Assessing the Mental Impact and Burnout among Physicians during the COVID-19 Pandemic: A Developing Country Single-Center Experience

Asghar, Muhammad Sohaib; Yasmin, Farah; Alvi, Haris; Shah, Syed Muhammad Ismail; Malhotra, Kashish; Farhan, Syed Ali; Naqvi, Syed Anosh Ali; Yaseen, Rabail; Anwar, Sohel; Rasheed, Uzma

doi:10.4269/ajtmh.21-0141

Cited by 27 publications

(38 citation statements)

References 32 publications

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“…The Maslach Burnout Inventory Human Services Survey (MBI-HSS) consists of 22 questions which are categorized as emotional exhaustion, depersonalization, and personal accomplishment measured on a seven-point Likert scale (seven studies) [ 28 ].…”

Section: Resultsmentioning

confidence: 99%

“…Sociodemographic factors such as being younger [ 39 , 41 , 45 , 46 , 47 ], female gender [ 37 , 40 , 41 , 45 , 48 , 49 , 50 ], unmarried status [ 28 , 51 ], not having children [ 46 , 47 ], and junior experience [ 37 , 49 ] were correlated with high levels of burnout.…”

Section: Resultsmentioning

confidence: 99%

“…Furthermore, emotional exhaustion was associated with female gender [ 42 , 45 ], less professional experience and unmarried status [ 28 ], and being younger [ 52 ].…”

Section: Resultsmentioning

confidence: 99%

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Symptoms of Burnout Syndrome among Physicians during the Outbreak of COVID-19 Pandemic—A Systematic Literature Review

et al. 2022

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Background: Studies in the recent decades show that the medical profession has a high risk to develop burnout due to constant exposure to mental and physical suffering or death. The pandemic period induced additional stress for healthcare professionals due to the likelihood of a high rate of infection, long working shifts, using protective equipment, staying away from family, implementing new medical procedures. The present study is focusing on assessing the prevalence of burnout among physicians working in the healthcare system during the COVID-19 pandemic, and discovering the main factors associated with burnout syndrome among the population of physicians. Material and methods: A systematic review was conducted by searching PubMed, Wiley, and Google Scholar in November 2021. A total of 35 studies were eligible for the evaluation. Results: The samples ranged from 39 to 3071 physicians, and the overall burnout ranged from 14.7% to 90.4%. Sociodemographic characteristics associated with a high prevalence of burnout were the female gender, less experienced, not having children, and single marital status, associated with high levels of anxiety, depression, and stress in the female gender. The highest level of burnout among all the studies was 90.4% on a sample of physicians from the Republic of Korea, 80.2% among psychiatrists in Saudi Arabia, followed by a study in Ireland with a 77% level of burnout among senior and specialist physicians, and 74.7 % prevalence of burnout for emergency physicians in USA. Conclusions: During the pandemic, the factors that contribute to burnout are the lack of personal protective equipment and the violence of issues related to organizational health; the high prevalence of burnout symptoms is associated with anxiety, depression, and stress.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Symptoms of Burnout Syndrome among Physicians during the Outbreak of COVID-19 Pandemic—A Systematic Literature Review

et al. 2022

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“…Physician burnout: COVID-19 has remarkably increased the mental and physical burden on the healthcare workers (HCWs) working on the front line [ 30 - 37 ]. They are not just treating a vast number of critically ill patients daily while witnessing multiple deaths but are also risking the lives of their colleagues and loved ones, in addition to their own.…”

Section: Current Status Of Knowledgementioning

confidence: 99%

Intensivist and COVID-19 in the United States of America: a narrative review of clinical roles, current workforce, and future direction

Jatoi¹,

Awan²,

Abbasi³

et al. 2022

Pan Afr Med J

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COVID-19 continues to spread across borders and has proven to be a challenge for the existing healthcare system. The demand for intensivists has dramatically increased in the United States, in the backdrop of an expected lack of intensivists in many States even before the pandemic. One proposal has been to organize multidisciplinary teams functioning under one intensivist, as this approach would make use of the existing healthcare force and lessen the burden on intensivists. Another recommendation is the adaptation of Tele-ICUs, which have demonstrated constructive outcomes in the past. Moreover, ensuring the provision of all types of personal protective equipment, adequate testing and, other provisions such as mental health support, financial incentives for intensivists should be prioritized. More intensivists should be trained for the future, for which better institutional policies are essential.

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“…Providing compassionate care to patients hospitalized in isolated COVID-19 departments is a challenging task for healthcare providers (HCPs) across the globe, with even the most experienced of professionals needing to increase resilience and overcome burnout and emotional exhaustion [1]. This has become evident in Wuhan, China, where the pandemic originated and reported among 52% of the front-line nurses and over half of the physicians worldwide [2][3][4]. Working long shifts while wearing protective medical gear in isolation, with the constant need to monitor a patient's vital signs, have led to emotional distress manifest as fatigue [5], insomnia [6], anxiety [7], depression [8], fears of contagion [9], uncertainty [10], anger [11], and eventually leaving the COVID-19 department altogether [12].…”

Section: Introductionmentioning

confidence: 99%

Sensing the lightness: a narrative analysis of an integrative medicine program for healthcare providers in the COVID-19 department

Ben‐Arye

Zohar

Keshet

et al. 2021

Support Care Cancer

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Objectives The research addressing physical and emotional exhaustion among healthcare providers (HCPs) in COVID-19 departments is limited. We examined the impact of integrative medicine (IM) intervention for HCPs working in isolated COVID-19 in-patient departments, addressing concerns and well-being. Methods HCPs working in 3 isolated COVID-19 in-patient departments underwent 40-min IM treatment sessions (including acupuncture, manual movement, and/or mind–body modalities) provided by integrative oncology practitioners. The MYCAW (Measure Yourself Concerns and Well-being) questionnaire examined HCP concerns and free-text narratives following IM treatments. Data were qualitatively analyzed using ATLAS.Ti software for systematic coding. Results A total of 181 HCPs underwent 305 IM treatments. Narrative themes focused on physical symptoms (primarily pain and fatigue) and emotional concerns, including perceived communication barriers with patients, and reflections on well-being and insights following IM treatments. HCPs reported feeling a sense of “relief” which was likely related to the 3 main effects of the IM intervention: a sense of “being cared for” and treated; experiencing emotional, sometimes spiritual effects of the treatment; and the feeling of relaxation, combined with the relief of pain. Qualitative analysis identified clusters of emotional and spiritual-related keywords such as “calming,” “release,” “relaxation,” and “disengagement” following the first IM session (119 of 181 narratives, 65.7%). Conclusions HCPs working in isolated COVID-19 departments reported improved well-being and the addressing of their concerns following IM treatment sessions provided during their work shift. Further research is needed to explore the impact of IM on HCP burnout and resilience in palliative care settings.

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Assessing the Mental Impact and Burnout among Physicians during the COVID-19 Pandemic: A Developing Country Single-Center Experience

Cited by 27 publications

References 32 publications

Symptoms of Burnout Syndrome among Physicians during the Outbreak of COVID-19 Pandemic—A Systematic Literature Review

Symptoms of Burnout Syndrome among Physicians during the Outbreak of COVID-19 Pandemic—A Systematic Literature Review

Intensivist and COVID-19 in the United States of America: a narrative review of clinical roles, current workforce, and future direction

Sensing the lightness: a narrative analysis of an integrative medicine program for healthcare providers in the COVID-19 department

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