The document presents a proposal to assess burnout levels among nurses at Ndera Neuropsychiatric Hospital, highlighting its prevalence and contributing factors in the context of Rwanda. It discusses the high rates of burnout within nursing globally, particularly in Sub-Saharan Africa, and emphasizes a lack of prior research specifically focused on psychiatry in Rwanda. The study aims to understand the prevalence and identify personal and organizational factors influencing burnout to raise awareness and improve management strategies.

1. TO ASSESS THE PREVALENCE OF BURNOUT
AND ITS ASSOCIATED FACTORS AMONG
NURSES WORKING AT NDERA NEURO
PSYCHYATRIC HOSPITAL
BY: Ibrahim HABANABKIZE 222023177
Supervisor: Prof Madeleine MUKESHIMANA
Co-Supervisor: Sandra MUSABWASONI
July, 04 2024

2. CHAPTER ONE: INTRODUCTION
• Burnout has emerged as critical issues among nursing, in
recent years.
• Its work related phenomenon,…
• Emotional exhaustion depersonalization and low personal
accomplishment are key element,
• Work place violence, much physical and emotional demand
make psychiatric setting particular (Søvold et al., 2021)
• Organizational, personal, and work characteristics
contribute,
• The context of Rwanda, resource limitation, work load and
nurse patient ratio contribute much.

3. Back ground
• Health sector is 2nd
to have burnout 76,8% after hotel and food services
with 80,3% world wide.
• 62% of employees repport to have burnout world wide,
• In nursing 11.23% reported signs of burnout highly observed in sub
sahara Africa (SSA),
• 44.8% reported to have burnout and 26,4% are at high risk,(Qedair et
al., 2022)
• Metha-analysis show 30% as rate of burnout found from 94studies taken
from 30 country,
• 31.5% of nurses quit job in USA, due to burnout, 39% of nurse in soud
arabia experience EE, while 38% had DP,(Qedair et al., 2022).

4. Back ground continues
• In south Africa 81% of nurse had burnout while in Tanzania 62%
had it (Reinbach et al.,2012)
• 45,8% was found in systematic revew that examined 26articals
in SSA,
• In Rwanda burnout rate was 61,7% in 2017
• 22,7% of nurse reported burnout in kabwagayi hospital
• Job dissatisfaction (60%), and high workload(90%) was
identified as main cause

5. Back ground con’t
• Resources issue, work load, chronic physical and psychological
demand, and imbalance between job and resource are other
causes (sufiat, 2021),
• Personal factors include poor social support, work life balance,
meaning at work are also identified as factors of burnout.
• Burnout is identified to reduce humanistic care in psychiatric
setting. (Zhu et al 2022)
• Burnout in nursing has a great impact on quality of services(Zhu
et al 2022)
• Despite the huge burden of burnout, few study are done in
psychiatry and zero in Rwanda.

6. MOTIVATION OF THIS STUDY/
• My career of working is in psychiatry since ten years
• I heard the term burnout when I was working there,
• Special case to care, huge number of patients is remarked,
• With reading I realized that, it is world wide burden
• When I look about Rwanda, I found elevated rate of burnout, but find
zero study done in psychiatry,
• When I looked about factors, I find many of them
• Hence committed to conduct this study.

7. THE AIM OF THE STUDY
• To determine the prevalence and associated factors of burnout
among nurses in psychiatric hospital
•SPECIFIC OBJECTIVES
• To determine the prevalence of burnout
• Identify personal interpersonal and organizational factors
• Assess relationship between prevalence and identified factors.

8. RESEARCH QUESTIONS
• In this study we will try to
answer question like
• What is the prevalence of
burnout among nurses who
work at Ndera hospital
• What are the factors
contributing to burnouts at
Ndera hospital
• What is the relationship
between identified factors and
the prevalence.
SIGNIFICANT OF THE
STUDY
• The study will raise awareness and
awaken nurses ability to manage
and prevent burnout
• The management of an institution
will know the extent of burnout
and preventable organizational
factors
• Educator and researchers will be
informed about the gap in
research and in education.

