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Aljadeed R, Aljadeed R, Assiri G, Kalagi NA. Assessment of burnout among pharmacy faculty in the Kingdom of Saudi Arabia. BMC MEDICAL EDUCATION 2025; 25:499. [PMID: 40200321 PMCID: PMC11980089 DOI: 10.1186/s12909-025-07033-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/06/2024] [Accepted: 03/19/2025] [Indexed: 04/10/2025]
Abstract
BACKGROUND Burnout is a condition closely linked to deteriorating mental health and diminished work performance. There is a lack of research on burnout among pharmacy faculty in the Kingdom of Saudi Arabia. This study aims to assess the burnout rate among pharmacy faculty members in the Kingdom of Saudi Arabia and to identify predictive factors that contribute to or precipitate the onset of burnout. METHODS A cross-sectional, anonymous electronic survey was distributed to all pharmacy faculty members in the Kingdom of Saudi Arabia. The survey included the Maslach Burnout Inventory-Educators Survey, which measures three dimensions of burnout: emotional exhaustion, depersonalization, and personal accomplishment. Demographic data, Maslach Burnout Inventory-Educators scores, and potential predictors of burnout were collected and analyzed. RESULTS A total of 246 pharmacists participated in this study. Among them, 30.4% reported experiencing emotional exhaustion, and a similar percentage scored low on the personal accomplishment subscale. Additionally, 10.9% of the sample exhibited high scores on the depersonalization subscale. The burnout rate was found to be influenced by several factors, including citizenship, the presence of children in the household, and faculty members' academic rank. CONCLUSION Pharmacy faculty members at pharmacy colleges in the Kingdom of Saudi Arabia are experiencing significant burnout, particularly in the form of emotional exhaustion and low personal accomplishment scores. Key factors contributing to burnout include citizenship, the presence of children in the household, and academic rank.
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Affiliation(s)
- Raniah Aljadeed
- College of Pharmacy, King Saud University, PO Box 2457, Riyadh, 11451, Saudi Arabia.
| | - Rana Aljadeed
- College of Pharmacy, King Saud University, PO Box 2457, Riyadh, 11451, Saudi Arabia
| | - Ghadah Assiri
- College of Pharmacy, King Saud University, PO Box 2457, Riyadh, 11451, Saudi Arabia
| | - Nora A Kalagi
- College of Pharmacy, King Saud University, PO Box 2457, Riyadh, 11451, Saudi Arabia
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Krishna GG, Harbli NMA, Krishnan N, Ghundul LB, Aldhahri R, Aldossary AB, Margalani AO, Almeshari M, Alwadeai KS, Alshehri RA, Alkhathami AAA, Sreedharan JK, AlAhmari AD. Burnout Among ICU and Non-ICU Healthcare Professionals in Saudi Arabia: A Comparative Cross-Sectional Analysis. J Multidiscip Healthc 2025; 18:995-1005. [PMID: 40008284 PMCID: PMC11853061 DOI: 10.2147/jmdh.s503896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2024] [Accepted: 02/11/2025] [Indexed: 02/27/2025] Open
Abstract
Purpose Burnout syndrome is a significant concern among healthcare workers, particularly in the high-stress environment of ICUs. This study evaluates and compares the levels of burnout among healthcare workers in the ICU and non-ICU settings and to assess the influence of sociodemographic characteristics. Materials and Methods A cross-sectional survey was conducted using MBI questionnaire, which measures emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA). Results Among 844 participants (51.7% female), most were aged 25-34 (41.9%), single (46.7%), and worked in non-ICU settings (61.8%). They predominantly worked in governmental hospitals, with 1-4 years of experience (46.8%), managing 6-10 patients per shift (36.5%), and working 16-20 shifts monthly (75.8%). ICU staff reported significantly higher EE (21 [18] vs 11.5 [15], p ≤ 0.0001) and DP (17 [19] vs 8 [12], p ≤ 0.0001), and lower PA (35 [19] vs 42.5 [12], p ≤ 0.0001). Post-hoc analysis showed ICU workers were significantly more prone to moderate (Adj. Resid. = 3.57, p< 0.001) and severe EE (Adj. Resid. = 5.20, p < 0.001). In the DP domain, they were more likely to experience severe DP (Adj. Resid. = 9.22, p< 0.001). Severe burnout in PA was also more likely among ICU staff (Adj. Resid. =5.67, p< 0.001). Nurses and RTs reported higher EE and DP. Married ICU staff had lower EE (OR: 0.453) but higher DP (OR: 1.623). Factors like 6-8 years of experience, 8-hour shifts, and fewer monthly shifts were associated with reduced EE and higher PA, while additional jobs were linked to increased DP. Conclusion ICU healthcare workers experienced significant burnout compared to non-ICUs staff, with nurses and RTs being the most affected. Sociodemographic factors such as marital status, years of experience, shift duration, and holding additional jobs increased burnout risk. These findings underscore the need for targeted interventions in high-stress environments like the ICU.
