Статья

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

Max DenningDepartment of Surgery and Cancer, Imperial College London, London, United KingdomEe Teng GohDepartment of Surgery and Cancer, Imperial College London, London, United KingdomBenjamin Yong‐Qiang TanDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporeAbhiram KannegantiDepartment of Obstetrics and Gynaecology, National University Hospital, Singapore, SingaporeMelanie AlmonteDepartment of Surgery and Cancer, Imperial College London, London, United KingdomAlasdair ScottDepartment of Surgery and Cancer, Imperial College London, London, United KingdomGuy MartinDepartment of Surgery and Cancer, Imperial College London, London, United KingdomJonathan ClarkeDepartment of Surgery and Cancer, Imperial College London, London, United KingdomViknesh SounderajahDepartment of Surgery and Cancer, Imperial College London, London, United KingdomSheraz MarkarDepartment of Surgery and Cancer, Imperial College London, London, United KingdomJan PrzybylowiczDepartment of Surgery and Cancer, Imperial College London, London, United KingdomYiong Huak ChanBiostatistics Unit, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporeChing‐Hui SiaDepartment of Cardiology, National University Heart Centre, Singapore, SingaporeYing Xian ChuaPioneer Polyclinic, National University Polyclinic, National University Health System, Singapore, SingaporeKang SimDepartment of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporeLucas LimDepartment of Forensic Psychiatry, Institute of Mental Health, Singapore, SingaporeLi Feng TanDivision of Healthy Ageing, Alexandra Hospital, Singapore, SingaporeMelanie TanDepartment of Geriatric Medicine, Ng Teng Fong General Hospital, Singapore, SingaporeVijay K. SharmaDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporeShirley OoiDepartment of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporeJasmine Winter BeattyDepartment of Surgery and Cancer, Imperial College London, London, United KingdomKelsey FlottDepartment of Surgery and Cancer, Imperial College London, London, United KingdomSam MasonDepartment of Surgery and Cancer, Imperial College London, London, United KingdomSwathikan ChidambaramDepartment of Surgery and Cancer, Imperial College London, London, United KingdomSeema YalamanchiliDepartment of Surgery and Cancer, Imperial College London, London, United KingdomGabriela ZbikowskaDepartment of Surgery and Cancer, Imperial College London, London, United KingdomJaroslaw FedorowskiGrażyna DykowskaDepartment of Economics of Health and Medical Law, Medical University of Warsaw, PolandMary WellsDepartment of Surgery and Cancer, Imperial College London, London, United KingdomSanjay PurkayasthaDepartment of Surgery and Cancer, Imperial College London, London, United KingdomJames KinrossDepartment of Surgery and Cancer, Imperial College London, London, United Kingdom

2021en

ABI

Аннотация

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.

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Идентификаторы

DOI: 10.1371/journal.pone.0238666

Цитирования и источники

Цитирований: 2Использованных источников: 0

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