3.8 Review

Evaluating the impact of coronavirus disease on burnout among healthcare workers using maslach burnout inventory tool: A systematic review

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Sense of coherence and burnout in nursing home workers during the COVID-19 pandemic in Spain

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Selda Yoruk et al.

Summary: The study found that one-third of midwives and nurses in the sample had symptoms of depression during the COVID-19 pandemic. Midwives had a higher risk of depression compared to nurses. High perceived stress and emotional exhaustion scores were associated with increased risk of depression, while high psychological resilience score was found to be protective against depression.

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Summary: The study in Spain found a high prevalence of burn-out syndrome among healthcare professionals, especially in those working on the front line of COVID-19. Factors associated with a higher risk of burn-out included gender (women), age group (20-30 years old), years of experience (more than 15 years), and specific job roles (physicians). Immediate interventions to promote mental well-being in healthcare workers exposed to COVID-19 are necessary.

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Sofia Pappa et al.

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Summary: The study found that 53.0% of healthcare workers experienced high levels of burnout, with average scores in emotional exhaustion, depersonalization, and lack of personal accomplishment at 26.6, 10.2, and 27.3 respectively. The level of burnout varied in the three subscales based on personal and work-related factors, with gender being the only variable associated with high levels in all three domains.

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Xiaoning Zhang et al.

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Edris Kakemam et al.

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Karlee Johnston et al.

Summary: The study analyzed survey responses from 647 pharmacists in Australia, finding that most participants were female, with a higher proportion of hospital and community pharmacists. Pharmacists experienced higher emotional exhaustion and depersonalization during COVID-19, with males showing more depersonalization. Factors such as working overtime, medication supply, and patient incivility were reported to impact pharmacists' work.

INTERNATIONAL JOURNAL OF CLINICAL PHARMACY (2021)

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Cross-sectional survey on physician burnout during the COVID-19 pandemic in Vancouver, Canada: the role of gender, ethnicity and sexual orientation

Nadia Khan et al.

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Jose Angel Martinez-Lopez et al.

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Shimaa A. Elghazally et al.

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Burnout in Professional Psychotherapists: Relationships with Self-Compassion, Work-Life Balance, and Telepressure

Yasuhiro Kotera et al.

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INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2021)

Article Environmental Sciences

Factors Related to Nurses' Burnout during the First Wave of Coronavirus Disease-19 in a University Hospital in Italy

Francesco Bellanti et al.

Summary: During the COVID-19 pandemic, nurses working in hospitals face significant burnout issues, with a high proportion experiencing emotional exhaustion and depersonalization. Factors predictive of burnout in nurses include emotional support, consideration of leaving job, and workload. Improving support from employers and families, as well as reducing workload and job-related stress, can help alleviate burnout in nurses during COVID-19 pandemics.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2021)

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Prevalence of burnout risk and factors associated with burnout risk among ICU nurses during the COVID-19 outbreak in French speaking Belgium

Arnaud Bruyneel et al.

Summary: The study aimed to assess the prevalence of burnout risk and identify risk factors among ICU nurses during the COVID-19 pandemic, revealing that 68% of ICU nurses were at risk of burnout. Factors such as working conditions, shortage of personal protective equipment, and having symptoms of COVID-19 without being tested were closely associated with burnout risk.

INTENSIVE AND CRITICAL CARE NURSING (2021)

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A Mobile Phone-Based Intervention to Reduce Mental Health Problems in Health Care Workers During the COVID-19 Pandemic (PsyCovidApp): Randomized Controlled Trial

Maria Antonia Fiol-DeRoque et al.

Summary: This study in Spain focused on a psychoeducational, mindfulness-based mHealth intervention for healthcare workers during the COVID-19 pandemic. The results showed that compared to a control app, PsyCovidApp only effectively reduced mental health problems in healthcare workers receiving psychotherapy or taking psychotropic medications.

JMIR MHEALTH AND UHEALTH (2021)

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Health Care Workers' Mental Health During the First Weeks of the SARS-CoV-2 Pandemic in Switzerland-A Cross-Sectional Study

Sonja Weilenmann et al.

Summary: This study investigated the mental health of healthcare workers during the SARS-CoV-2 pandemic in Switzerland, finding that women, nurses, frontline staff, and those exposed to COVID-19 patients reported more symptoms of anxiety, depression, and burnout compared to their peers. Perceived support by the employer independently predicted lower levels of anxiety and burnout, highlighting the importance of implementing supportive measures for healthcare workers during this crisis.

