HIV, disease plague, demoralization and “burnout”: resident experience of the medical profession in Nairobi, Kenya

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dc.contributor.authorMwaikambo, Esther D.
dc.date.accessioned2020-02-17T11:27:28Z
dc.date.available2020-02-17T11:27:28Z
dc.date.issued2002
dc.description.abstractThis paper describes the experiencesof physicians-in-training at a public hospitalin Nairobi, Kenya, where medical professionalspractice in an environment characterized byboth significant lack of resources andpatients with HIV/AIDS in historicallyunprecedented numbers. The data reported hereare part of a larger study examining ethicaldilemmas in medical education and practiceamong physicians in East Africa. Aquestionnaire and semi-structured interviewwere completed by fifty residents in fourmedical specialties, examining social andemotional supports, personal and professionalsources of stress, emotional numbing anddisengagement from patients and peers, andsymptoms of post-traumatic stress anddepression. The factors affecting residentwell-being are found in this study to be morecomplex than previous interviews suggested. This study highlights the fact that as a resultof working in an environment characterized by poor communication among hospital staff aswell as a lack of resources and high numbersof patients with HIV/AIDS, residents'perceptions of themselves – their technicalproficiency, their ability to care and feel forothers and themselves, and for some theirentire sense of self – are significantlyaffected. Also affected are the patients theywork to treat.en_US
dc.identifier.citationRaviola, G., Mwaikambo, E. and Good, M.J.D., 2002. HIV, disease plague, demoralization and``burnout'': resident experience of the medical profession in Nairobi, Kenya. Culture, Medicine and Psychiatry, 26(1), pp.55-86.en_US
dc.identifier.otherDOI https://doi.org/10.1023/A:1015289132151
dc.identifier.urihttp://hdl.handle.net/123456789/232
dc.language.isoenen_US
dc.publisherCulture, Medicine and Psychiatry,en_US
dc.subjectDepressionen_US
dc.subjectHIV/AIDSen_US
dc.subjectHopelessnessen_US
dc.subjectKenyaen_US
dc.titleHIV, disease plague, demoralization and “burnout”: resident experience of the medical profession in Nairobi, Kenyaen_US
dc.typeArticleen_US

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