https://www.journals.ac.za/ajn/issue/feed 2026-01-20T05:34:49+00:00 Prof Alain Assounga scholar@sun.ac.za Open Journal Systems <p>The Journal is the official publication of the African Association of Nephrology, the organisation representing the professional interests of African clinicians and researchers in the discipline of nephrology. We welcome submissions on clinical nephrology, related basic sciences, and nephrology education. eISSN 2518-4601.</p> https://www.journals.ac.za/ajn/article/view/7695 2025-09-04T10:38:19+00:00 Sheetal Chiba sheetalchiba@yahoo.com Adekunle Ajayi kunleajx@gmail.com Chandni Dayal chandnidayal@gmail.com Nina Diana ninadiana1@gmail.com Gloria Teckie gteckie@hotmail.com Malcolm Davies malcolm.davies@wits.ac.za

<p><strong>Introduction:</strong> Provision of dialysis to patients with kidney failure relies on skilled dialysis practitioners (DPs), about whom little is known of the effect on burnout of workplace stressors, resource limitations, and the COVID-19 pandemic, which have increased the condition in other nursing specialities. We therefore analysed burnout in South African DPs working in the public sector.</p> <p><strong>Methods:</strong> Sixty-four anonymous volunteers were recruited from three public sector treatment centres in Johannesburg. Burnout was assessed using the Maslach Burnout Inventory–Human Services Survey (MBI–HSS); the study population additionally completed surveys recording their workplace and COVID-19 experiences. The effect of respondent demographics, workplace, and pandemic experiences on burnout was determined using regression modelling.</p> <p><strong>Results:</strong> Burnout occurred in 22%. Workplace challenges affected 97% of our sample; staffing shortages (97%), insufficient pay (75%), and perceived lack of management support (70%) were frequently cited. Sixty-four percent reported deteriorated perception of their career following COVID-19. Age (ß –0.29 ± 0.12, P = 0.015), longer time in current position (ß 0.38 ± 0.15, P = 0.012), lack of management support (ß 2.76 ± 0.93, P = 0.003), and lower career perception following COVID-19 (ß 3.68 ± 0.91, P &lt; 0.001) increased emotional exhaustion; inadequate pay reduced personal sense of accomplishment (ß –1.12 ± 0.54, P = 0.036). Impaired career perception following COVID-19 independently increased burnout (OR 2.07, 95% CI 1.06–4.06, P = 0.033).</p> <p><strong>Conclusions:</strong> Burnout rates in South African DPs are high and exceed those of many other regions. Perceived inadequate remuneration and poor management support are important factors underlying the condition. COVID-19 experiences continue to exert a significant effect on career appraisal and burnout.</p>

2026-01-20T00:00:00+00:00 Copyright (c) 2026 Sheetal Chiba, Adekunle Ajayi, Chandni Dayal, Nina Diana, Gloria Teckie, Malcolm Davies https://www.journals.ac.za/ajn/article/view/8058 2026-01-20T05:34:49+00:00 M Razeen Davids mrd@sun.ac.za

<p>The editors of AJN wish to thank the colleagues who generously gave of their time and expertise to review manuscripts for us during 2025. We greatly appreciate their contribution to the quality of the work that we publish.</p>

2026-01-20T00:00:00+00:00 Copyright (c) 2026 M Razeen Davids