Prévalence et facteurs associés au burnout chez les professionnels de la santé au Maroc: Une revue systématique
DOI :
https://doi.org/10.62438/tunismed.v104i03.6332Mots-clés :
Prévalence, Burnout, Professionnel de santé, MarocRésumé
Objectifs : Les professionnels de la santé sont souvent confrontés à de nouveaux risques qui vont au-delà des risques physiques et incluent des
risques psychosociaux. Les professionnels de la santé marocains souffrent souvent de burnout. Il est essentiel de comprendre l'impact de burnout
pour créer un environnement de travail sain dans les établissements de la santé. Cette étude visait à analyser systématiquement : 1) la prévalence
de l'épuisement professionnel chez les professionnels de la santé marocains ; 2) les facteurs associés à l'épuisement professionnel chez la meme
population.
Méthodes : Une revue systématique des articles publiés jusqu'au juillet 2024, dans les bases de données PubMed, Scopus, Science Direct, Web of
Science, Medline et ProQuest a été réalisée à l'aide des mots-clés. Cette revue comprenait des études qui utilisaient le Maslach Burnout Inventory
(MBI) pour évaluer l'épuisement professionnel chez les professionnels de santé marocains dans trois domaines : l'épuisement émotionnel (EE), la
dépersonnalisation (DP) et l'accomplissement personnel.
Résultats : Au total, 14 études évaluant l'épuisement professionnel chez 4382 professionnels de la santé marocains ont été incluses. La prévalence
moyenne de l'épuisement professionnel était de 73,36 %. La prévalence du burnout pour les trois domaines variait de 29 % à 85,71 % pour
l'épuisement émotionnel élevé (EE), de 17 % à 79,70 % pour la dépersonnalisation élevée (DP) et de 6 % à 85,90 % pour la faible réalisation
personnelle (PA). Le jeune âge, le sexe féminin, être célibataire, la faible satisfaction professionnelle, la mauvaise organisation, la mauvaise communication et les conflits au travail ont été identifiés comme des facteurs de risque de burnout.
Conclusion : L'identification des facteurs associés au syndrome d'épuisement professionnel peut aider à hiérarchiser les domaines d'intervention
afin de le prévenir. Cela permettra de garantir la qualité de vie professionnelle des professionnels de la santé au Maroc
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Références
Restauri N, Sheridan AD. Burnout and Posttraumatic Stress Disorder in the Coronavirus Disease 2019 (COVID-19) Pandemic: Intersection, Impact, and Interventions. J Am Coll Radiol. juill 2020;17(7):921-6.
Cordes CL, Dougherty TW. A Review and an Integration of Research on Job Burnout. Acad Manage Rev. oct 1993;18(4):621.
Freudenberger HJ, Richelson G. Burn-out: the high cost of high achievement. Toronto: Bantam Books; 1981.
Schaufeli W, Enzmann D. The Burnout Companion to Study and Practice: A Critical Analysis [Internet]. 1re éd. CRC Press; 2020 [cité 16 août 2024]. Disponible sur: https://www.taylorfrancis.com/books/9781000124118
Cherniss C. Staff burnout: job stress in the human services. Beverly Hills, Calif: Sage Publications; 1980. 199 p. (Sage studies in community mental health).
Demerouti E. Strategies used by individuals to prevent burnout. Eur J Clin Invest. oct 2015;45(10):1106-12.
Hariharan TS, Griffin B. A review of the factors related to burnout at the early-career stage of medicine. Med Teach. 2 déc
;41(12):1380-91.
Maslach C, Schaufeli WB, Leiter MP. Job Burnout. Annu Rev Psychol. févr 2001;52(1):397-422.
Leiter MP, Bakker AB, Maslach C. Burnout at work: a psychological perspective. Hove: Psychology press; 2014. (Current issues in work and organizational psychology).
Laraqui O, Manar N, Laraqui S, Hammouda R, Deschamps F, Laraqui CH. Risques psychosociaux et syndrome d’épuisement professionnel des professionnels de soins hospitaliers. Arch Mal Prof Environ. nov 2019;80(5):386-97.
Grace MK, VanHeuvelen JS. Occupational variation in burnout among medical staff: Evidence for the stress of higher status. Soc Sci Med. juill 2019;232:199-208.
Jarzynkowski P, Piotrkowska R, Mędrzycka-Dąbrowska W, Książek J. Areas of Work Life as Predictors of Occupational Burnout of Nurses and Doctors in Operating Theaters in Poland—Multicenter Studies. Healthcare. 24 déc 2021;10(1):26.
