Burnout analysis in healthcare workers. A one center cross sectional comparison between physicians, nurses, administrative positions and technicians
DOI:
https://doi.org/10.18041/2322-634X/rcso.1.2022.7597Keywords:
Pandemic, Burnout, Health workers, emotional exhaustion, depersonalization, personal accomplishment, physicians, nursesAbstract
Introduction: Healthcare workers (HCW) report higher levels of anxiety, depression, burnout, compared to the general population. The severe global health crisis caused by the coronavirus SARS-CoV-2 brought even more burden to HCW.
Objective: To assessed burnout as a whole and in its different domains among HCW in a medical center
Methods: We performed a cross-sectional study examining the association between demographic characteristics, healthcare position and feeling burned out. Data was collected through an anonymous online survey. We utilized the Maslach Survey for Medical Personnel in Spanish. Descriptive analyses summarized age, gender, job role, number of jobs, time in the organization and working in a COVID-19 exposed area. Ji2 tests were used to analyze association between variables and burnout. A multivariate logistic regression analysis was used to identify independent predictors of any of the burnout domains: emotional exhaustion (EE), depersonalization (DP) and/or personal accomplishment (PA).
Results: 185/852 subjects answered the survey (21.7%); 79 subjects reported EE (42.7%), 61 (32.9%) DP and 31 (16.7%) PA; 98 (52.4%) had at least one component of high burnout for the dimensions analyzed. Logistics regression shows that female gender (OR= 2.21; 95% CI: 1.12-4.39), administrative positions (OR= 18.61; 95% CI: 4.28-80.93), physicians (OR= 13.27; 95% CI 3.55-49.86), and nurses (OR= 6.55; 95% CI: 1.58-27.14) were strongly associated with the presence of any burnout domain.
Conclusions: The overall burnout prevalence was in range with international studies. Female workers, administrative positions, physicians and nurses were identified as independent predictors of burnout.
Downloads
References
Andrew LB, Brenner BE. Physician suicide. Medscape Drugs Dis; 2018. Available from: https://emedicine.medscape.com/article/806779-overview.
Pfefferbaum B, North CS. Mental health and the Covid-19 pandemic. NEJM. 2020; 383(6):510–2. doi: 10.1056/nejmp2008017
Egede LE, Ruggiero KJ, Frueh BC. Ensuring mental health access for vulnerable populations in COVID era. J Psychiatr Res. 2020; 129:147-148. doi: 10.1016/j.jpsychires.2020.07.011
The Lancet Infectious Diseases. The intersection of COVID-19 and mental health. The Lancet Infectious Diseases. Editorial. 2020; 20(11):1217. Doi: 10.1016/S1473-3099(20)30797-0.
Greenberg N, Docherty M, Gnanapragasam S, Wessely S. Managing mental health challenges faced by healthcare workers during covid-19 pandemic. BMJ. 2020; 368: m1211. doi: 10.1136/bmj.m1211.
Williamson V, Murphy D, Greenberg N. COVID-19 and experiences of moral injury in front-line key workers. Occup Med (Lond). 2020; 70(5): 317–9. doi: 10.1093/occmed/kqaa052
Huang JZ, Han MF, Luo TD, Ren AK, Zhou XP. [Mental health survey of medical staff in a tertiary infectious disease hospital for COVID-19]. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2020; 38(3):192-195. doi: 10.3760/cma.j.cn121094-20200219-00063.
Chirico F, Nucera G, Magnavita N. Protecting the mental health of healthcare workers during the COVID-19 emergency. BJPsych Int. 2020; 1–2. doi: 10.1192/bji.2020.39
Zhang W, Wang K, Yin L, Zhao W, Xue Q, Peng M, et al. Mental health and psychosocial problems of medical health workers during the COVID-19 epidemic in China. Psychother Psychosom. 2020; 89: 242-250. doi: 10.1159/000507639.