FRONTIERS IN PSYCHIATRY (2021)

Article Public, Environmental & Occupational Health

The Mental Health Impact of 2019-nCOVID on Healthcare Workers From North-Eastern Piedmont, Italy. Focus on Burnout

Carla Gramaglia et al.

Summary: The study found that during the 2019-nCOVID pandemic, healthcare workers in North-Eastern Piedmont, Italy experienced higher levels of burnout, especially in females, those aged under 30, those exposed to changes in daily and family habits, those who had to change their duties at work, and those in training. Additionally, with the resurgence of a new pandemic peak in autumn 2020, careful assessment of healthcare workers' mental health has become crucial.

FRONTIERS IN PUBLIC HEALTH (2021)

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Ferat Buran et al.

Summary: This study investigated burnout among internal medicine physicians during the COVID-19 pandemic, revealing widespread concerns about medical malpractice and violence exposure among physicians, who expressed a need for training in medicolegal issues. The findings suggest that healthcare workers' motivation will increase if they feel valued, their working conditions are improved, and they are mentally well.

LEGAL MEDICINE (2021)

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Carolina Ibar et al.

Summary: In the context of the COVID-19 pandemic, healthcare workers are facing higher levels of stress and burnout, with 40% of them having hair cortisol values outside of the healthy reference range. There is a direct correlation between hair cortisol concentration, perceived stress, and the emotional exhaustion component of burnout among healthcare workers.

PSYCHONEUROENDOCRINOLOGY (2021)

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Alberto Bisesti et al.

Summary: The study revealed a high prevalence of burnout among nurses and healthcare assistants working in SICUs during the COVID-19 pandemic, with nurses being 4.5 times more likely to experience burnout than healthcare assistants. Depersonalization was significantly more frequent among younger nurses. Urgent actions and preventive strategies are needed to address this issue and support healthcare workers in future pandemics.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2021)

Review Environmental Sciences

The Impact of Epidemics and Pandemics on the Mental Health of Healthcare Workers: A Systematic Review

Ottilia Cassandra Chigwedere et al.

Summary: The study found that healthcare workers experience a wide range of mental health symptoms during epidemics and pandemics, including acute stress disorder, depression, anxiety, insomnia, burnout, and post-traumatic stress disorder. Risk factors associated with these mental health issues include working in high-risk environments, being female, being a nurse, and lack of personal protective equipment.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2021)

Article Environmental Sciences

Mental Health States Experienced by Perinatal Healthcare Workers during COVID-19 Pandemic in Italy

Loredana Cena et al.

Summary: High rates of self-reported symptoms of depression and anxiety, as well as perceived stress, among perinatal healthcare professionals (PHPs) were reported during the COVID-19 pandemic. Health authorities should implement and integrate timely and regular evidence-based assessment of psychological distress targeting PHPs in their work plans.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2021)

Article Environmental Sciences

Burnout in Intensive Care Unit Workers during the Second Wave of the COVID-19 Pandemic: A Single Center Cross-Sectional Italian Study

Nino Stocchetti et al.

Summary: The study investigated the psychological distress, burnout syndrome, and resilience in healthcare workers during the COVID-19 pandemic in Italy. Findings revealed that over half of ICU specialists met the criteria for burnout, with nurses reporting significantly higher levels of anxiety and insomnia. Most staff demonstrated moderate to high levels of resilience.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2021)

Article Public, Environmental & Occupational Health

Beyond the Outbreak of COVID-19: Factors Affecting Burnout in Nurses in Iran

Sajad Zare et al.

Summary: This study aimed to identify the level of burnout and its predictors in nurses working in hospitals for COVID-19 patients. Results showed that the mean level of burnout in the nurses was 57 out of 120, with workload, job stress, and inadequate hospital resources being significant factors affecting burnout. Workload was identified as the most significant cause of burnout in nurses directly exposed to COVID-19 patients.

ANNALS OF GLOBAL HEALTH (2021)

Review Clinical Neurology

Frequency of Neurologic Manifestations in COVID-19 A Systematic Review and Meta-analysis

Shubham Misra et al.

Summary: Up to one-third of patients with COVID-19 experienced at least one neurologic manifestation in this review. 1 in 50 patients experienced stroke. In patients over 60 years of age, more than one-third had acute confusion/delirium; the presence of neurologic manifestations in this group was associated with nearly a doubling of mortality.

NEUROLOGY (2021)

Article Psychiatry

Healthcare staff well-being and use of support services during COVID-19: a UK perspective

Anika R. Petrella et al.