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Affiliation(s)
- Gokul G Krishna
- Department of Respiratory Therapy, Batterjee Medical College, Jeddah, Saudi Arabia
| | | | - Nanditha Krishnan
- Department of Respiratory Therapy, Batterjee Medical College, Jeddah, Saudi Arabia
| | | | - Rana Aldhahri
- Department of Respiratory Therapy, Batterjee Medical College, Jeddah, Saudi Arabia
| | - Amna Badar Aldossary
- Department of Respiratory Therapy, Batterjee Medical College, Jeddah, Saudi Arabia
| | - Aaya Osama Margalani
- Department of Respiratory Therapy, Batterjee Medical College, Jeddah, Saudi Arabia
| | - Mohammed Almeshari
- Department of Rehabilitation Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Khalid S Alwadeai
- Department of Rehabilitation Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Riyadh A Alshehri
- Department of Respiratory Care Services, King Abdullah Specialized Children Hospital, Jeddah, Saudi Arabia
| | | | - Jithin K Sreedharan
- Department of Respiratory Therapy, College of Health Sciences, University of Doha for Science and Technology, Doha, Qatar
| | - Ayedh Dhafer AlAhmari
- Department of Rehabilitation Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
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Al-Anazi S, Habib SS, Al-khlaiwi T, Alodhayani AA, Alotaibi A, Aldulejan S, Al Safadi S, Alshammari FS, Marar A, Alrashdi A, Almutairi AG, Alshahrani M. Association of burnout and working environment conditions in respiratory care professionals in Saudi Arabia: a cross-sectional study. Front Public Health 2024; 12:1434472. [PMID: 39703483 PMCID: PMC11657240 DOI: 10.3389/fpubh.2024.1434472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2024] [Accepted: 11/12/2024] [Indexed: 12/21/2024] Open
Abstract
Introduction Burnout is a pervasive issue in healthcare, and it impacts both the wellbeing of healthcare professionals and the quality of patient care. This study examines factors associated with burnout and working environment among respiratory therapists in Saudi Arabia. Methods A structured questionnaire was used to collect data from respiratory therapists. We collected 315 questionnaires including burnout assessment. Multinomial logistic regression was used to assess the relationship between various variables and the likelihood of experiencing severe burnout and personal achievement problems. Results Marital status was a significant predictor of severe burnout (p = 0.001), with single individuals having 8.2 times higher odds than married individuals. Working longer than 44 h per week was associated with a 19.3-fold increase in the odds of severe personal achievement issues compared to those working 40-44 h per week (p < 0.001). Age, gender, living arrangements, education, employment status, and salary level were not significant predictors of severe burnout or personal achievement issues. Conclusion with discussion The findings highlight that marital status and extended working hours are significantly associated with increased burnout among respiratory therapists in Saudi Arabia. These results underscore the importance of social support networks and work-life balance in mitigating burnout risks within this profession.