de Pablo SG, Vaquerizo-Serrano J, Catalan A, Arango C, Moreno C, Ferre F, et al. Impact of coronavirus syndromes on physical and mental health of health care workers: Systematic review and meta-analysis. J Affect Disord. 2020; 275:48–57. doi: 10.1016/j.jad.2020.06.022
Thibaut F, van Wijngaarden-Cremers PJM. Women’s mental health in the time of Covid-19 pandemic. Front Glob Womens Health. 2020; 1:17. doi: 10.3389/fgwh.2020.588372
Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020;3(3): e203976. doi: 10.1001/jamanetworkopen.2020.3976
Mayo Clinic Staff. Job burnout: How to spot it and take action. Healthy Lifestyle, Mayo Clinic; 2021. https://www.mayoclinic.org/healthy-lifestyle/adult-health/in-depth/burnout/art-20046642
Stagnaro JC, Cía AH, Aguilar GS, Vázquez N, Sustas S, Benjet C, et al. Twelve-month prevalence rates of mental disorders and service use in the Argentinean Study of Mental Health Epidemiology. Social Psychiat Psychiatric Epidemiol. 2018; 53(2): 121–9. Doi: 10.1007/s00127-017-1475-9
Red Argentina de Salud Integral y Cuidados RASIC. Factores estresores y protectores en las personas trabajadoras de la Salud. Rawson: Universidad del Chubut, 2020.
Khasne RW, Dhakulkar BS, Mahajan HC, Kulkarni AP. Burnout among healthcare workers during COVID-19 pandemic in India: Results of a questionnaire-based survey. Indian J Crit Care Med. 2020; 24(8):664-671. doi:10.5005/jp-journals-10071-23518.
Suptitz CA, Andolhe R, de Lima DG, de Magalhães AMM, de Souza MTSB, Soares AT. Occupational stress, burnout and patient safety culture among workers from critical care and non-critical care units in a hospital in Brazil. Intensive Crit Care Nurs. 2021; 63: 102978. doi: 10.1016/j.iccn.2020.102978.
Woo T, Ho R, Tang A, Tam W. Global prevalence of burnout symptoms among nurses: A systematic review and meta-analysis. J Psychiatr Res. 2020; 123: 9–20. doi: 10.1016/j.jpsychires.2019.12.015.
Lasalvia A, Amaddeo F, Porru S, Carta A, Tardivo S, Bovo C, et al. 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. BMJ Open. 2021; 11(1): e045127. doi: 10.1136/bmjopen-2020-045127.
Matsuo T, Kobayashi D, Taki F, Sakamoto F, Uehara Y, Mori N, et al. Prevalence of Health Care Worker Burnout During the Coronavirus Disease 2019 (COVID-19) Pandemic in Japan. JAMA Netw Open. 2020; 3(8): e2017271. doi:10.1001/jamanetworkopen.2020.17271.
Luceño-Moreno L, Talavera-Velasco B, García-Albuerne Y, Martín-García J. Symptoms of posttraumatic stress, anxiety, depression, levels of resilience and burnout in spanish health personnel during the COVID-19 pandemic. Internat J Environm Res Pub Health. 2020; 17: 5514. Doi: 10.3390/ijerph17155514.
Sriharan A, Ratnapalan S, Tricco AC, Lupea D, Ayala AP, Pang H, et al. Occupational stress, burnout, and depression in women in healthcare during COVID-19 pandemic: rapid scoping review. Front Glob Womens Health. 2020; 1: 20. Doi: 10.3389/fgwh.2020.596690
Giurge LM, Whillans AV, Yemiscigil A. A multicountry perspective on gender differences in time use during COVID-19. Proc Natl Acad Sci USA. 2021; 118(12): e2018494118. doi: 10.1073/pnas.2018494118.
Jalili M, Niroomand M, Hadavand F, Zeinali K, Fotouhi A. Burnout among healthcare professionals during COVID-19 pandemic: a cross-sectional study. Internat Arch Occupat Environm Health. 2021; 94(6): 1345–52. doi: 10.1007/s00420-021-01695-x
Cruz VB, Austria CF, Herrera KL, Salas HJ, Vega VCZ. Prevalencia del síndrome de burnout y estrategias de afrontamiento durante una epidemia por influenza AH1N1. Suma Psicológica. 2011; 18(2): 17-28.
Published
Versions
- 2023-05-04 (3)
- 2023-05-04 (2)
- 2022-04-05 (1)
Issue
Section
License
Copyright (c) 2022 Revista Colombiana de Salud Ocupacional
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
