Emotional Burnout and Job Satisfaction among Oncology Residents in Nigeria: A Cross-Sectional Study
Authors
Department of Radiation Oncology, College of Medicine, University of Ibadan, Ibadan, Oyo (Nigeria)
Department of Radiation Oncology, College of Medicine, University of Ibadan, Ibadan, Oyo (Nigeria)
Department of Radiation Oncology, College of Medicine, University of Ibadan, Ibadan, Oyo (Nigeria)
Department of Radiation Oncology, College of Medicine, University of Ibadan, Ibadan, Oyo (Nigeria)
Article Information
DOI: 10.51584/IJRIAS.2026.110400036
Subject Category: ONCOLOGY
Volume/Issue: 11/4 | Page No: 560-569
Publication Timeline
Submitted: 2026-04-04
Accepted: 2026-04-10
Published: 2026-04-29
Abstract
Background
Oncology residency training is associated with high emotional and professional demands, predisposing trainees to burnout. In low- and middle-income countries such as Nigeria, systemic challenges may further increase this risk. This study assessed emotional burnout and job satisfaction among oncology residents in Nigeria and identified associated factors.
Methods
A multicentre cross-sectional study was conducted among oncology residents across seven accredited tertiary institutions in Nigeria. Data were collected using a structured self-administered questionnaire incorporating the Maslach Burnout Inventory and the Job Satisfaction Survey. Descriptive statistics, correlation analysis, and regression models were used to evaluate associations between burnout, job satisfaction, and sociodemographic variables.
Results
A total of 57 residents participated (mean age 33.7 ± 4.9 years; male: female = 2.2:1). Emotional exhaustion was high (3.50 ± 0.82), while depersonalization and personal accomplishment were moderate. Overall job satisfaction was moderate (3.12 ± 0.84), with high satisfaction in supervisor support and co-worker relationships but lower satisfaction with work environment. Emotional exhaustion showed a strong negative correlation with job satisfaction (r = –0.61, p < 0.001). Early-year residents had significantly higher burnout (p = 0.022). Female gender predicted lower job satisfaction (p = 0.046). Low job satisfaction, poor work environment, and long working hours were significant predictors of burnout.
Conclusion
Oncology residents in Nigeria experience substantial emotional burnout, particularly in early training years. While interpersonal support is strong, systemic factors such as workload and work environment drive burnout. Targeted institutional interventions are needed to improve resident well-being and sustain the oncology workforce.
Keywords
Burnout, Oncology residents, Well-being, Job satisfaction
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References
1. Joseph AO, Balogun OD, Akinsete AM, Awofeso OM, Bashir AM, Salako O, Onitilo AA. Oncology Education in the Nigerian Medical Curriculum: A Cross-Sectional Review. Niger Med J. 2022 Apr 26;62(3):127-132. PMID: 38505192; PMCID: PMC10937060. [Google Scholar] [Crossref]
2. Burnout an “occupational phenomenon”: International Classification of Diseases. Geneva: World Health Organization; 2019. Available from: https://www.who.int/news/item/28-05-2019-burn-out-an-occupational-phenomenon-international-classification-of-diseases [cited 2023 Mar 21]. [Google Scholar] [Crossref]
3. Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol. 2001;52(1):397–422. 10.1146/annurev.psych.52.1.397 [Google Scholar] [Crossref]
4. Maslach C, Jackson SE. The measurement of experienced burnout. J Organ Behav. 1981. Apr;2(2):99–113. 10.1002/job. [Google Scholar] [Crossref]
5. Bianchi R, Schonfeld IS. Examining the evidence base for burnout. Bull World Health Organ. 2023 Nov 1;101(11):743-745. doi: 10.2471/BLT.23.289996. Epub 2023 Oct 4. PMID: 37961064; PMCID: PMC10630726. [Google Scholar] [Crossref]
6. Rotenstein LS, Torre M, Ramos MA, Rosales RC, Guille C, Sen S, Mata DA. Prevalence of Burnout Among Physicians: A Systematic Review. JAMA. 2018 Sep 18;320(11):1131-1150. doi: 10.1001/jama.2018.12777. PMID: 30326495; PMCID: PMC6233645. [Google Scholar] [Crossref]
7. Youssef, D., Youssef, J., Abou-Abbas, L. et al. Prevalence and correlates of burnout among physicians in a developing country facing multi-layered crises: a cross-sectional study. Sci Rep 12, 12615 (2022). https://doi.org/10.1038/s41598-022-16095-5 [Google Scholar] [Crossref]
8. Nwobodo EP, Strukcinskiene B, Razbadauskas A, Grigoliene R, Agostinis-Sobrinho C. Stress Management in Healthcare Organizations: The Nigerian Context. Healthcare (Basel). 2023 Oct 24;11(21):2815. doi: 10.3390/healthcare11212815. PMID: 37957963; PMCID: PMC10650396. [Google Scholar] [Crossref]