Summary: The COVID-19 pandemic has led to high levels of psychological distress among healthcare workers, with younger workers and those exposed to morally distressing situations being particularly vulnerable. While supportive services were utilized by the majority of staff, uptake varied, highlighting the need for effective strategies to ensure continued support and mitigate the risk of burnout and post-traumatic stress.

GENERAL PSYCHIATRY (2021)

Article Health Care Sciences & Services

Burnout Toll on Empathy Would Mediate the Missing Professional Support in the COVID-19 Outbreak

Cristina Bredicean et al.

Summary: The study found that anxiety, burnout, stress, resilience, and empathy are significantly associated with the professional category and perceived professional support among healthcare workers. Female gender was linked to a higher level of empathy, while the impact of the lack of professional support on empathy was mainly through burnout-depersonalization.

RISK MANAGEMENT AND HEALTHCARE POLICY (2021)

Article Primary Health Care

Burnout, Depression, Anxiety, and Stress Among Family Physicians in Kansas Responding to the COVID-19 Pandemic

Samuel Ofei-Dodoo et al.

Summary: The study found that 45.6% of family physicians in Kansas reported manifestations of burnout. Physicians who treated any presumptive or confirmed COVID-19 patients were more likely to experience burnout, emotional exhaustion, and higher levels of personal stress compared to those who did not.

JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE (2021)

Article Psychology, Applied

Positive functioning at work during COVID-19: Posttraumatic growth, resilience, and emotional exhaustion in Chinese frontline healthcare workers

Yizhi Lyu et al.

Summary: Research highlights the longitudinal relationship between resilience and PTG among frontline healthcare workers during COVID-19, with a cycle of reinforcement observed over time. However, job burnout, particularly emotional exhaustion, negatively impacts both resilience and PTG. Implications for future intervention research and workplace support are discussed.

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Article Health Care Sciences & Services

Predictors of Burnout in Healthcare Workers during the COVID-19 Pandemic

Adriana Cotel et al.

Summary: This study aimed to identify predictors of burnout in healthcare workers during the COVID-19 pandemic. Job demands, job resources, and personal resources were found to be significant predictors of burnout, explaining 37% of the variance. Psychological interventions during the pandemic should focus primarily on addressing these demands and resources.

HEALTHCARE (2021)

Article Psychology, Multidisciplinary

Burnout and Its Relationship With Depressive Symptoms in Medical Staff During the COVID-19 Epidemic in China

Lijuan Huo et al.

Summary: The COVID-19 pandemic has led to a high prevalence of burnout among medical staff, with factors like age, family income, physical diseases, daily working hours, and profession influencing burnout. There is a strong correlation between different dimensions of burnout and depressive symptoms.

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A Large-Scale Survey on Trauma, Burnout, and Posttraumatic Growth among Nurses during the COVID-19 Pandemic

Ruey Chen et al.

Summary: This large-scale study aimed to evaluate the mental health outcomes of nurses during the COVID-19 pandemic. The results showed that nurses who identified as women, worked in ICUs, COVID-19 designated hospitals, and departments involved with treating COVID-19 patients had higher scores in emotional health outcomes. Future research can focus on these identified factors to develop more effective prevention and treatment strategies for adverse health outcomes.

INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING (2021)

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Burnout levels and sleep quality of COVID-19 heroes

Aylin Aydin Sayilan et al.

Summary: The study found that male nurses had higher emotional burnout and personal achievement scores than female nurses, while single nurses had significantly higher emotional exhaustion and depersonalization scores than married individuals. Moreover, as insomnia worsened, nurses' burnout levels also increased.

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Article Critical Care Medicine

Symptoms of burnout in intensive care unit specialists facing the COVID-19 outbreak

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A national survey on the impact of the COVID-19 pandemic upon burnout and career satisfaction among neurosurgery residents

Adham M. Khalafallah et al.

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Psychological Impact of COVID-19 Emergency on Health Professionals: Burnout Incidence at the Most Critical Period in Spain

Jose Angel Martinez-Lopez et al.

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Article Environmental Sciences

Burnout and job satisfaction of healthcare workers in Slovenian nursing homes in rural areas during the COVID-19 pandemic

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The Early Impact of the Covid-19 Emergency on Mental Health Workers: A Survey in Lombardy, Italy

Filippo Rapisarda et al.

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COVID-19 Outbreak Can Change the Job Burnout in Health Care Professionals

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Prevalence, Associated Factors, and Consequences of Burnout Among Egyptian Physicians During COVID-19 Pandemic

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