COVID-19 pandemic impacts on mental health, burnout, and longevity in the workplace among healthcare workers: A mixed methods study

Burrowes, Shana A B; Casey, Sharon M.; Pierre-Joseph, Natalie; Talbot, Simon G.; Hall, Taylor; Christian-Brathwaite, Nicole; DelCarmen, Marcela G.; Garofalo, Christopher; Lundberg, Brita E.; Mehta, Pooja; Mottl‐Santiago, Julie; Schechter‐Perkins, Elissa M.; Weber, Alfred L.; Yarrington, Christina; Perkins, Rebecca B.

doi:10.1016/j.xjep.2023.100661

Cited by 6 publications

(3 citation statements)

References 27 publications

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“…In this study, 9.6% of the participants obtained high scores on the burnout scale, while 74.9% obtained results indicating already existing problems, including 21.5% at a very high risk of burnout. Depending on the tool and assessment criteria used, as well as the variables taken into account, such as occupation, high risk or burnout can affect from 12.0% [51] to 61.7% of healthcare workers [18,21,[52][53][54][55][56]. In terms of burnout symptoms, medics primarily experience a psychophysical exhaustion at work, a deterioration in relations with the patient, and a lack of effectiveness, consistent with a study carried out in Italy [57].…”

Section: Discussionsupporting

confidence: 71%

Stress, Burnout, and General Mental Health among Healthcare Workers in Poland during the Long-Lasting COVID-19 Pandemic

Budzyńska,

Moryś

2023

Healthcare

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Medical professions are characterized by a great responsibility for human health and life; they are also vulnerable to burnout. The outbreak of the COVID-19 pandemic has brought new challenges and threats. This study aimed to assess the mental health of healthcare workers after a year and a half of working in COVID-19 pandemic conditions. The Perceived Stress Scale (PSS-10), the Link Burnout Questionnaire (LBQ), and the General Health Questionnaire (GHQ-28) were utilized in this cross-sectional investigation. A total of 335 healthcare employees from Polish hospitals (median age 44 years) filled out online questionnaires between the 16 August 2021 and the 30 March 2022. Most of the sample was female (86%). In this study, 40.0% of the surveyed healthcare workers reported a high stress intensity. Burnout was reported by 9.6% of the workers, and the most frequently experienced symptom was psychophysical exhaustion. Almost half of the healthcare workers surveyed (49.6%) reported health disorders at both the mental and physiological levels. Interestingly, working in a COVID-19 ward did not significantly differentiate healthcare workers in any of the evaluated variables: PSS-10 (gr. A F = 1.21; gr. B F = 0.71; p > 0.05), LBQ (gr. A F = 1.89, F = 0.94, F = 1.08, F = 2.57; gr. B F = 0.32, F = 1.14, F = 0.77, F = 0.36; p > 0.05), and GHQ-28 (gr. A F = 0.85, F = 0.52, F = 0.57, F = 0.31; gr. B F = 0.31, F = 0.06, F = 0.06, F = 0.54; p > 0.05). Furthermore, there were no statistically significant differences between the compared occupational groups of healthcare workers: PSS-10 (F = 1.08; p > 0.05) and GHQ-28 (F = 1.78; F = 0.85; F = 0.62; F = 0.54; p > 0.05). The mental health of healthcare workers is alarming, and psychophysical conditions can affect the quality of work and relations with patients. Psychological care in workplaces and workshops that build resources for dealing with difficult situations are necessary.

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Section: Discussionsupporting

confidence: 71%

Stress, Burnout, and General Mental Health among Healthcare Workers in Poland during the Long-Lasting COVID-19 Pandemic

Budzyńska,

Moryś

2023

Healthcare

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“…Maintaining adequate staffing is a critical need noted in our study and by others ( Frogner, 2022 ). Higher salaries were felt to be most important, as well as improved organization of clinic function and flexible scheduling to support working parents with childcare needs ( Burrowes et al, 2023 ; U.S. Bureau of Cancer Statistics, 2023 ).…”

Section: Discussionmentioning

confidence: 99%

Examining the perceived impact of the COVID-19 pandemic on cervical cancer screening practices among clinicians practicing in Federally Qualified Health Centers: A mixed methods study