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Affiliation(s)
- Saad Al-Anazi
- Department of Physiology, College of Medicine, King Saud University, Riyadh, Saudi Arabia
- Azeer Medical Company, Riyadh, Saudi Arabia
| | - Syed Shahid Habib
- Department of Physiology, College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Thamir Al-khlaiwi
- Department of Physiology, College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | | | - Abdulmueen Alotaibi
- Department of Physiology, College of Medicine, King Saud University, Riyadh, Saudi Arabia
- Department of Anaesthesia Technology, College of Applied Sciences, University of Almaarefa, Dariyah, Saudi Arabia
| | - Saja Aldulejan
- Education Department, Respiratory Care Administration, Riyadh Second Heath Cluster, King Fahad Medical City, Riyadh, Saudi Arabia
| | - Sufana Al Safadi
- Department of Respiratory Care, College of Applied Medical Science, Imam Abdulrahman Bin Faisal University, Damam, Saudi Arabia
| | - Fahad Saad Alshammari
- Ministry of Health - Hospital Administration Affairs, Commissioning Hospital Department, Diriyah Hospital, Riyadh, Saudi Arabia
| | - Aqeelah Marar
- Department of Respiratory Critical Care, Respiratory Care Administration, Riyadh Second Heath Cluster, King Fahad Medical City, Riyadh, Saudi Arabia
| | - Afaf Alrashdi
- Department of Rehabilitation Sciences, College of Health and Rehabilitation Sciences, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Alhanouf G. Almutairi
- Department of Rehabilitation Sciences, College of Health and Rehabilitation Sciences, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Mohammed Alshahrani
- Department of Respiratory Services, King Abdulaziz Medical City, Riyadh, Saudi Arabia
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Bai X, Wan Z, Tang J, Zhang D, Shen K, Wu X, Qiao L, Zhou Y, Wang Y, Cheng W, Jiang W, Wang L, Tian X. The prevalence of burnout among pulmonologists or respiratory therapists pre- and post-COVID-19: a systematic review and meta-analysis. Ann Med 2023; 55:2234392. [PMID: 37459584 DOI: 10.1080/07853890.2023.2234392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Revised: 07/03/2023] [Accepted: 07/04/2023] [Indexed: 07/20/2023] Open
Abstract
OBJECTIVES The coronavirus disease-19 (COVID-19) increased the already heavy workload in the pulmonary and respiratory departments, which therefore possibly increased the prevalence of burnout among pulmonologists or respiratory therapists. We aimed to compare the differences in burnout among pulmonologists or respiratory therapists pre- and post-COVID-19 by doing a systematic review with meta-analysis. METHODS We searched pulmonologist, or pulmonary, or respiratory, and burnout up to 29 January 2023 in six databases. We included studies investigating pulmonologists or respiratory therapists and reporting the prevalence of burnout among them. The risk of bias was assessed by a tool for prevalence studies. The overall prevalence of burnout was pooled. RESULTS A total of 2859 records were identified and 16 studies were included in the final analysis. The included studies reported 3610 responding individuals and 2336 burnouts. The pooled prevalence of burnout was 61.7% (95% confidence interval (CI), 48.6-73.2%; I2 = 96.3%). The pooled prevalence of burnout during COVID-19 was significantly higher than it was prior to the outbreak (68.4% vs. 41.6%, p = .01). The result of the meta-regression revealed that COVID-19 coverage was significantly associated with the prevalence of burnout (p = .04). CONCLUSIONS Burnout was widely prevalent among pulmonologists or respiratory therapists and increasingly perceived during COVID-19. Therefore, interventions were needed to reduce burnout in this specialty.KEY MESSASGESThe coronavirus disease-19 increased the already heavy workload in the pulmonary and respiratory departments.Burnout was widely prevalent among pulmonologists or respiratory therapists and increasingly perceived during COVID-19.
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Affiliation(s)
- Xiaoyin Bai
- Department of Internal Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Ziqi Wan
- Eight-Year Program, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China
| | - Jieying Tang
- Department of Surgery, School of Clinical Medicine, Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing, China
| | - Dingding Zhang
- Medical Research Center, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Kaini Shen
- Department of Internal Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Xia Wu
- Department of Medicine, Tufts Medical Center, Boston, MA, USA
| | - Lin Qiao
- Department of Internal Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Yangzhong Zhou
- Department of Internal Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Yaqi Wang
- Department of Pulmonary and Critical Care Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Wei Cheng
- Department of Critical Care Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Wei Jiang
- Department of Medical Intensive Care Unit, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Luo Wang
- Department of Pulmonary and Critical Care Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Xinlun Tian
- Department of Pulmonary and Critical Care Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
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Miller AG, Burr KL, Juby J, Hinkson CR, Hoerr CA, Roberts KJ, Smith BJ, Strickland SL, Rehder KJ. Enhancing Respiratory Therapists' Well-Being: Battling Burnout in Respiratory Care. Respir Care 2023; 68:692-705. [PMID: 37076431 PMCID: PMC10171344 DOI: 10.4187/respcare.10632] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Burnout is a major problem in health care and is associated with adverse sequelae for patients, health care workers, and organizations. Burnout among respiratory therapists (RTs) is as high as 79% and is associated with poor or ineffective leadership, inadequate staffing, high work load, non-leadership position, and work environment. An understanding of burnout is necessary for both staff and leadership to ensure RT well-being. This narrative review will discuss the psychology of burnout, prevalence, drivers, mitigation strategies, and future directions for research.
