Burnout and Coping Skills amongst Medical Officers: A study in a tertiary hospital in Malaysia


  • Nur Faizah Ali Universiti Teknologi MARA (UiTM), 47000 Sg. Buloh, Selangor Malaysia
  • Nor Jannah Nasution Raduan Universiti Teknologi MARA (UiTM), 47000 Sg. Buloh, Selangor Malaysia
  • Zaliha Ismail Universiti Teknologi MARA (UiTM), 47000 Sg. Buloh, Selangor Malaysia
  • Salmi Razali Universiti Teknologi MARA (UiTM), 47000 Sg. Buloh, Selangor Malaysia




burnout, coping skills, doctors, medical


Burnout among doctors is hazardous, leading to stress which results in poor decision making and exposure to medical errors.  This study aims to improve the knowledge gap of the issues of burnout and coping skills among medical officers. This study is a cross-sectional study involving 250 medical officers, using universal sampling. Of the total 250 participants, 63 (25.2%) were burnout. The presence of burnout was significantly associated with dysfunctional coping skills (t=-4.96; p <0.001).  Burnout is prevalent among medical officers. It is vital to take actions that can promote good mental health in the form of coping skills and resilience training.

Keywords: burnout; coping skills; doctors; medical

eISSN: 2398-4287 © 2019. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open-access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.

DOI: https://doi.org/10.21834/e-bpj.v4i12.1940





Aiken, L. H., Clarke, S. P., Sloane, D. M., & Sochalski, J. (2002). Hospital Nurse Staffing and Patient Mortality , Nurse Burnout , and Job Dissatisfaction. Journal of American Medical Association, 288(16), 1987–1993.

Al-Dubai, S. A. R., Al-Naggar, R., AL-Shagga, M., & Rampal, K. (2011). Stress and Coping Strategies of Students in a Medical Faculty in Malaysia. Malaysian Journal of Medical Science, 18(3), 57–64.

Al-Dubai, S. A. R., & Rampal, K. G. (2010). Prevalence and associated factors of burnout among doctors in Yemen. Journal of Occupational Health, 52, 58–65. https://doi.org/10.1539/joh.O8030

Brenninkmeijer, V., & Vanyperen, N. (2003). How To Conduct Research on Burnout: Advantages and Disadvantages of a Unidimensional Approach in Burnout Research. Occup Environ Med, 60, 16–20.

Carver, C. S. (1997). You Want to Measure Coping but Your Protocol Too Long: Consider the BRIEF Cope. International Journal of Behavioral Medicine, 4(1), 92–100. https://doi.org/10.1207/s15327558ijbm0401_6

Chin, R., Chua, Y. Y., Chu, M. N., Mahadi, N., Yusoff, M., Wong, M., & Lee, Y. Y. (2016). Prevalence of Burnout among Universiti Sains Malaysia Medical Students. Education in Medicine Journal, 8(3), 61–74. https://doi.org/10.5959/eimj.v8i3.454

Compas, B. E., Connor-Smith, J. K., Saltzman, H., Thomsen, A. H., & Wadsworth, M. E. (2001). Coping With Stress During Childhood and Adolescence: Problems, Progress And Potential in Theory and Research. Psychological Bulletin, 127, 87–127. https://doi.org/10.1037//0033-2909.127.1.87

Cooper, C., Katona, C., & Livingston, G. (2008). Validity and Reliability of the Brief COPE in Carers of People With Dementia. The Journal of Nervous and Mental Disease, 196(11), 838–843. https://doi.org/10.1097/NMD.0b013e31818b504c

Cooper, C., Katona, C., Orrell, M., & Livingston, G. (2006). Coping Strategies and Anxiety in Caregivers of People with Alzheimer’s Disease : The LASER-AD Study. Journal of Affective Disorders, 90, 15–20. https://doi.org/10.1016/j.jad.2005.08.017

Cordes, C. L., & Dougherty, T. W. (1993). A Review and an Integration on Job Burnout. Academy of Management Review, 18(4), 621–656.

Folkman, S. (1984). Personal Control and Stress and Coping Processes: A Theoretical Analysis. Journal of Personality and Social Psychology, 46(4), 839–852. https://doi.org/10.1037/0022-3514.46.4.839

Folkman, S., & Lazarus, R. S. (1980). An Analysis of Coping in a Middle-Aged Community Sample. Journal of Health and Social Behavior, 21(3), 219–239.

Folkman, S., & Lazarus, R. S. (1985). If It Changes It Must Be A Process: Study of Emotion and Coping During Three Stages of A College Examination. Journal of Personality and Social Psychology, 48(1), 150–170. https://doi.org/10.1037/0022-3514.48.1.150

Freudenberger, H. J. (1974). Staff Burn-Out. Journal of Social Issues, 30(1), 159–165. https://doi.org/10.1111/j.1540-4560.1974.tb00706.x

Goretti, B., Zipoli, V., Portaccio, E., Razzolini, L., & Amato, M. P. (2010). Coping Strategies , Cognitive Impairment , Psychological Variables and Their Relationship with Quality of Life in Multiple Sclerosis. Neurological Sciences, 31(2), 227–230. https://doi.org/10.1007/s10072-010-0372-8

Kumar, S. (2016). Burnout and Doctors : Prevalence , Prevention and Intervention. Healthcare, 4(37), 1–9. https://doi.org/10.3390/healthcare4030037

Latack, J. C., & Havlovic, S. J. (1992). Coping with Job Stress: A Conceptual Evaluation Framework for Coping Measures. Journal of Organizational Behavior, 13, 479–508.

