SARS/MERS/SARS-CoV-2 Outbreaks and Burnout Syndrome among Healthcare Workers. An Umbrella Systematic Review

Magnavita, Nicola; Chirico, Francesco; Garbarino, Sergio; Bragazzi, Nicola Luigi; Santacroce, Emiliano; Zaffina, Salvatore

doi:10.3390/ijerph18084361

Cited by 134 publications

(139 citation statements)

References 69 publications

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“…The effects found in our cohort correspond to those reported by other researchers: insomnia [33], anxiety [6], burnout [34], reduced happiness [35], lack of job satisfaction and turnover intention [36] are common in HCWs. Many of these outcomes remained constant in our cohort between the first and second wave and it is not easy to understand whether they were a result of the pandemic or were already present in the population.…”

Section: Discussionsupporting

confidence: 90%

Prolonged Stress Causes Depression in Frontline Workers Facing the COVID-19 Pandemic. A Repeated Cross-Sectional Study

Magnavita¹,

Pm²,

Antonelli³

2021

Preprint

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The Covid-19 pandemic has severely tested the mental health of frontline health care workers. A repeated cross-sectional study can provide information on how their mental health evolved during the various phases of the pandemic. The intensivists of a COVID-19 hub hospital in Rome were investigated with a baseline survey during the first wave of the pandemic in April 2020 and were contacted again in December 2020, during the second wave. 152 of the 205 eligible workers responded to an online questionnaire designed to measure procedural justice, occupational stress (effort/reward imbalance), sleep quality, anxiety, depression, burnout, job satisfaction, happiness, and turnover intention. Workers reported a further increase in workload and compassion fatigue, which had already risen during the first wave, and a marked reduction in the time devoted to meditation and mental activities. A low level of confidence in the adequacy of safety procedures and the need to work in isolation, together with an increased workload and lack of time for meditation were the most significant predictors of occupational stress in a stepwise linear regression model. Occupational stress was, in turn, a significant predictor of insomnia, anxiety, low job satisfaction, burnout, and intention to leave the hospital. The number of workers manifesting symptoms of depression increased significantly to exceed 60%. Action to prevent occupational risks and enhance individual resilience cannot be postponed.

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Section: Discussionsupporting

confidence: 90%

Prolonged Stress Causes Depression in Frontline Workers Facing the COVID-19 Pandemic. A Repeated Cross-Sectional Study

Magnavita¹,

Pm²,

Antonelli³

2021

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

“…The study indicated that overburdening of HCWs during an extended period of time had increased the symptoms of burnout [ 15 ]. Burnout, however, is a morbid condition that occurs after exposure to chronic stress and is therefore not the first indicator of mental health that can be altered by an epidemic [ 16 ]. There are conflicting findings on the epidemiology of burnout among HCWs working in COVID-19 wards: some studies have found a reduction in burnout rates, for example in US neurosurgeons [ 17 ], in French geriatric facilities [ 18 ], and in Chinese frontline nurses, compared with ordinary ward workers [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

Prolonged Stress Causes Depression in Frontline Workers Facing the COVID-19 Pandemic—A Repeated Cross-Sectional Study in a COVID-19 Hub-Hospital in Central Italy

Magnavita

Soave

Antonelli

2021

IJERPH

Self Cite

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The COVID-19 pandemic has severely tested the mental health of frontline health care workers. A repeated cross-sectional study can provide information on how their mental health evolved during the various phases of the pandemic. The intensivists of a COVID-19 hub hospital in Rome were investigated with a baseline survey during the first wave of the pandemic in April 2020, and they were contacted again in December 2020, during the second wave. Of the 205 eligible workers, 152 responded to an online questionnaire designed to measure procedural justice, occupational stress (effort/reward imbalance), sleep quality, anxiety, depression, burnout, job satisfaction, happiness, and turnover intention. Workers reported a further increase in workload and compassion fatigue, which had already risen during the first wave, and a marked reduction in the time devoted to meditation and mental activities. A low level of confidence in the adequacy of safety procedures and the need to work in isolation, together with an increased workload and lack of time for meditation, were the most significant predictors of occupational stress in a stepwise linear regression model. Occupational stress was, in turn, a significant predictor of insomnia, anxiety, low job satisfaction, burnout, and intention to leave the hospital. The number of workers manifesting symptoms of depression increased significantly to exceed 60%. Action to prevent occupational risks and enhance individual resilience cannot be postponed.

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“…The first concerns the contagion risk perception, along with safe behaviours among workers external to the healthcare sector during the COVID-19 pandemic. Since February 2020, several scholars have, in fact, analysed the issue of perceived safety, fear of contagion, and the use of PPE only among medical and nursing staff [ 17 , 18 , 19 , 20 , 21 ]. The second gap, regardless of the pandemic period, concerns the fact that the literature on organisational safety largely focuses on the bio-risk hazard from a technical point of view.…”

Section: Introductionmentioning

confidence: 99%

Working during a Pandemic between the Risk of Being Infected and/or the Risks Related to Social Distancing: First Validation of the SAPH@W Questionnaire

Converso

Bruno

Capone

et al. 2021

IJERPH

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Background: The COVID-19 pandemic led the worldwide healthcare system to a severe crisis in which personnel paid the major costs. Many studies were promptly dedicated to the physical and psychological consequences of the COVID-19 exposure among healthcare employees, whereas the research on the other working populations has been substantially ignored. To bridge the current lack of knowledge about safe behaviors related to the risk of COVID-19 contagion at work, the aim of the study was to validate a new tool, the SAPH@W (Safety at Work), to assess workers’ perceptions of safety. Methods: A total of 1085 participants, employed in several organizations sited across areas with different levels of risk of contagion, completed an online questionnaire. To test the SAPH@W validity and measurement invariance, the research sample was randomly divided in two. Results: In the first sub-sample, Confirmatory Factor Analysis demonstrated the adequacy of the SAPH@W factorial structure. In the second sub-sample, multi-group Confirmatory Factor Analysis revealed that the SAPH@W was invariant across gender, ecological risk level, and type of occupation (in-person vs. remote working). Conclusions: The study evidenced the psychometric properties of the SAPH@W, a brief tool to monitor workers’ experiences and safety perceptions regarding the COVID-19 risk in any organisational setting.

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SARS/MERS/SARS-CoV-2 Outbreaks and Burnout Syndrome among Healthcare Workers. An Umbrella Systematic Review

Cited by 134 publications

References 69 publications

Prolonged Stress Causes Depression in Frontline Workers Facing the COVID-19 Pandemic. A Repeated Cross-Sectional Study

Prolonged Stress Causes Depression in Frontline Workers Facing the COVID-19 Pandemic. A Repeated Cross-Sectional Study

Prolonged Stress Causes Depression in Frontline Workers Facing the COVID-19 Pandemic—A Repeated Cross-Sectional Study in a COVID-19 Hub-Hospital in Central Italy

Working during a Pandemic between the Risk of Being Infected and/or the Risks Related to Social Distancing: First Validation of the SAPH@W Questionnaire

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