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Affiliation(s)
| | | | - Jerin Juby
- Thomas Jefferson University Hospital, Philadelphia, Pennsylvania
| | | | | | - Karsten J Roberts
- Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
| | - Brian J Smith
- University of California, Davis, Sacramento, California
| | - Shawna L Strickland
- Rush University, Chicago, Illinois; and American Epilepsy Society, Chicago, Illinois
| | - Kyle J Rehder
- Duke University Medical Center, Durham, North Carolina
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Siraj RA, Alhaykan AE, Alrajeh AM, Aldhahir AM, Alqahtani JS, Bakhadlq S, Alghamdi SM, Alqarni AA, Alqarni MM, Alanazi TM, Alruwaili A, Algarni SS, Alahmadi FH, Alahmari M, Alahmadi RH. Burnout, Resilience, Supervisory Support, and Quitting Intention among Healthcare Professionals in Saudi Arabia: A National Cross-Sectional Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2407. [PMID: 36767773 PMCID: PMC9915463 DOI: 10.3390/ijerph20032407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/28/2022] [Revised: 01/25/2023] [Accepted: 01/27/2023] [Indexed: 06/18/2023]
Abstract
UNLABELLED Although personal resilience and supervisory support are known to reduce the impact of burnout and quitting intention, there is limited data available to explore these relationships among healthcare professionals (HCPs) in Saudi Arabia. This study aimed to assess the prevalence of burnout and explore its association with resilience, supervisory support, and intention to quit among Saudi Arabian HCPs. METHODS A cross-sectional survey was distributed to a convenience sample of HCPs between April and November 2022. Participants responded to socio-demographic questions, the Maslach Burnout Inventory-Human Services Survey for Medical Personnel (MBI-HSS (MP)), the Connor-Davidson resilience scale 10 (CD-RISC 10), and the Perceived of Supervisor Support Scale (PSS). Descriptive, inferential, correlation, and logistic regression tests were performed for data analyses. RESULTS Of the 1174 HCPs included in the analysis, 77% were presented with high burnout levels: 58% with emotional exhaustion (EE), 72% with depersonalization (DP), and 66% with low personal accomplishment (PA). Females were associated with increased odds of burnout (OR: 1.47; 95% CI: 1.04-2.06) compared to males. Burnout and its subscales were associated with higher intention to leave practice, with 33% of HCPs considering quitting their jobs. Furthermore, HCPs reported a low resilience score overall, and negative correlations were found between EE (r = -0.21; p < 0.001) and DP (r = -0.12; p < 0.01), and positive correlation with low PA (r = 0.38; p < 0.001). In addition, most HCPs perceived supervisory support as low, and it is associated with increased burnout and quitting intention. CONCLUSION Burnout is common among HCPs across all clinical settings and is associated with higher intention to quit and low resilience and supervisory support. Workplace management should provide a supportive workplace to reduce burnout symptoms and promote resiliency.
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Affiliation(s)
- Rayan A. Siraj
- Department of Respiratory Care, College of Applied Medical Sciences, King Faisal University, Al-Ahasa 31982, Saudi Arabia
| | - Ahmed E. Alhaykan
- Department of Respiratory Care, College of Applied Medical Sciences, King Faisal University, Al-Ahasa 31982, Saudi Arabia
| | - Ahmed M. Alrajeh
- Department of Respiratory Care, College of Applied Medical Sciences, King Faisal University, Al-Ahasa 31982, Saudi Arabia
| | - Abdulelah M. Aldhahir
- Respiratory Therapy Department, Faculty of Applied Medical Sciences, Jazan University, Jazan 45142, Saudi Arabia
| | - Jaber S. Alqahtani
- Department of Respiratory Care, Prince Sultan Military College of Health Sciences, Dammam 34313, Saudi Arabia
| | - Samah Bakhadlq
- Department of Respiratory Care, Prince Sultan Military College of Health Sciences, Dammam 34313, Saudi Arabia
| | - Saeed M. Alghamdi
- Clinical Technology Department, Respiratory Care Program, Faculty of Applied Medical Sciences, Umm Al-Qura University, Makkah 21961, Saudi Arabia
| | - Abdullah A. Alqarni
- Department of Respiratory Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah 22254, Saudi Arabia
| | - Manal M. Alqarni
- Department of Respiratory Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah 22254, Saudi Arabia
| | - Turki M. Alanazi
- Department of Respiratory Therapy, King Saud Bin Abdelaziz University for Health Sciences, Al Ahsa 31982, Saudi Arabia
- King Abdullah International Medical Research Center, Al Ahsa 31982, Saudi Arabia