9. CHAPTER TWO: LITERATURE REVEW
• Theoretical review, defining burnout as syndrome
conceptualized to occupational phenomenon related to
prolonged stress (WHO, 2019), and ICD-11
• It is also defined according to three element Emotional
Exhaustion, Depersonalization and reduced level of
accomplishment (Maslach and Leiter, 2016)
•HOW IS BURNOUT DEVELOPED: 5main stages are
identified

10. CHAP TWO LITERATURE REVIEW con’t
• PREVENTION: It is prevented buy recognize it and respond to signs
and symptoms
• Develop work life balance, prioritize self care, exercise the body and
mind, take break and maintain support network.
• FACTORS : Personal, organizational, and interpersonal
• BURNOUT EFFECT: also grouped into
• personal,: isolation, depression , chronic condition, poor performance
• organizational,: poor quality of services, job dissatisfaction, medical
error, low patient safety and alteration of metal health

11. CLITICAL REVIEW
• Literature shows that burnout is a burden in different profession
• Widely explored but poor in nursing specialties,
• In Rwanda it is done in critical care and emergency unity as well
as in general nurse in 1 (District Hospital)DH
• No study done in psychiatry setting in Rwanda despite the
particularity Rwanda have,
• Characteristics of work in psychiatry and workload should be
the focus of the study
• Relationship of social demographic, work related characteristics
,and personal risk factors with burnout

12. RESEARCH METHODOLOGY
• Cross sectional study design will be used: inclusion and exclusion
criteria will be based on to recruit participants.
• Participant will be given questionnaire and respond, data will be
processed, analyzed, and presented
• Quantitative approach will be used, with deductive approaches to test
the hypothesis
• Research setting will be the neuro psychiatric hospital single one in
Rwanda
• Located in Kigali –Gasabo- Ndera sector with two blanches.
• With its two branches, its has bed capacity of 412beds, 274 at ndera,
109 at butare, 29 kicukiro

13. STUDY POPULATION
• All nurse working at ndera neuropsychiatric teaching hospital
• Exclusion criteria: Newly recruited less than 6moths of
employment, and students in internship
• SAMPLING STRATEGIES
• Probability sampling methods will be used
• Stratified type that will use branches as strata
• Proportional probability sampling will be used to determine
number in each branch.
• Sample size will be 142 nurses taken from 223 total nurses.

14. METHODS OF DATA ANALYSIS
• The data will be collected using adapted Burnout Assessment
Tool (BAT) (Schaufeli B, 2020)
• The data will be analyzed statistically with using SPSS
software, and will be presented in tables, graphic and chart.
• Data will be managed in through collection, processing,
validated and kept secured in the computer and will be
accessed by authorized personaire.
• Ethically follow that guideline of UR-CMHS, and clearance will
be Given by IRB, and participant will sign consent form.
•LIMITATION OF THE STUDY:
• Financial issue will make it difficult to accede
participant.

15. References
• Qedair, J. T., Balubaid, R., Almadani, R., Ezzi, S., Qumosani, T., Zahid, R., & Alfayea, T.
(2022). Prevalence and factors associated with burnout among nurses in Jeddah: a single-
institution cross-sectional study. BMC Nursing, 21(1), 1–26.
https://doi.org/10.1186/s12912-022-01070-2
• WHO. (2019). Burn-out an ―occupational phenomenon‖: International Classification of
Diseases. International Classification of Disease. No Title. World Health Organizaton, 10–
11. Retrieved from https://www.who.int/news/item/28-05-2019-burn-out-
anoccupational-phenomenon-international-classification-of-diseases.
• Reinbach, H. C., Giacalone, D., Machado, L., & Bredie, W. L. P. (2012). Burnout and

16. References con’t
• Zhu, H., Xie, S., Liu, X., Yang, X., & Zhou, J. (2022). Influencing factors of
burnout and its dimensions among mental health workers during the
COVID-19 pandemic. Nursing Open, 9(4)
• Schaufeli, W. B., Desart, S., & De Witte, H. (2020). Burnout assessment
tool (Bat)—development, validity, and reliability. International Journal of
Environmental Research and Public Health, Vol. 17, pp. 1–21.
https://doi.org/10.3390/ijerph17249495
• Sufiyati,M.et al. (2021) ‘Effect of Work Overload on Job Satisfaction