Safety attitudes, burnout and well-being among healthcare workers during the COVID-19 pandemic: an Indo-Pacific regional cross-sectional study

被引：2

作者：

Kanneganti, Abhiram ^{[1
,25
]}

Tan, Benjamin Yong Qian ^{[2
]}

Nik Ab Rahman, Nik Hisamuddin ^{[3
,4
]}

Leow, Aloysius Sheng-Ting ^{[2
]}

Denning, Max ^{[5
]}

Goh, Ee Teng ^{[5
]}

Hao Lim, Lucas Jun ^{[6
]}

Sia, Ching-Hui ^{[2
,7
]}

Chua, Ying Xian ^{[8
]}

Kinross, James ^{[5
]}

Tan, Melanie ^{[9
]}

Tan, Li Feng ^{[10
]}

Wan, Yi Min ^{[11
]}

Sharma, Arvind ^{[12
]}

Danuaji, Rivan ^{[13
]}

Komal Kumar, R. N. Komal ^{[14
]}

Sheng, Chew Keng ^{[15
]}

Kheng, Cheah Phee ^{[16
]}

Abdul Karim, Sarah Shaikh ^{[17
]}

Abdul Ghani, Mohd Najib ^{[18
]}

Mahmud, Suhaimi ^{[19
]}

Chan, Yiong Huak ^{[20
]}

Sharma, Vijay Kumar ^{[2
]}

Sim, Kang ^{[21
,22
]}

Suat Ooi, Shirley Beng ^{[23
,24
]}

机构：

[1] Natl Univ Singapore Hosp, Dept Obstet & Gynaecol, Singapore, Singapore

[2] Natl Univ Singapore, Yong Loo Lin Sch Med, Dept Med, Singapore, Singapore

[3] Hosp Univ Sains Malaysia, Dept Emergency & Trauma, Kota Baharu, Malaysia

[4] Univ Sains Malaysia, Sch Med Sci, Dept Emergency Med, Kota Baharu, Malaysia

[5] Imperial Coll London, Dept Surg & Canc, London, England

[6] Inst Mental Hlth, Early Psychosis Intervent Program, Singapore, Singapore

[7] Natl Univ Heart Ctr Singapore, Dept Cardiol, Singapore, Singapore

[8] Natl Univ Polyclin Pioneer, Natl Univ Hlth Syst, Singapore, Singapore

[9] Ng Teng Fong Gen Hosp, Dept Geriatr Med, Singapore, Singapore

[10] Alexandra Hosp, Div Hlth Ageing, Singapore, Singapore

[11] Ng Teng Fong Gen Hosp, Dept Psychiat, Singapore, Singapore

[12] Zydus Hosp & BJ Med Coll, Dept Neurol, Ahmadabad, Gujarat, India

[13] Dr Moewardi Hosp, Dept Neurol, Kota Surakarta, Jawa Tengah, Indonesia

[14] Yashoda Inst Neurosci, Cerebrovascular Unit, Secunderabad, Telangana, India

[15] Univ Malaysia Sarawak, Fac Med & Hlth Sci, Dept Surg, Kota Samarahan, Sarawak, Malaysia

[16] Sabah Women & Childrens Hosp, Emergency & Trauma Dept, Kota Kinabalu, Sabah, Malaysia

[17] Hosp Sungai Buloh, Emergency & Trauma Dept, Sungai Buloh, Selangor, Malaysia

[18] Hosp Raja Perempuan Zainab II, Emergency & Trauma Dept, Bandar Kota Bharu, Kelantan, Malaysia

[19] Hosp Tuanku Jaafar, Emergency & Trauma Dept, Seremban, Negeri Sembilan, Malaysia

[20] Natl Univ Singapore, Yong Loo Lin Sch Med, Biostat Unit, Singapore, Singapore

[21] Inst Mental Hlth, Singapore, Singapore

[22] Natl Univ Singapore, Yong Loo Lin Sch Med, Dept Psychol Med, Singapore, Singapore

[23] Natl Univ Singapore Hosp, Emergency Med Dept, Singapore, Singapore

[24] Natl Univ Singapore, Yong Loo Lin Sch Med, Dept Surg, Singapore, Singapore

[25] Natl Univ Singapore Hosp, Dept Obstet & Gynaecol, Yong Loo Lin Sch Med, 5 Lower Kent Ridge Rd, Singapore 119074, Singapore

来源：

SINGAPORE MEDICAL JOURNAL | 2023年 / 64卷 / 11期

关键词：

Burnout; COVID-19; pandemic; safety attitudes; safety culture; CULTURE; SINGAPORE; OUTBREAK; TEAMWORK; IMPACT;

D O I：

10.11622/smedj.2022014

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Introduction: The coronavirus disease 2019 (COVID-19) pandemic has had an unprecedented impact in Asia and has placed significant burden on already stretched healthcare systems. We examined the impact of COVID-19 on the safety attitudes among healthcare workers (HCWs), as well as their associated demographic and occupational factors, and measures of burnout, depression and anxiety. Methods: A cross-sectional survey study utilising snowball sampling was performed involving doctors, nurses and allied health professions from 23 hospitals in Singapore, Malaysia, India and Indonesia between 29 May 2020 and 13 July 2020. This survey collated demographic data and workplace conditions and included three validated questionnaires: the Safety Attitudes Questionnaire (SAQ), Oldenburg Burnout Inventory and Hospital Anxiety and Depression Scale. We performed multivariate mixed-model regression to assess independent associations with the SAQ total percentage agree rate (PAR). Results: We obtained 3,163 responses. The SAQ total PARs were found to be 35.7%, 15.0%, 51.0% and 3.3% among the respondents from Singapore, Malaysia, India and Indonesia, respectively. Burnout scores were highest among respondents from Indonesia and lowest among respondents from India (70.9%-85.4% vs. 56.3%-63.6%, respectively). Multivariate analyses revealed that meeting burnout and depression thresholds and shifts lasting >= 12 h were significantly associated with lower SAQ total PAR. Conclusion: Addressing the factors contributing to high burnout and depression and placing strict limits on work hours per shift may contribute significantly towards improving safety culture among HCWs and should remain priorities during the pandemic.

引用

页码：667 / +

页数：15

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