Levels of burn-out among healthcare workers during the COVID-19 pandemic and their associated factors: a cross-sectional study in a tertiary hospital of a highly burdened area of north-east Italy

Lasalvia, Antonio; Amaddeo, Francesco; Porru, Stefano; Carta, Angela; Tardivo, Stefano; Bovo, Chiara; Ruggeri, Mirella; Bonetto, Chiara

doi:10.1136/bmjopen-2020-045127

Cited by 220 publications

(270 citation statements)

References 41 publications

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“…According to Alsulimani LK et al, the prevalence of burnout among HCWs in Saudi Arabia, which has one of the best healthcare systems in the Middle East (AlHumaid et al, 2020),was 75% during the COVID-19 pandemic (Alsulimani et al, 2021). In Europe, Italy was severely impacted by COVID-19, and Italian HCWs reported relevant work-related burnout symptoms (Barello et al, 2020;Lasalvia et al, 2021). According to MD Trani, 56% of HCWs in Italy showed EE Abbreviations: COVID-19, Novel coronavirus disease; HCW, Healthcare worker; MBI scale, Maslach Burnout Inventory scale; EE, emotional exhaustion; DP, depersonalization; PA, personal accomplishment; PPE, personal protective equipment; CR, composite reliability; AVE, average variance extracted.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Factors Associated With Burnout of Frontline Healthcare Workers in Fighting Against the COVID-19 Pandemic: Evidence From China

et al. 2021

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ObjectivesThe sudden outbreak of the novel coronavirus disease (COVID-19) plunged healthcare workers (HCWs) into warfare. This study aimed to determine the prevalence of burnout and the factors associated with it among frontline HCWs fighting COVID-19.MethodsA cross-sectional survey was conducted among frontline HCWs fighting against the COVID-19 in Wuhan, Harbin, and Shenzhen during the period from February 18 to March 4. Finally, HCWs were recruited using cluster sampling, 1,163 HCWs were included in the final analysis. Burnout was measured using a 22-item Maslach Burnout Inventory scale (MBI scale).ResultsOf the participants, 48.6% suffered from burnout, and 21.8% showed a high degree of burnout. Doctors (b = 3.954, P = 0.011) and nurses (b = 3.067, P = 0.042) showed higher emotional exhaustion (EE) than administrators. Participants who worked continuously for more than 8 h a day (b = 3.392, P = 0.000), those who were unable to eat three regular daily meals (b = 2.225, P = 0.008), whose daily water intake was no more than 800 ml (b = 3.007, P = 0.000), who slept for no more than 6 h (b = 1.609, P = 0.036), and who were infected or had colleagues who were infected with COVID-19 (b = 4.182, P = 0.000) experienced much higher levels of EE, while those who could adhere to infection control procedures (b = −5.992, P = 0.000), who were satisfied with their hospital’s infection control measures(b = −3.709, P = 0.001), and who could receive sufficient psychological crisis intervention (b = −1.588, P = 0.039) reported lower levels of EE.ConclusionThe study reveals that burnout is prevalent among frontline HCWs and that the known factors associated with burnout, such as workload, and the factors directly associated with COVID-19, such as having insufficient protection, can affect burnout symptoms in frontline HCWs. Synergized and comprehensive interventions should be targeted at reducing its occurrence among frontline HCWs fighting COVID-19.

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Section: Introductionmentioning

confidence: 99%

Prevalence and Factors Associated With Burnout of Frontline Healthcare Workers in Fighting Against the COVID-19 Pandemic: Evidence From China

et al. 2021

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“…According to a systematic review, female physicians were at higher risk of burnout most likely due to difficulties in balancing between work demands and family responsibilities 22 . This situation also was seen among healthcare provider in Italy and Japan 23,24 The race was not significantly associated with personal-related and work-related burnout, but interestingly, after further analysis of clientrelated burnout among the races, it was reported that Sabah and Sarawak Bumiputera doctors were noted to be three times more likely to experience client-related burnout compared to the Chinese doctors. The Sabah and Sarawak Bumiputera doctors were minority groups in this medical field, hence, they had difficulties in coping with the working environment and the high expectations from patients 25 .…”

Section: Resultsmentioning

confidence: 76%

Occupational Burnout Among Public Medical Officers During the Early Stage of Covid-19 Pandemic in Kota Kinabalu, Sabah

Mohammad

Shamsudin

Kamarudin

et al. 2021

MJPHM

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Burnout syndrome has affected many doctors globally, and this problem has caused various negative impacts on public health services such as reduced productivity and reduced quality care of patients. Various factors were associated with burnout among doctors, but the factors vary in different countries. This study aimed to investigate the prevalence and associated risk factors of burnout among public service medical officers in Kota Kinabalu, Sabah, who were involved in combating the Covid-19 outbreaks. A cross-sectional study involving 201 medical officers working in all government hospitals and health clinics was carried out. Using the Copenhagen Burnout Inventory (CBI), the prevalence of personal-related and work-related burnout were 61.2% and 48.8% respectively, while the prevalence of client-related burnout was 39.8%. Working in different medical departments and the length of working experience were the significant associated risk factors of burnout among the doctors. Meanwhile, other predictors were found not to be significantly associated with the prevalence of burnout. The prevalence of burnout among medical officers in Kota Kinabalu was relatively high especially among the less experienced doctors and among those who work in surgical based departments, and these issues require multilevel interventions which involve policymakers in the Ministry of Health, organizational and administrative managers at the various health departments and the medical officers themselves.