| | - Abdullah Alruwaili
- King Abdullah International Medical Research Center, Al Ahsa 31982, Saudi Arabia
- Emergency Medical Services Program, College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Al Ahsa 31982, Saudi Arabia
| | - Saleh S. Algarni
- Department of Respiratory Therapy, College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Riyadh 12271, Saudi Arabia
- King Abdullah International Medical Research Center, Riyadh 12271, Saudi Arabia
| | - Fahad H. Alahmadi
- Respiratory Therapy Department, College of Medical Rehabilitation Sciences, Taibah University, Madinah 41411, Saudi Arabia
| | - Mushabbab Alahmari
- Department of Respiratory Therapy, Faculty of Applied Medical Sciences, University of Bisha, Bisha 67114, Saudi Arabia
| | - Rashid H. Alahmadi
- Taibah Primary Health Centre, Ministry of Health, Madinah 42353, Saudi Arabia
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Siraj RA, Aldhahir AM, Alqahtani JS, Almarkhan HM, Alghamdi SM, Alqarni AA, Alhotye M, Algarni SS, Alahmadi FH, Alahmari MA. Burnout and Resilience among Respiratory Therapy (RT) Students during Clinical Training in Saudi Arabia: A Nationwide Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:13047. [PMID: 36293624 PMCID: PMC9602980 DOI: 10.3390/ijerph192013047] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Revised: 10/01/2022] [Accepted: 10/04/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND The epidemic of burnout has been widely documented among health discipline students. However, there is limited information available on the prevalence of burnout and its association with resilience among clinical-level respiratory therapy (RT) students. METHODS Between March 2022 and May 2022, a descriptive, cross-sectional study using a convenience sample of RT students and interns was conducted. A total of 559 RT students and interns from 15 RT programs responded to socio-demographic questions and the Maslach Burnout Inventory (MBI) and the Brief Resilience Scale (BRS) questionnaires. The data were analyzed using descriptive, inferential, and correlation tests. RESULTS Of the 559 respondents, 78% reported a high level of burnout. Within the three subscales of burnout, 52% reported emotional exhaustion (EE), 59% reported depersonalization (DP), and 55% reported low personal achievement (PA). The prevalence of burnout increased as students proceeded to senior years (p = 0.006). In addition, participants with higher grade point averages (GPA) reported a higher level of burnout. Only 2% of the respondents reported a high level of resiliency. Further, there were negative correlations between resilience and EE (r = -41, p < 0.001) and DP (r = -32, p = 0.03), and a positive correlation with low PA (r = 0.56, p = 0.002). CONCLUSION The findings showed a high prevalence of burnout among RT students and interns during clinical training in Saudi Arabia. Resilience was associated with all domains of burnout and is likely to play a protective role. Therefore, there is a need for collaborative interventions to promote resiliency during clinical training to alleviate and overcome burnout symptoms.
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Affiliation(s)
- Rayan A. Siraj
- Department of Respiratory Therapy, College of Applied Medical Sciences, King Faisal University, Al-Hasa 31982, Saudi Arabia
| | - Abdulelah M. Aldhahir
- Respiratory Therapy Department, Faculty of Applied Medical Sciences, Jazan University, Jazan 45142, Saudi Arabia
| | - Jaber S. Alqahtani
- Department of Respiratory Care, Prince Sultan Military College of Health Sciences, Dammam 34313, Saudi Arabia
| | - Hussam M. Almarkhan
- Department of Respiratory Care, Prince Sultan Military College of Health Sciences, Dammam 34313, Saudi Arabia
| | - Saeed M. Alghamdi
- Respiratory Care Program, Faculty of Applied Medical Sciences, Umm Al-Qura University, Makkah 21961, Saudi Arabia
| | - Abdullah A. Alqarni
- Department of Respiratory Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah 22254, Saudi Arabia
| | - Munyra Alhotye
- Department of Respiratory Therapy, King Saud Bin Abdulaziz University for Health Sciences, Riyadh 12271, Saudi Arabia
| | - Saleh S. Algarni
- Department of Respiratory Therapy, King Saud Bin Abdulaziz University for Health Sciences, Riyadh 12271, Saudi Arabia
| | - Fahad H. Alahmadi
- Respiratory Therapy Department, College of Medical Rehabilitation Sciences, Taibah University, Medina 42353, Saudi Arabia
| | - Mushabbab A. Alahmari
- Department of Respiratory Therapy, Faculty of Applied Medical Sciences, University of Bisha, Bisha 67714, Saudi Arabia
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