Tateno M, Jovanović N, Beezhold J, Uehara-Aoyama K, Umene-Nakano W, Nakamae T, et al. Suicidal ideation and burnout among psychiatric trainees in Japan. Early Interv Psychiatry. oct 2018;12(5):935-7.
Wu SY, Li HY, Wang XR, Yang SJ, Qiu H. A Comparison of the Effect of Work Stress on Burnout and Quality of Life Between Female Nurses and Female Doctors. Arch Environ Occup Health. oct 2011;66(4):193-200.
Cohen C, Pignata S, Bezak E, Tie M, Childs J. Workplace interventions to improve well-being and reduce burnout for nurses, physicians and allied healthcare professionals: a systematic review. BMJ Open. juin 2023;13(6):e071203.
Elbarazi I, Loney T, Yousef S, Elias A. Prevalence of and factors associated with burnout among health care professionals in Arab countries: a systematic review. BMC Health Serv Res. déc 2017;17(1):491.
Ghahramani S, Lankarani KB, Yousefi M, Heydari K, Shahabi S, Azmand S. A Systematic Review and Meta-Analysis of Burnout Among Healthcare Workers During COVID-19. Front Psychiatry. 10 nov 2021;12:758849.
Gualano MR, Sinigaglia T, Lo Moro G, Rousset S, Cremona A, Bert F, et al. The Burden of Burnout among Healthcare Professionals of Intensive Care Units and Emergency Departments during the COVID-19 Pandemic: A Systematic Review. Int J Environ Res Public Health. 2 août 2021;18(15):8172.
Kesarwani V, Husaain ZG, George J. Prevalence and Factors Associated with Burnout among Healthcare Professionals in India: A Systematic Review and Meta-Analysis. Indian J Psychol Med. mars 2020;42(2):108-15.
Nagarajan R, Ramachandran P, Dilipkumar R, Kaur P. Global estimate of burnout among the public health workforce: a systematic review and meta-analysis. Hum Resour Health. 21 mai 2024;22(1):30.
O’Connor K, Muller Neff D, Pitman S. Burnout in mental health professionals: A systematic review and meta-analysis of prevalence and determinants. Eur Psychiatry. sept 2018;53:74-99.
Vinueza-Solórzano AM, Almansa JFF, Basso C, Ávila GZ, Bento IDDJ, Burgos FJB, et al. A Systematic Review of Burnout among Healthcare Professionals in Latin America. Rev Psicol Organ E Trab [Internet]. 2023 [cité 23 août 2024];23(3). Disponible sur: https://submission- pepsic.scielo.br/index.php/rpot/article/view/24803
Adriaenssens J, De Gucht V, Maes S. Determinants and prevalence of burnout in emergency nurses: A systematic review of 25 years of research. Int J Nurs Stud. févr 2015;52(2):649-61.
Chen C, Meier ST. Burnout and depression in nurses: A systematic review and meta-analysis. Int J Nurs Stud. déc 2021;124:104099.
Galanis P, Vraka I, Fragkou D, Bilali A, Kaitelidou D. Nurses’ burnout and associated risk factors during the COVID-19 pandemic: A systematic review and meta-analysis. J Adv Nurs. août 2021;77(8):3286-302.
Gómez-Urquiza JL, Albendín-García L, Velando-Soriano A, Ortega- Campos E, Ramírez-Baena L, Membrive-Jiménez MJ, et al. Burnout in Palliative Care Nurses, Prevalence and Risk Factors: A Systematic Review with Meta-Analysis. Int J Environ Res Public Health. 21 oct 2020;17(20):7672.
Ramírez-Elvira S, Romero-Béjar JL, Suleiman-Martos N, Gómez-Urquiza JL, Monsalve-Reyes C, Cañadas-De La Fuente GA, et al. Prevalence, Risk Factors and Burnout Levels in Intensive Care Unit Nurses: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 30 oct 2021;18(21):11432.
Woo T, Ho R, Tang A, Tam W. Global prevalence of burnout symptoms among nurses: A systematic review and meta-analysis. J Psychiatr Res. avr 2020;123:9-20.
Macaron MM, Segun-Omosehin OA, Matar RH, Beran A, Nakanishi H, Than CA, et al. A systematic review and meta analysis on burnout in physicians during the COVID-19 pandemic: A hidden healthcare crisis. Front Psychiatry. 12 janv 2023;13:1071397.
