{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T17:57:41Z","timestamp":1791482261716,"version":"4.3.4"},"reference-count":33,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Health workers\u2019 burnout compromises patient safety and satisfaction, in addition to their own health. Over the last three decades or more, burnout syndrome has been getting more attention. High levels of burnout have been reported by health workers globally, and Nepal is no exception, including those mainly in hospital settings. Despite this, burnout issues have not been given enough attention in the literature. Hence, this study aims to assess the prevalence of burnout among health workers in hospital settings in Pokhara and to assess its\u2019 associated factors (personal, job-related, and work-life balance).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>A hospital-based cross-sectional observational study was carried out among 242 health workers from selected hospitals of Pokhara, Kaski, over a period of one month from Sep to Oct, 2024. Data were collected using a self-administered questionnaire to assess the prevalence of burnout and its\u2019 associated factors. The Oldenburg Burnout Inventory scale was used for assessing the prevalence of burnout. Frequency, percentage, and median were calculated to describe the sample characteristics, whereas, chi-square tests and logistic regression were used to determine the factors associated with burnout.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The prevalence of burnout was 61.6%. When subscales were evaluated separately, slightly more than and nearly three-fourths were found to have both high disengagement (76.4%) and high exhaustion (71.9%). Multivariate logistic regression showed that the insufficient sleeping hours at night (aOR: 2.292, 95% CI: 1.193\u20134.404), poor job satisfaction (aOR: 3.391, 95% CI: 1.286\u20138.943), and poor work-life balance (aOR: 5.187, 95% CI: 2.600\u201310.350) were associated with burnout status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Nearly two-thirds of the hospital health workers experienced burnout in Pokhara. Insufficient sleeping duration at night, poor job satisfaction, and poor work-life balance determined the burnout status of health workers. Hospital administrators, policymakers, and health system leaders should prioritize interventions targeting burnout among health workers, which protect work-life balance and improve job satisfaction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0360067","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T17:40:37Z","timestamp":1791481237000},"page":"e0360067","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Burnout and its\u2019 associated factors among health workers: A hospital-based cross-sectional study from Pokhara, Nepal"],"prefix":"10.1371","volume":"21","author":[{"given":"Dikshya","family":"Adhikari","sequence":"first","affiliation":[{"name":"School of Health and Allied Sciences, Pokhara University","place":["Pokhara, Nepal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0817-2486","authenticated-orcid":true,"given":"Hari Prasad","family":"Kaphle","sequence":"additional","affiliation":[{"name":"School of Health and Allied Sciences, Pokhara University","place":["Pokhara, Nepal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramesh","family":"Ojha","sequence":"additional","affiliation":[{"name":"School of Health and Allied Sciences, Pokhara University","place":["Pokhara, Nepal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4706-2183","authenticated-orcid":true,"given":"Chiranjivi","family":"Adhikari","sequence":"additional","affiliation":[{"name":"School of Health and Allied Sciences, Pokhara University","place":["Pokhara, Nepal"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"pone.0360067.ref001","year":"2018"},{"issue":"3","key":"pone.0360067.ref002","doi-asserted-by":"crossref","first-page":"2428","DOI":"10.3390\/ijerph20032428","article-title":"Occupational Burnout in Healthcare Workers, Stress and Other Symptoms of Work Overload during the COVID-19 Pandemic in Poland","volume":"20","author":"Z Izdebski","year":"2023","journal-title":"Int J Environ Res Public Health"},{"key":"pone.0360067.ref003","doi-asserted-by":"crossref","first-page":"205","DOI":"10.21802\/artm.2023.2.26.205","article-title":"Prevalence of burnout syndrome in healthcare workers in north and south america, and asia from 2018 to 2022","author":"V Botiakova","year":"2023","journal-title":"Art of Medicine"},{"key":"pone.0360067.ref004","author":"World Health Organization"},{"key":"pone.0360067.ref005"},{"key":"pone.0360067.ref006"},{"issue":"7","key":"pone.0360067.ref007","article-title":"Burnout and its associated factors among healthcare workers in COVID-19 isolation centres in Khartoum, Sudan: A cross-sectional study","volume":"18","author":"ESA Alfadul","year":"2023","journal-title":"PLoS One"},{"issue":"10","key":"pone.0360067.ref008","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0309701","article-title":"Level of burnout and associated factors among healthcare workers in central Uganda: A facility-based cross-sectional study","volume":"19","author":"A Kabunga","year":"2024","journal-title":"PLoS One"},{"key":"pone.0360067.ref009","author":"Centers for Disease Control and Prevention","year":"2023"},{"issue":"6","key":"pone.0360067.ref010","doi-asserted-by":"crossref","DOI":"10.2471\/BLT.22.288300","article-title":"Burnout among primary health-care professionals in low- and middle-income countries: systematic review and meta-analysis","volume":"100","author":"T Wright","year":"2022","journal-title":"Bull World Health Organ"},{"key":"pone.0360067.ref011","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2024-094520","article-title":"Prevalence and factors associated with burnout among healthcare providers at Kasulu district in Kigoma region, 2024: an analytical cross-sectional study in a primary healthcare setting","author":"GH Mfuru","year":"2024"},{"issue":"2","key":"pone.0360067.ref012","doi-asserted-by":"crossref","first-page":"89","DOI":"10.3126\/ijosh.v11i2.37259","article-title":"Burnout among healthcare professionals in Nepal: An analytical study","volume":"11","author":"MV Shrestha","year":"2021","journal-title":"Int J Occup Saf Health"},{"issue":"11","key":"pone.0360067.ref013","doi-asserted-by":"crossref","first-page":"11","DOI":"10.61122\/jkistmc269","article-title":"Prevalence of Burnout among Healthcare Workers in a Tertiary Care Hospital, its Contributing Factor, and Strategies to Overcome Challenges during the Covid-19 Pandemic","volume":"6","author":"S Basnet","year":"2024","journal-title":"J KIST Med Col"},{"issue":"6","key":"pone.0360067.ref014","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0253808","article-title":"Burnout among medical students of a medical college in Kathmandu; 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