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
| Autor: | Stefano Tardivo, Francesco Amaddeo, Stefano Porru, Angela Carta, Antonio Lasalvia, Chiara Bonetto, Mirella Ruggeri, Chiara Bovo |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Multivariate analysis Cross-sectional study Health Personnel lcsh:Medicine Burnout organisation of health services Tertiary Care Centers 03 medical and health sciences 0302 clinical medicine human resource management Risk Factors Intensive care Surveys and Questionnaires Health care Pandemic Medicine Humans 030212 general & internal medicine Emotional exhaustion Workplace Burnout Professional business.industry lcsh:R COVID-19 General Medicine Middle Aged Mental Health Cross-Sectional Studies Logistic Models Italy Family medicine Multivariate Analysis Observational study Female adult psychiatry business 030217 neurology & neurosurgery |
| Zdroj: | BMJ Open BMJ Open, Vol 11, Iss 1 (2021) |
| ISSN: | 2044-6055 |
| Popis: | ObjectiveTo determine burn-out levels and associated factors among healthcare personnel working in a tertiary hospital of a highly burdened area of north-east Italy during the COVID-19 pandemic.DesignObservational study conducted from 21 April to 6 May 2020 using a web-based questionnaire.SettingResearch conducted in the Verona University Hospital (Veneto, Italy).ParticipantsOut of 2195 eligible participants, 1961 healthcare workers with the full range of professional profiles (89.3%) completed the survey.Primary outcome measureLevels of burn-out, assessed by the Maslach Burnout Inventory-General Survey (MBI-GS). Multivariable logistic regression analysis was performed to identify factors associated with burn-out in each MBI-GS dimension (emotional exhaustion, EX; professional efficacy, EF; cynicism, CY).ResultsOverall, 38.3% displayed high EX, 46.5% low EF and 26.5% high CY. Burn-out was frequent among staff working in intensive care units (EX 57.0%; EF 47.8%; CY 40.1%), and among residents (EX 34.9%; EF 63.9%; CY 33.4%) and nurses (EX 49.2%; EF 46.9%; CY 29.7%). Being a resident increased the risk of burn-out (by nearly 2.5 times) in all the three MBI subscales and being a nurse increased the risk of burn-out in the EX dimension in comparison to physicians. Healthcare staff directly engaged with patients with COVID-19 showed more EX and CY than those working in non-COVID wards. Finally, the risk of burn-out was higher in staff showing pre-existing psychological problems, in those having experienced a COVID-related traumatic event and in those having experienced interpersonal avoidance in the workplace and personal life.ConclusionsBurn-out represents a great concern for healthcare staff working in a large tertiary hospital during the COVID-19 pandemic and its impact is more burdensome for front-line junior physicians. This study underlines the need to carefully address psychological well-being of healthcare workers to prevent the increase of burn-out in the event of a new COVID-19 healthcare emergency. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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