Sanfilippo F, Noto A, Foresta G, Santonocito C, Palumbo GJ, Arcadipane A, et al. Incidence and Factors Associated with
Burnout in Anesthesiology: A Systematic Review. BioMed Res Int. 2017;2017:1-10.
Amoafo E, Hanbali N, Patel A, Singh P. What are the significant factors associated with burnout in doctors?: Table 1. Occup Med. mars 2015;65(2):117-21.
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 29 mars 2021;n71.
Callaghan M, Müller-Hansen F, Bond M, Hamel C, Devane D, Kusa W, et al. Computer-assisted screening in systematic evidence synthesis requires robust and well-evaluated stopping criteria. Syst Rev. 22 nov 2024;13(1):284.
Gates A, Guitard S, Pillay J, Elliott SA, Dyson MP, Newton AS, et al. Performance and usability of machine learning for screening in systematic reviews: a comparative evaluation of three tools. Syst Rev. déc 2019;8(1):278.
Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Syst Rev. déc 2016;5(1):210.
Munn Z, Moola S, Lisy K, Riitano D, Tufanaru C. Methodological guidance for systematic reviews of observational epidemiological studies reporting prevalence and cumulative incidence data. Int J Evid Based Healthc. sept 2015;13(3):147-53.
Cordes CL, Dougherty TW. A Review and an Integration of Research on Job Burnout. Acad Manage Rev. oct 1993;18(4):621.
Bouazzaoui AE, Mukuka E, Labrigui S, Touzani S, Houari N, Boukatta B, et al. BURNOUT IN NURSES AT HASSAN II UNIVERSITY HOSPITAL IN FEZ MOROCCO: -RESULTS OF A PROSPECTIVE SURVEY-. 2021;(2).
Mansoury O, Chamsi K, Essoli S, Mansouri A, Sebbani M, Adarmouch L, et al. Burnout among health personnel at the Mohammed VI university hospital in Marrakesh - Morocco. Arch Mal Prof Environ. nov 2023;84(6).
CChahbounia R, Gantare A. A Pilot Study to Assess the Effect of Coaching on Emergency Nurses’ Stress Management. Nurs Rep. 1 févr 2023;13(1):179-93.
Kapasa RL, Hannoun A, Rachidi S, Ilunga MK, Toirambe SE, Tady C, et al. Évaluation du burn-out chez les professionnels de santé des unités de veille sanitaire COVID-19 au Maroc. Arch Mal Prof Environ. oct 2021;82(5):524-34.
BenhaddouchY,KhalfiS,BenmaamarS,MarzoukiC, ElHoudaFaresN, Sbai M, et al. Burnout among physicians and caregivers in oncology: the Moroccan experience. ecancermedicalscience [Internet]. 2022;16((Benhaddouch Y., benhaddouch.yassine@gmail.com; Marzouki C.; El Houda Fares N.; Sbai M.; Bout A.; Aarab C.; Aalouane R.) Department of Psychiatry-Addictology, CHU Hassan II of Fez, Fez, Morocco). Disponible sur: https://www.embase.com/search/
results?subaction=viewrecord&id=L2022607166&from=export
Abidli Z, Jadda S, Kharbouch D, Detsouli A, Mokhtari A, Zaidouni A, et al. The evaluation of burnout syndrome among health professionals in Casablanca, Rabat and Kenitra. Res J Pharm Technol. 2019;12(11):5219-22.
Massou S, Doghmi N, Belhaj A, Aboulaala K, Azendour H, Haimeur C, et al. Survey on burn out in healthcare providers working in four Moroccan academic intensive care units. Ann Med Psychol (Paris). sept 2013;171(8):538-42.
Tahiri K, Abidli Z, Amri A, Esserkassi A, Hannoun Z, Turk JE, et al. Assessment of Occupational Exhaustion during the COVID 19 Period on Healthcare Professionals in the Rabat-Sale-Kenitra Region of Morocco. Int J Biol Biomed Eng. 2022;16((Tahiri K.; Amri A.; Hannoun Z.; Bour A.) Ibn Tofail University, Faculty of Sciences of Kenitra, Laboratory of Biology and Health, Morocco):90-5.
Benhamza S, Khalayla M, Lahlou L, Amine Z, Lazraq M, Miloudi Y, et al. The Prevalence and Contributing Factors of Burnout Among Anesthesiologists and Intensive Care Unit Staff in Morocco: A Cross-Sectional Analysis. Cureus. sept 2023;15(9):e44956-e44956.
