Psychological and physiological stress and burnout among maternity providers in a rural county in Kenya: individual and situational predictors

Table 5 Structural equation model for mediation of perceived stress on burnout (N = 79)

	*Burnout*
	Total effects			Direct effects			Indirect effects
	β	[95% CI]		β	[95% CI]		β	[95% CI]
Perceived stress scores	0.69*	0.08	1.29	0.69*	0.08	1.29
Overcommitment score	2.03***	0.91	3.15	1.63*	0.49	2.77	0.4+	−0.05	0.84
Perceived accomplishments in life a
Less than hoped
Exactly/more than hoped	−1.33	−8.39	5.73	0.74	−6.35	7.82	−2.07	−4.57	0.43
Facility type
Govt. Hospital
Govt. Health Center/Dispensary	−3.06	−8.75	2.63	−3.27	−8.79	2.25	0.21	−1.19	1.61
Mission/Private Hospital	−4.78	−13.88	4.32	−4.78	−13.6	4.05	−0.01	−2.22	2.21
Position
Nurse/Midwife
Clinical officer/Doctor	−3.36	−11.08	4.37	−3.08	− 10.57	4.42	−0.28	−2.18	1.62
Support staff	−1.52	−12.43	9.38	−2	−12.58	8.59	0.47	−2.22	3.16
Gender
Male
Female	6.44*	0.81	12.07	6.05*	0.58	11.52	0.39	−1.03	1.8
Age
23 to 29 years
30 to 39	1.73	−4.87	8.32	1.5	−4.9	7.89	0.23	−1.39	1.85
40 to 52 years	−0.53	−8.43	7.37	−0.11	−7.77	7.56	−0.42	−2.38	1.54
Marital status
Married
All Single	3.34	−3.05	9.73	4.21	−2.03	10.46	−0.88	−2.62	0.86
Monthly salary a
Less than 10,000 KSh
10,000 to < 50,000 KSh	−8.75	−19.66	2.16	−8.76	−19.34	1.82	0.01	−2.65	2.67
50,000 KSh or more	−6.98	−18.94	4.98	−6.13	−17.75	5.49	−0.85	−3.86	2.16
Work hours per day
8 or fewer hours
More than 8 h	−1.53	−5.47	2.4	−2.21	−6.07	1.65	0.68	−0.45	1.8

95% confidence intervals in brackets. + p < 0.10; * p < 0.05; ** p < 0.01; *** p < 0.001

ISSN: 1471-2458