Maslach, C., & Jackson, S. (1981). The measurement of experienced Burnout. Journal of Occupational Behavior, 2, 99–113. https://doi.org/10.1002/job.4030020205

Maslach, C., Jackson, S. E., & Leiter, M. P. (1996). Maslach Burnout Inventory Manual (3rd ed.). California, CA: Consulting Psychologists.

Maslach, C., Leiter, M. P., & Schaufeli, W. (2008). The Oxford Handbook of Organizational Well Being. (Susan Cartwright and Cary L. Cooper, Ed.). Oxford University Press. https://doi.org/10.1093/oxfordhb/9780199211913.003.0005

Pakenham, K. I., & Stafford-Brown, J. (2012). Stress in Clinical Psychology Trainees : A Review of Current Research and Future Directions. Australian Psychologist, 47, 147–155. https://doi.org/10.1111/j.1742-9544.2012.00070.x

Peltzer, K., Mashego, T., & Mabeba, M. (2003). Short Communication : Occupational Stress and Burnout Among South African Medical Practitioners. Stress and Health, 19, 275–280. https://doi.org/10.1002/smi.982

Prins, J. T., Hoekstra-Weebers, J. E. H. M., Gazendam-Donofrio, S. M., Dillingh, G. S., Bakker, A. B., Huisman, M., … Van Der Heijden, F. M. M. A. (2010). Burnout and Engagement Among Resident Doctors in the Netherlands: A National Study. Medical Education, 44, 236–247. https://doi.org/10.1111/j.1365-2923.2009.03590.x

Roslan, S., Sharifah, M. N., & Thirumalai, V. N. (2012). The Burnout Phenomenon : Changes in Psychosocial Profiles of Secondary School Teachers. Journal of Social Science and Humanities, 20(S), 157–174.

Sabki, Z., & Zainal, N. (2015). Exploring Burnout Among Malaysian Junior Doctors Using the Abbreviated Maslach Burnout Inventory. Malaysian Journal of Psychiatry, 24(1), 1–10.

Schaufeli, W., & Enzmann, D. (1998). The burnout compan- ion to study and practice: a critical analysis. London: Taylor & Francis.

Shanafelt, T. D., Boone, S., Tan, L., Dyrbye, L. N., Sotile, W., Satele, D., … Oreskovich, M. R. (2012). Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Archives of Internal Medicine, 172(18), 1377–1385. https://doi.org/10.1001/archinternmed.2012.3199

Shanafelt, T., & Dyrbye, L. (2012). Oncologist Burnout: Causes, Consequences, and Responses. Journal of Clinical Oncology, 30(11), 1235–1241. https://doi.org/10.1200/JCO.2011.39.7380

Sirsawy, U., Steinberg, W. J., & Raubenheimer, J. E. (2016). Levels of Burnout Among Registrars and Medical Officers Working at Bloemfontein Public Healthcare Facilities in 2013. South African Family Practice, 1(1), 1–6. https://doi.org/10.1080/20786190.2016.1198088

Soler, K. J., Yaman, H., Esteva, M., Dobbs, F., Desgranges, P., Moreau, A., … Sa Azeredo, Z. D. A. (2008). Burnout in European Family Doctors : The EGPRN Study. Family Practice—An International Journal, 25(4), 245–265. https://doi.org/10.1093/fampra/cmn038

Tan, M. K., Jong, S. C., Jamaludin, N. A., Jamaludin, N. S., & Shah, S. A. (2013). Physician , Heal Thyself : The Paradox of Anxiety Amongst House Officers and Work in a Teaching Hospital. Asia Pasific Psychiatry, 5, 74–81. https://doi.org/10.1111/appy.12048

Thillainathan, S. (2011). Implementation of Flexi Hours for House Officers. Retrieved July 1, 2017, from www.moh.gov.my/attachments/8065

Wu, H., Liu, L., Wang, Y., Gao, F., Zhao, X., & Wang, L. (2013). Factors Associated With Burnout Among Chinese Hospital Doctors : A Cross-sectional Study. BMC Public Health, 13(786), 1–8. https://doi.org/10.1186/1471-2458-13-786

Yusoff, M. S. B., Yee, L. Y., Wei, L. H., Siong, T. C., Hon, L., Bin, L. X., … Rahim, A. (2011). A Study On Stress, Stressors and Coping Strategies Among Malaysian Medical Students. International Journal of Students’ Research, 1(2), 45–50.

Yusoff, M. S. B., Ying Jie, T., & Esa, A. R. (2011). Stress, stressors and coping strategies among house officers in a Malaysian hospital. ASEAN Journal of Psychiatry, 12(1), 85–94.



How to Cite

Ali, N. F., Nasution Raduan, N. J., Ismail, Z., & Razali, S. (2019). Burnout and Coping Skills amongst Medical Officers: A study in a tertiary hospital in Malaysia. Environment-Behaviour Proceedings Journal, 4(12), 141-147. https://doi.org/10.21834/e-bpj.v4i12.1940

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