Determinants of burnout and other aspects of psychological well-being in healthcare workers during the Covid-19 pandemic: A multinational cross-sectional study.

Autor: Denning M; Department of Surgery and Cancer, Imperial College London, London, United Kingdom., Goh ET; Department of Surgery and Cancer, Imperial College London, London, United Kingdom., Tan B; Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore., Kanneganti A; Department of Obstetrics and Gynaecology, National University Hospital, Singapore, Singapore., Almonte M; Department of Surgery and Cancer, Imperial College London, London, United Kingdom., Scott A; Department of Surgery and Cancer, Imperial College London, London, United Kingdom., Martin G; Department of Surgery and Cancer, Imperial College London, London, United Kingdom., Clarke J; Department of Surgery and Cancer, Imperial College London, London, United Kingdom., Sounderajah V; Department of Surgery and Cancer, Imperial College London, London, United Kingdom., Markar S; Department of Surgery and Cancer, Imperial College London, London, United Kingdom., Przybylowicz J; Department of Surgery and Cancer, Imperial College London, London, United Kingdom., Chan YH; Biostatistics Unit, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore., Sia CH; Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.; Department of Cardiology, National University Heart Centre, Singapore, Singapore., Chua YX; Pioneer Polyclinic, National University Polyclinic, National University Health System, Singapore, Singapore., Sim K; Institute of Mental Health, Singapore, Singapore.; Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore., Lim L; Department of Forensic Psychiatry, Institute of Mental Health, Singapore, Singapore., Tan L; Division of Healthy Ageing, Alexandra Hospital, Singapore, Singapore., Tan M; Department of Geriatric Medicine, Ng Teng Fong General Hospital, Singapore, Singapore., Sharma V; Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore., Ooi S; Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.; Emergency Medicine Department, National University Hospital, Singapore, Singapore., Winter Beatty J; Department of Surgery and Cancer, Imperial College London, London, United Kingdom., Flott K; Department of Surgery and Cancer, Imperial College London, London, United Kingdom., Mason S; Department of Surgery and Cancer, Imperial College London, London, United Kingdom., Chidambaram S; Department of Surgery and Cancer, Imperial College London, London, United Kingdom., Yalamanchili S; Department of Surgery and Cancer, Imperial College London, London, United Kingdom., Zbikowska G; Department of Surgery and Cancer, Imperial College London, London, United Kingdom., Fedorowski J; Polish Hospital Federation, Poland., Dykowska G; Department of Economics of Health and Medical Law, Medical University of Warsaw, Poland., Wells M; Department of Surgery and Cancer, Imperial College London, London, United Kingdom., Purkayastha S; Department of Surgery and Cancer, Imperial College London, London, United Kingdom., Kinross J; Department of Surgery and Cancer, Imperial College London, London, United Kingdom.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2021 Apr 16; Vol. 16 (4), pp. e0238666. Date of Electronic Publication: 2021 Apr 16 (Print Publication: 2021).
DOI: 10.1371/journal.pone.0238666
Abstrakt: The Covid-19 pandemic has placed unprecedented pressure on healthcare systems and workers around the world. Such pressures may impact on working conditions, psychological wellbeing and perception of safety. In spite of this, no study has assessed the relationship between safety attitudes and psychological outcomes. Moreover, only limited studies have examined the relationship between personal characteristics and psychological outcomes during Covid-19. From 22nd March 2020 to 18th June 2020, healthcare workers from the United Kingdom, Poland, and Singapore were invited to participate using a self-administered questionnaire comprising the Safety Attitudes Questionnaire (SAQ), Oldenburg Burnout Inventory (OLBI) and Hospital Anxiety and Depression Scale (HADS) to evaluate safety culture, burnout and anxiety/depression. Multivariate logistic regression was used to determine predictors of burnout, anxiety and depression. Of 3,537 healthcare workers who participated in the study, 2,364 (67%) screened positive for burnout, 701 (20%) for anxiety, and 389 (11%) for depression. Significant predictors of burnout included patient-facing roles: doctor (OR 2.10; 95% CI 1.49-2.95), nurse (OR 1.38; 95% CI 1.04-1.84), and 'other clinical' (OR 2.02; 95% CI 1.45-2.82); being redeployed (OR 1.27; 95% CI 1.02-1.58), bottom quartile SAQ score (OR 2.43; 95% CI 1.98-2.99), anxiety (OR 4.87; 95% CI 3.92-6.06) and depression (OR 4.06; 95% CI 3.04-5.42). Significant factors inversely correlated with burnout included being tested for SARS-CoV-2 (OR 0.64; 95% CI 0.51-0.82) and top quartile SAQ score (OR 0.30; 95% CI 0.22-0.40). Significant factors associated with anxiety and depression, included burnout, gender, safety attitudes and job role. Our findings demonstrate a significant burden of burnout, anxiety, and depression amongst healthcare workers. A strong association was seen between SARS-CoV-2 testing, safety attitudes, gender, job role, redeployment and psychological state. These findings highlight the importance of targeted support services for at risk groups and proactive SARS-CoV-2 testing of healthcare workers.
Competing Interests: JK has received an educational grant from Johnson and Johnson. This does not alter our adherence to PLOS ONE policies on sharing data and materials.
Databáze: MEDLINE
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