnancy among war-affected population. Pregnant who have been forced relocate within their own country report levels (by 3.3 times) 2.6 anxiety compared were not displaced. However, date, there are no publications on changes mothers newborn children during full-scale Ukraine. Stress can be toxic influence related disease may associated instrumental deliveries, medical psychiatric diseases. It recognized has lifelong detrimental offspring. intrauterine period life a time major susceptibility developing embryos fetuses. Future studies should investigate potential associations between maternal development both carefully operationalized include protective role resilience. In light relevant evidence, it recommended asked how stressed they feeling at every antenatal appointment, as well about coping strategies. Assessing contribute implementation tailored interventions aimed reducing it. Further needs done this topic help improve following generation.

Language: Английский