Chtebi H, Mammad K, Chkirate M, Ahami A. Professional stress risk factors evaluation among moroccan health staff. 2023;65(4).
Chahbounia R, Gantare A. Managing Occupational Health Issues through Coaching, Emerging Perspectives from Emergency and Intensive Care Nurses: A Mixed-Method Study. Nurs Rep Pavia Italy. 14 août 2023;13(3):1077-89.
Chtibi H, Mammad K, Chkirate M, Ahami A. Professional stress risk factors evaluation among moroccan health staff. Act Nerv Super Rediviva. 2023;65(4):139-49.
Ikrou A, Guejdad K, Bhugra D, Ventriglio A, Abouqal R, BelayachiJ. Structural Equation Model for Nursing’s Spiritual Commitment, Religious Adaptation, and Their Relationship to Quality of Life and Burnout. Middle East J Rehabil Health Stud [Internet]. 14 nov 2023 [cité 15 juill 2024];11(2). Disponible sur: https://brieflands.com/ articles/mejrh-139573
Babamiri M, Bashirian S, Khazaei S, Sadegh Sohrabi M, Heidarimoghadam R, Mortezapoor A, et al. Burnout and Mental
Health of COVID-19 Frontline Healthcare Workers: Results from an Online Survey. Iran J Psychiatry [Internet]. 13 mars 2022 [cité 22 août 2024]; Disponible sur: https://publish.kne-publishing.com/ index.php/IJPS/article/view/8903
Karuna C, Palmer V, Scott A, Gunn J. Prevalence of burnout among GPs: a systematic review and meta-analysis. Br J Gen Pract. mai 2022;72(718):e316-24.
Rotenstein LS, Torre M, Ramos MA, Rosales RC, Guille C, Sen S, et al. Prevalence of burnout among physicians a systematic review.JAMA - J Am Med Assoc. 2018;320(11):1131-50.
Azoulay E, Cariou A, Bruneel F, Demoule A, Kouatchet A, Reuter D, et al. Symptoms of Anxiety, Depression, and Peritraumatic Dissociation in Critical Care Clinicians Managing Patients with COVID-19. A Cross-Sectional Study. Am J Respir Crit Care Med. 15 nov 2020;202(10):1388-98.
Barello S, Palamenghi L, Graffigna G. Burnout and somatic symptoms among frontline healthcare professionals at the peak of the Italian COVID-19 pandemic. Psychiatry Res. août 2020;290:113129.
Shah K, Chaudhari G, Kamrai D, Lail A, Patel RS. How Essential Is to Focus on Physician’s Health and Burnout in Coronavirus (COVID-19) Pandemic? Cureus [Internet]. 4 avr 2020 [cité 25 août 2024]; Disponible sur: https://www.cureus.com/articles/29993-how-essential-is-to-focus-on-physicians-health-and-burnout-in-coronavirus-covid-19-pandemic
Wahlster S, Sharma M, Lewis AK, Patel PV, Hartog CS, Jannotta G, et al. The Coronavirus Disease 2019 Pandemic’s Effect on Critical Care Resources and Health-Care Providers. Chest. févr 2021;159(2):619-33.
Moghaddasi J, Mehralian H, Aslani Y, Masoodi R, Amiri M. Burnout among nurses working in medical and educational centers in Shahrekord, Iran. Iran J Nurs Midwifery Res. 2013;18(4).
Shah MK, Gandrakota N, Cimiotti JP, Ghose N, Moore M, Ali MK. Prevalence of and Factors Associated With Nurse Burnout in the US. JAMA Netw Open. 4 févr 2021;4(2):e2036469.
Zakaria N, Zakaria NH, Bin Abdul Rassip MNA, Lee KY. Burnout and coping strategies among nurses in Malaysia: a national-level cross-sectional study. BMJ Open. oct 2022;12(10):e064687.
Wan Z, Lian M, Ma H, Cai Z, Xianyu Y. Factors associated with burnout among Chinese nurses during COVID-19 epidemic: a cross- sectional study. BMC Nurs. déc 2022;21(1):51.
Alharbi J, Wilson R, Woods C, Usher K. The factors influencing burnout and job satisfaction among critical care nurses: a study of Saudi critical care nurses. J Nurs Manag. sept 2016;24(6):708-17.
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