Factors contributing to healthcare professional burnout during the COVID-19 pandemic: A rapid turnaround global survey

Morgantini, Luca; Naha, Ushasi; Heng, Wang; Francavilla, Simone; Acar, Ömer; Flores, José M.; Crivellaro, Simone; Moreira, Daniel de Carvalho; Abern, Michael R.; Eklund, Martin; Vigneswaran, Hari; Weine, Stevan

doi:10.1371/journal.pone.0238217

Cited by 385 publications

(382 citation statements)

References 23 publications

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“…Preliminary evidence reported a high prevalence of burnout in HCWs during the pandemic, at around 50% in the three dimensions of burnout of emotional exhaustion, depersonalisation and personal accomplishment in several studies. 34,35 Our findings confirm that moderate-to-severe levels of burnout are detectable in Italian HCWs facing the COVID-19 pandemic; contextually, they appear higher when referring to the normative values. 23…”

Section: Discussionsupporting

confidence: 77%

COVID-19 pandemic-related anxiety, distress and burnout: prevalence and associated factors in healthcare workers of North-West Italy

et al. 2021

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Background The COVID-19 pandemic caused drastic changes in healthcare and severe social restrictions. Healthcare workers (HCWs) are on the front line against the virus and have been highly exposed to pandemic-related stressors, but there are limited data on their psychological involvement for a large sample in Italy. Aims To investigate the prevalence of anxiety, distress and burnout in HCWs of North-West Italy during the COVID-19 pandemic, and to detect potential psychosocial factors associated with their emotional response. Method This cross-sectional, survey-based study enrolled 797 HCWs. Participants completed the Impact of Event Scale – Revised, the State-Trait Anxiety Inventory – Form Y and the Maslach Burnout Inventory; demographic, family and work characteristics were also collected. Global psychological outcome, differences among professions and independent factors associated with worst psychological outcome were assessed. Results Almost a third of the sample had severe state anxiety and distress, high emotional exhaustion and depersonalisation, and low personal accomplishment. Distress was higher in women and nurses, whereas depersonalisation was higher in men. Family division, increased workload, job changes and frequent contact with COVID-19 were associated with worst psychological outcome. Trait anxiety was associated with significantly higher risk for developing state anxiety, distress and burnout. Conclusions An elevated psychological burden related to the COVID-19 pandemic was observed in HCWs of North-West Italy. The identification of family and work characteristics and a psychological pre-existing condition as factors associated with worst psychological outcome may help provide a tailored, preventive, organisational and psychological approach in counteracting the psychological effects of future pandemics.

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Section: Discussionsupporting

confidence: 77%

COVID-19 pandemic-related anxiety, distress and burnout: prevalence and associated factors in healthcare workers of North-West Italy

et al. 2021

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“…Recognizing stress and burnout resulting from telecommunication during pandemics is necessary to develop effective mitigation strategies. Research conducted on stress and burnout during the COVID-19 pandemic mainly focused on physicians, nurses, and other healthcare workers (57)(58)(59)(60)(61). Screening and surveying studies exploring stress and burnout levels among the general population or other vulnerable groups are lacking.…”

Section: Resultsmentioning

confidence: 99%

Coping With Stress and Burnout Associated With Telecommunication and Online Learning

Mheidly

Fares

2020

Front. Public Health

194

143

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The COVID-19 pandemic substantially impacted the field of telecommunication. It increased the use of media applications that enable teleconferencing, telecommuting, online learning, and social relations. Prolonged time facing screens, tablets, and smart devices increases stress and anxiety. Mental health stressors associated with telecommunication can add to other stressors related to quarantine time and lockdown to eventually lead to exhaustion and burnout. In this review, the effects of the COVID-19 pandemic on communication and education are explored. In addition, the relationship between prolonged exposure to digital devices and mental health is studied. Finally, coping strategies are offered to help relieve the tele-burdens of pandemics.

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“…We recommend that the ideal cultural and social functioning is decided by the group and compared with pre and post measurements. Further to this, collective change could be compared with individualized data regarding compassion fatigue (Campbell, 2013 ), burnout (Morgantini et al, 2020 ), PTSD (Seligowski et al, 2015 ), depression and anxiety. Given the complexity of an arts-based intervention, that, according to this review, was often adapted in collaboration with the participants (Ho et al, 2014 ; Herbert, 2018 ; Potash et al, 2020 ) the authors would suggest using a research method that is pragmatic and context sensitive.…”

Section: Discussionmentioning

confidence: 99%

Arts-Based Interventions for Professionals in Caring Roles During and After Crisis: A Systematic Review of the Literature

et al. 2020

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Crisis events, such as the COVID-19 pandemic, can have a devastating effect on communities and the care professionals within them. Over recent years, arts-based interventions have helped in a wide range of crisis situations, being recommended to support the workforce during and after complex crisis but there has been no systematic review of the role of arts-based crisis interventions and whether there are cogent themes regarding practice elements and outcomes. We, therefore, conducted a systematic review to (i) define the arts-based change process used during and after crisis events, and (ii) explore the perceptions of intermediate and long-term mental health benefits of arts-based interventions for professionals in caring roles. Our search yielded six studies (all qualitative). All data were thematically aggregated and meta-synthesized, revealing seven practice elements (a safe place, focusing on strengths and protective factors, developing psychosocial competencies to support peers, emotional expression and processing, identifying and naming the impact of the crisis, using an integrative creative approach, and cultural and organizational sensitivity) applied across all six studies, as well as a range of intermediate and long-term benefits shared common features (adapting, growing, and recovering; using the community as a healing resource; reducing or preventing symptoms of stress or trauma reactions, psychophysiological homeostasis). The ways in which these studies were designed independently from one another and yet used the same practice elements in their crisis interventions indicates that there is comparability about how and why the arts-based practice elements are being used and to what effect. Our findings provide a sound basis and meaningful parameters for future research incorporating quantitative and qualitative approaches to firmly establish the effectiveness of art-based interventions, and how arts can support cultural sensitivity, acceptability and indicated outcomes, particularly those relating to stress and trauma during or following a crisis.

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Factors contributing to healthcare professional burnout during the COVID-19 pandemic: A rapid turnaround global survey

Cited by 385 publications

References 23 publications

COVID-19 pandemic-related anxiety, distress and burnout: prevalence and associated factors in healthcare workers of North-West Italy

COVID-19 pandemic-related anxiety, distress and burnout: prevalence and associated factors in healthcare workers of North-West Italy

Coping With Stress and Burnout Associated With Telecommunication and Online Learning

Arts-Based Interventions for Professionals in Caring Roles During and After Crisis: A Systematic Review of the Literature

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