9. El-Fatah, W.O.A., Mohamed, T., Abdallah, N. et al. Analyzing the nexus between burnout and psychological distress in pediatric oncology nurses: a descriptive correlational investigation. BMC Nurs 24, 465 (2025). https://doi.org/10.1186/s12912-025-03061-5 [Google Scholar] [Crossref]
10. Noel, N., Inam, N., Nwabufoh, N., Baba, F., Hananiya, D., & Umar, A. (2026). Prevalence, Patterns, and Predictors of Burnout Among Healthcare Workers in a Tertiary Hospital in North-Eastern Nigeria. Nigerian Medical Journal, 66(5), 1909–1923. https://doi.org/10.71480/nmj.v66i5.1092 [Google Scholar] [Crossref]
11. Salihu MO, Makanjuola AB, Abiodun OA, Kuranga AT. Predictors of burnout among resident doctors in a Nigerian teaching hospital. S Afr J Psychiatr. 2023 Jun 29;29:2017. doi: 10.4102/sajpsychiatry.v29i0.2017. PMID: 37416855; PMCID: PMC10319939. [Google Scholar] [Crossref]
12. Cao, B., Hassan, N. C., & Omar, M. K. (2025). Interventions to Reduce Burnout Among University Lecturers: A Systematic Literature Review. Behavioral Sciences, 15(5), 649. https://doi.org/10.3390/bs15050649 [Google Scholar] [Crossref]
13. Huang G, Hung WK, Ngolombe R, Maona C, Chiona BC, Banda KJ. Overview of the prevalence of job satisfaction and turnover intention among emergency medical services personnel: a meta-analysis. J Glob Health. 2025 Nov 28;15:04320. doi: 10.7189/jogh.15.04320. [Google Scholar] [Crossref]
14. ALobaid AM, Gosling CM, Khasawneh E, McKenna L, Williams B. Challenges Faced by Female Healthcare Professionals in the Workforce: A Scoping Review. J Multidiscip Healthc. 2020 Aug 5;13:681-691. doi: 10.2147/JMDH.S254922. PMID: 32821112; PMCID: PMC7417925. [Google Scholar] [Crossref]
15. Druzhkova I, Annienkova I, Busel S. Nemchenko H, & Rudinska O. Gender challenges in healthcare, psychological strategies for overcoming discrimination. Revista Amazonia Investiga. 2025;14:114-130. 10.34069/AI/2025.86.02.10 [Google Scholar] [Crossref]
16. Sturman N, Tan Z, Turner J. "A steep learning curve": junior doctor perspectives on the transition from medical student to the health-care workplace. BMC Med Educ. 2017 May 26;17(1):92. doi: 10.1186/s12909-017-0931-2. PMID: 28549459; PMCID: PMC5446747. [Google Scholar] [Crossref]
17. Shamieh O, Alrjoub W, Alarie G, Ammar K, Hazim MA, Shawash T, Zamel O, Al-Hussaini M, Al-Ruzzieh M, Abdel-Razeq H, Mansour A. Prevalence and predictors of staff burnout at a tertiary cancer center in Jordan. AIMS Public Health. 2025 Apr 15;12(2):470-490. doi: 10.3934/publichealth.2025026. PMID: 40697251; PMCID: PMC12277770. [Google Scholar] [Crossref]
18. Dyrbye LN, Shanafelt TD. Physician burnout: a potential threat to successful health care reform. JAMA. 2011;305(19):2009-2010. [Google Scholar] [Crossref]
19. Wright T, Mughal F, Babatunde OO, Dikomitis L, Mallen CD, Helliwell T. Burnout among primary health-care professionals in low- and middle-income countries: systematic review and meta-analysis. Bull World Health Organ. 2022;100(6):385-401A. doi:10.2471/BLT.22.288300 [Google Scholar] [Crossref]
20. Shanafelt TD, Boone S, Tan L, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med. 2012;172(18):1377-1385. doi:10.1001/archinternmed.2012.3199 [Google Scholar] [Crossref]
21. West CP, Dyrbye LN, Shanafelt TD. Physician burnout: contributors, consequences and solutions. J Intern Med. 2018;283(6):516-529. doi:10.1111/joim.12752 [Google Scholar] [Crossref]
22. Grillo E, Ekundayo A. Prevalence and Pattern of Burnout Syndrome amongst Doctors Working in a Nigerian Tertiary Hospital. Niger Med J. 2025;66(5):1829-45. Available from: https://nigerianmedjournal.org/index.php/nmj/article/view/1022 [Google Scholar] [Crossref]
23. Lyubarova R, Salman L, Rittenberg E. Gender Differences in Physician Burnout: Driving Factors and Potential Solutions. Perm J. 2023;27(2):130-136. doi:10.7812/TPP/23.023 [Google Scholar] [Crossref]
24. Yeluru H, Newton HL, Kapoor R. Physician Burnout Through the Female Lens: A Silent Crisis. Front Public Health. 2022;10:880061. Published 2022 May 24. doi:10.3389/fpubh.2022.880061 [Google Scholar] [Crossref]
25. De Hert S. Burnout in Healthcare Workers: Prevalence, Impact and Preventative Strategies. Local Reg Anesth. 2020;13:171-183. Published 2020 Oct 28. doi:10.2147/LRA.S240564 [Google Scholar] [Crossref]
26. West CP, Dyrbye LN, Sloan JA, Shanafelt TD. Single item measures of emotional exhaustion and depersonalization are useful for assessing burnout in medical professionals. J Gen Intern Med. 2009;24(12):1318-1321. doi:10.1007/s11606-009-1129-z. [Google Scholar] [Crossref]