Fuzzell,

Lake,

Brownstein

et al. 2023

eLife

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Background:The COVID-19 pandemic led to reductions in cervical cancer screening and colposcopy. Therefore, in this mixed methods study we explored perceived pandemic-related practice changes to cervical cancer screenings in federally qualified health centers (FQHCs).Methods:Between October 2021 and June 2022, we conducted a national web survey of clinicians (physicians and advanced practice providers) who performed cervical cancer screening in FQHCs in the United States during the post-acute phase of the COVID-19 pandemic, along with a sub-set of qualitative interviews via video conference, to examine perceived changes in cervical cancer screening practices during the pandemic.Results:A total of 148 clinicians completed surveys; a subset (n=13) completed qualitative interviews. Most (86%) reported reduced cervical cancer screening early in the pandemic, and 28% reported continued reduction in services at the time of survey completion (October 2021- July 2022). Nearly half (45%) reported staff shortages impacting their ability to screen or track patients. Compared to clinicians in Obstetrics/Gynecology/Women’s health, those in family medicine and other specialties more often reported reduced screening compared to pre-pandemic. Most (92%) felt that screening using HPV self-sampling would be very or somewhat helpful to address screening backlogs. Qualitative interviews highlighted the impacts of staff shortages and strategies for improvement.Conclusions:Findings highlight that in late 2021 and early 2022, many clinicians in FQHCs reported reduced cervical cancer screening and of pandemic-related staffing shortages impacting screening and follow-up. If not addressed, reduced screenings among underserved populations could worsen cervical cancer disparities in the future.Funding:This study was funded by the American Cancer Society, who had no role in the study’s design, conduct, or reporting.

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“…At first many healthcare workers were fired without pay due to the reduction and cancellation of non-emergent, non-COVID-19 related services. Apart from that, among those that continued to work, the ongoing, rapid spread of pandemic created extraordinary levels of stress on healthcare workers with increased workload and concern about being exposed to COVID-19 ( 8 ). Secondly, a recently published systematic review and meta-analysis on the psychological distress of healthcare workers treating COVID-19 patients in Asia also speculated that the high burnout rate among healthcare workers during the COVID-19 pandemic, compared to that during the SARS and MERS outbreaks, is due to the prolonged pandemic ( 6 ).…”

Section: Discussionmentioning

confidence: 99%

Burnout Among Healthcare Workers During Covid-19 Pandemic: Results from Seven Hospitals in Western Greece

Koutsouri,

Paraskevas,

Michailides

et al. 2023

Mater Sociomed

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Background: Burnout is increasingly being recognized as a major concern, affecting the physical and mental well-being of Healthcare workers (HCWs). Objective:The aim of the study was to investigate the incidence of occupational exhaustion in healthcare workers (doctors, nurses, paramedics, assistants, administrative staff) and possible contributing factors during the COVID-19 pandemic. Methods: This study was conducted from March to September 2022 in seven (7) hospitals in Western Greece. It was carried out using an anonymous questionnaire. The questionnaire was designed based on results of previously published studies and consisted of 22 multiple-choice questions. Results: There were 259 (60.2%) female and 178 (39.8%) male participants enrolled in the study. The majority of the respondents were nurses (n=207, 48.1%), followed by doctors (n+ 178, 41.4%). There was a marked increase in emotional exhaustion, depersonalization, personal fulfillment and pandemic-related total burnout in participants older than 61 years old (40,05±2,2, 27,16±1,0, 21,11±4,1, 88,32±4,3, respectively). Widow/ers healthcare workers were mostly affected from pandemic related burnout compared to married, unmarried, and divorced healthcare workers. Respondents without postgraduate education demonstrated significantly greater prevalence of emotional exhaustion, depersonalization and pandemic-related total burnout in comparison to those with doctoral/master degree. The prevalence of personal and work-related burnout among paramedics and administrative staff was higher than that seen in doctors and nurses(32,82±3,8 vs32,08±5,0/29,11±4,7 22,33±4,0 vs21,57±3,1/18,89±5,4 19,60±3,9 vs17,26±2,8/15,24±3,7 74,76±10,4 vs70,92±9,5/63,23±12,1).The prevalence of emotional exhaustion and work-related total burnout was significantly higher among doctors, nurses, paramedics, and administrative staff working with direct contact with COVID-19 patients than those among healthcare workers working without direct contact with COVID-19 patients. Conclusion: The present study highlights the impact of the COVID-19 pandemic on healthcare workers.

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COVID-19 pandemic impacts on mental health, burnout, and longevity in the workplace among healthcare workers: A mixed methods study

Cited by 6 publications

References 27 publications

Stress, Burnout, and General Mental Health among Healthcare Workers in Poland during the Long-Lasting COVID-19 Pandemic

Stress, Burnout, and General Mental Health among Healthcare Workers in Poland during the Long-Lasting COVID-19 Pandemic

Examining the perceived impact of the COVID-19 pandemic on cervical cancer screening practices among clinicians practicing in Federally Qualified Health Centers: A mixed methods study

Burnout Among Healthcare Workers During Covid-19 Pandemic: Results from Seven Hospitals in Western Greece

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