{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T00:44:15Z","timestamp":1780101855562,"version":"3.54.0"},"reference-count":31,"publisher":"BMJ","issue":"2","license":[{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"content-version":"unspecified","delay-in-days":15,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,2,2]]},"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To understand the experiences of burnout and coping strategies among healthcare professionals working in the emergency department of tertiary care public and private hospitals in Karachi.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A qualitative exploratory design was employed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting and participants<\/jats:title>\n                    <jats:p>One public-sector and one private-sector tertiary care hospital located in Karachi, Pakistan were selected for this study. Audio-recorded in-depth interviews were conducted with a total of 15 healthcare professionals working in the emergency department, which were later transcribed verbatim and analysed inductively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The findings of the study identified two major themes contributing to burnout: individual and organisational themes, along with coping strategies used by healthcare professionals. Individual-level subthemes included emotional distress, arising from ethical dilemmas and constraints within the work environment, and work-life imbalance, where participants experienced difficulty maintaining personal well-being due to professional demands. Organisational-level subthemes included lack of leadership support and recognition, role conflict, inadequate resources, excessive workloads and exposure to workplace violence, all of which contributed significantly to burnout. Healthcare professionals reported both adaptive and maladaptive coping strategies. Adaptive strategies included positive reframing, peer support and relaxation techniques, whereas maladaptive strategies involved venting frustration and, in some cases, substance use to manage prolonged stress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings revealed that the experience of burnout is caused by a range of interdependent factors at the individual and organisational levels. Multifaceted interventions are needed to address these issues such as national and emergency department staffing policies, mental health support, resilience training, workload management, flexible scheduling and the promotion of work-life balance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-111829","type":"journal-article","created":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T14:55:40Z","timestamp":1771253740000},"page":"e111829","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Burnout and coping strategies among healthcare professionals in the emergency departments of public and private tertiary hospitals in Karachi"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-3058-8794","authenticated-orcid":false,"given":"Beenish","family":"Majlis Khan","sequence":"first","affiliation":[{"name":"Community Health Sciences, The Aga Khan University Hospital, Karachi, Sindh, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Waqas","family":"Hameed","sequence":"additional","affiliation":[{"name":"Community Health Sciences, The Aga Khan University Medical College Pakistan, Karachi, Sindh, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ambreen","family":"Tharani","sequence":"additional","affiliation":[{"name":"School of Nursing & Midwifery, The Aga Khan University Hospital Main Campus Karachi, Karachi, Sindh, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bushra","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of Karachi, Karachi, Sindh, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,2,16]]},"reference":[{"key":"2026021609461995000_16.2.e111829.1","first-page":"41","article-title":"DEGREE AND FACTORS OF BURNOUT AMONG EMERGENCY HEALTHCARE WORKERS IN INDIA","volume":"8","author":"Baruah","year":"2019","journal-title":"Int J Sci Res (Ahmedabad)"},{"key":"2026021609461995000_16.2.e111829.2","doi-asserted-by":"crossref","first-page":"743","DOI":"10.2471\/BLT.23.289996","article-title":"Examining the evidence base for burnout","volume":"101","author":"Bianchi","year":"2023","journal-title":"Bull World Health Organ"},{"key":"2026021609461995000_16.2.e111829.3","doi-asserted-by":"crossref","DOI":"10.1186\/s12960-024-00917-w","article-title":"Global estimate of burnout among the public health workforce: a systematic review and meta-analysis","volume":"22","author":"Nagarajan","year":"2024","journal-title":"Hum Resour Health"},{"key":"2026021609461995000_16.2.e111829.4","doi-asserted-by":"crossref","unstructured":"AlJhani S , AlHarbi H , AlJameli S , et al . 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Available: https:\/\/www.ama-assn.org\/practice-management\/physician-health\/which-physician-specialties-are-seeing-drop-burnout"},{"key":"2026021609461995000_16.2.e111829.6","article-title":"Burnout in emergency department staff: The prevalence and barriers to intervention","volume":"29","author":"Naidoo","year":"2023","journal-title":"S Afr J Psychiatr"},{"key":"2026021609461995000_16.2.e111829.7","first-page":"1413","article-title":"Interactive role of personal and work related factors in psychological burnout: a study of Pakistani doctors","volume":"70","author":"Ashraf","year":"2020","journal-title":"J Pak Med Assoc"},{"key":"2026021609461995000_16.2.e111829.8","doi-asserted-by":"crossref","first-page":"171","DOI":"10.2147\/LRA.S240564","article-title":"Burnout in Healthcare Workers: Prevalence, Impact and Preventative Strategies","volume":"13","author":"De Hert","year":"2020","journal-title":"Local Reg Anesth"},{"key":"2026021609461995000_16.2.e111829.9","first-page":"1018","article-title":"Burnout among nurses working at Dow and Civil Hospitals in Karachi: A cross-sectional study","volume":"70","author":"Ahmed","year":"2020","journal-title":"J Pak Med Assoc"},{"key":"2026021609461995000_16.2.e111829.10","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyg.2019.02552","article-title":"Burnout, Job Dissatisfaction, and Mental Health Outcomes Among Medical Students and Health Care Professionals at a Tertiary Care Hospital in Pakistan: Protocol for a Multi-Center Cross-Sectional Study","volume":"10","author":"Mufarrih","year":"2019","journal-title":"Front Psychol"},{"key":"2026021609461995000_16.2.e111829.11","doi-asserted-by":"crossref","unstructured":"Templeton K , Bernstein CA , Sukhera J , et al . 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Available: https:\/\/www.cdc.gov\/niosh\/docs\/99-101\/default.html [Accessed 13 Jan 2023]."},{"key":"2026021609461995000_16.2.e111829.16","first-page":"51","article-title":"An Introduction to Research Paradigms","volume":"3","author":"Abdul","year":"2016","journal-title":"International Journal of Educational Investigations"},{"key":"2026021609461995000_16.2.e111829.17","unstructured":"Research Paradigms: Explanation and Examples . Proofed\u2019s writing tips. 2022."},{"key":"2026021609461995000_16.2.e111829.18","unstructured":"World bank open data. n.d. 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