Exploring the causes of work-related stress and burnout among doctors in Bangladesh: a qualitative study

Pragna Paramita Mondal1, Tasnima Haque1,2, Judith Johnson3,4

  • 1BRAC James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh.

Insights

Burnout in Bangladeshi doctors stems from postgraduate pressures, inadequate mental health support, high workloads, and negative public perceptions. Addressing these requires systemic interventions to improve doctor well-being and healthcare sustainability.

Area of Science:

  • Medical Sociology
  • Occupational Health
  • Qualitative Health Research

Background:

  • Global healthcare systems face shortages, particularly in low/middle-income countries.
  • Bangladesh experiences critical health workforce shortages, increasing doctor workload and burnout risk.
  • Limited qualitative research exists on the causes of occupational burnout among Bangladeshi doctors.

Purpose of the Study:

  • To investigate the multifaceted factors contributing to occupational burnout among doctors in Bangladesh.
  • To provide an in-depth qualitative understanding of the drivers of burnout in this specific context.
  • To inform targeted interventions for improving physician well-being.

Main Methods:

  • An exploratory qualitative approach using Reflexive Thematic Analysis.
  • Fifteen semi-structured interviews conducted with diverse medical specialists in Bangladesh.
  • Data analyzed using Atlas.ti version 24, employing a Critical Realist framework.

Main Results:

  • Four key themes emerged: postgraduate phase pressures, insufficient mental health awareness and support, high workload and competing demands, and unhelpful public/media attitudes.
  • Findings indicate that structural, cultural, and organizational factors significantly contribute to burnout.
  • The study highlights the complex interplay of systemic issues affecting doctors' experiences.

Conclusions:

  • Systemic and policy-level interventions are essential to address burnout among Bangladeshi doctors.
  • Improving mental health support, managing workloads, and enhancing public awareness are critical.
  • This research provides the first comprehensive qualitative account of burnout drivers in Bangladesh's medical community, informing future healthcare workforce strategies.
Abstract

Related Concept Videos

Introduction to Stress and Lifestyle01:27

Introduction to Stress and Lifestyle

Stress is a multifaceted response to events perceived as challenging or threatening, highlighting physical, emotional, cognitive, and behavioral reactions. Physically, stress can lead to fatigue, sleep disruptions, and various health issues such as frequent colds, chest pains, and nausea. Emotionally, it can manifest as anxiety, depression, irritability, and anger triggered by both minor and major life events. Cognitively, it may result in difficulty in concentration, memory, and...
512
Stress Prevention and Stress Management Techniques IV01:26

Stress Prevention and Stress Management Techniques IV

Stress often leads to unhealthy habits like smoking, excessive drinking, and overeating, which offer short-term relief but ultimately increase long-term health risks. These behaviors create a cycle that temporarily lowers stress levels but can result in severe long-term health consequences. Breaking these habits is essential to reduce the risk of chronic diseases and improve overall well-being. Three primary changes that support better health include quitting smoking, reducing alcohol intake,...
228
Obedience01:08

Obedience

According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
35.2K
Stress and Mental Health01:30

Stress and Mental Health

Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
770
Types of Stressors01:23

Types of Stressors

A stressor is any event, condition, or stimulus that triggers stress and causes a physical or psychological response in the body. Stressors can be categorized into three main types: catastrophes; significant life changes; and daily hassles, including social stress. Each can be detrimental to physical and mental well-being.
Catastrophes
Catastrophes refer to large-scale, unpredictable events that create overwhelming stress and a sense of threat. Examples include natural disasters like...
641
Stress Prevention and Stress Management Techniques VI01:30

Stress Prevention and Stress Management Techniques VI

Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
239