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“…Limited resources, longer hours, sleep, work-life balance disturbances, and occupational hazards associated with COVID-19 exposure have led to adverse psychological outcomes among healthcare employees regarding post-traumatic stress, insomnia, anxiety, and depression. 16,17 Healthcare workers, like everyone else, are vulnerable both to the disease itself and to rumors and incorrect information that necessarily increases their anxiety levels. Healthcare workers' anxiety was further impacted by growing stigmatization and loss of trust in their communities.…”

Section: Discussionmentioning

confidence: 99%

Stigma during COVID-19 pandemic among healthcare workers in greater Jakarta metropolitan area: a cross-sectional online study

Saptarini

Novianti

Rizkianti

et al. 2021

hsji

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Background: COVID-19, which started in Wuhan, has become a global pandemic leading to a new global risk to human health. Lack of information or misinformation about COVID-19 can lead to stigmatization, including for health workers. This study aims to determine the stigmatization among health workers during the COVID-19 pandemic within the Greater Jakarta Metropolitan Area. Methods: This study was a cross-sectional study conducted online using Google Forms in the Jabodetabek area. The questionnaire’s link was distributed through social media, including Whatsapp, Facebook, Twitter, and Instagram. The study sample is health workers who live in Jabodetabek and carry out health practices. Stigma is measured using four dimensions: personalized stigma, disclosure concerns, public attitudes, and negative self-image. Result: The negative self-image dimension is the dimension most felt by health workers. More than half of health workers agreed that during the COVID-19 pandemic, they put their families at risk because of their status as health workers. The stigma of health workers who work in hospitals is higher than that of non-hospital health workers, such as health centers, clinics, and laboratories. Conclusion: There was any stigmatization among healthcare workers in Greater Jakarta Metropolitan Area. Stigmatization was higher among healthcare workers who work in hospitals compared to those who work in non-hospitals. Some efforts should be made to reduce stigmatization among health workers, such as provide correct information to the public, equip health personnel with adequate personal protective equipment, and give incentives periodically to the health workers. Keywords: Stigma, COVID-19, healthcare workers, Greater Jakarta Metropolitan Area Abstrak Latar belakang: COVID-19 yang bermula dari Wuhan telah menjadi pandemi global yang mengancam kesehatan umat manusia. Kurangnya informasi atau informasi yang salah mengenai COVID-19 dapat menyebabkan adanya stigmatisasi termasuk terhadap tenaga kesehatan. Penelitian ini menilai adanya stigmatisasi terhadap tenaga kesehatan selama pandemi COVID-19 di wilayah Jabodetabek. Metode: Penelitian ini merupakan penelitian potong lintang dan dilakukan secara daring menggunakan Google Form di wilayah Jabodetabek. Tautan pengisian kuesioner disebarkan melalui media sosial seperti Whatsapp, Facebook, Twitter dan Instagram. Sampel studi adalah tenaga kesehatan yang tinggal di Jabodetabek dan melakukan praktik kesehatan. Stigma diukur menggunakan empat dimensi yaitu personized stigma, disclosure concerns, concerns about public attitudes dan negative self-image. Hasil: Dimensi negative self-image merupakan dimensi yang paling dirasakan oleh tenaga kesehatan. Lebih dari separuh tenaga kesehatan setuju bahwa selama pandemi COVID-19 mereka membahayakan keluarga mereka karena status mereka sebagai tenaga kesehatan. Stigma pada tenaga kesehatan yang bekerja di rumah sakit lebih tinggi disbanding tenaga kesehatan yang bekerja bukan di rumah sakit seperti puskesmas, klinik dan laboratorium. Kesimpulan: Terdapat stigmatisasi pada petugas kesehatan di jabodetabek. Stigmatisasi lebih tinggi di antara petugas kesehatan yang bekerja di rumah sakit dibandingkan dengan mereka yang bekerja tidak di rumah sakit. Beberapa upaya yang perlu dilakukan untuk mengurangi stigmatisasi di kalangan petugas kesehatan, seperti memberikan informasi yang benar kepada masyarakat, melengkapi tenaga kesehatan dengan alat pelindung diri yang memadai, dan memberikan insentif kepada mereka secara berkala. Kata Kunci: Stigma, COVID-19, tenaga kesehatan, jabodetabek

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Levels of burn-out among healthcare workers during the COVID-19 pandemic and their associated factors: a cross-sectional study in a tertiary hospital of a highly burdened area of north-east Italy

Cited by 220 publications

References 41 publications

Prevalence and Factors Associated With Burnout of Frontline Healthcare Workers in Fighting Against the COVID-19 Pandemic: Evidence From China

Prevalence and Factors Associated With Burnout of Frontline Healthcare Workers in Fighting Against the COVID-19 Pandemic: Evidence From China

Occupational Burnout Among Public Medical Officers During the Early Stage of Covid-19 Pandemic in Kota Kinabalu, Sabah

Stigma during COVID-19 pandemic among healthcare workers in greater Jakarta metropolitan area: a cross-sectional online study

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