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

被引：248

作者：

Denning, Max ^{[1
]}

Goh, Ee Teng ^{[1
]}

Tan, Benjamin ^{[2
]}

Kanneganti, Abhiram ^{[3
]}

Almonte, Melanie ^{[1
]}

Scott, Alasdair ^{[1
]}

Martin, Guy ^{[1
]}

Clarke, Jonathan ^{[1
]}

Sounderajah, Viknesh ^{[1
]}

Markar, Sheraz ^{[1
]}

Przybylowicz, Jan ^{[1
]}

Chan, Yiong Huak ^{[4
]}

Sia, Ching-Hui ^{[2
,5
]}

Chua, Ying Xian ^{[6
]}

Sim, Kang ^{[7
,8
]}

Lim, Lucas ^{[9
]}

Tan, Lifeng ^{[10
]}

Tan, Melanie ^{[11
]}

Sharma, Vijay ^{[2
]}

Ooi, Shirley ^{[12
,13
]}

Beatty, Jasmine Winter ^{[1
]}

Flott, Kelsey ^{[1
]}

Mason, Sam ^{[1
]}

Chidambaram, Swathikan ^{[1
]}

Yalamanchili, Seema ^{[1
]}

Zbikowska, Gabriela ^{[1
]}

Fedorowski, Jaroslaw ^{[14
]}

Dykowska, Grazyna ^{[15
]}

Wells, Mary ^{[1
]}

Purkayastha, Sanjay ^{[1
]}

Kinross, James ^{[1
]}

机构：

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

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

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

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

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

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

[7] Inst Mental Hlth, Singapore, Singapore

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

[9] Inst Mental Hlth, Dept Forens Psychiat, Singapore, Singapore

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

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

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

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

[14] Polish Hosp Federat, Warsaw, Poland

[15] Med Univ Warsaw, Dept Econ Hlth & Med Law, Warsaw, Poland

来源：

PLOS ONE | 2021年 / 16卷 / 04期

关键词：

HOSPITAL ANXIETY; DEPRESSION SCALE; SAFETY CULTURE; VALIDITY; SARS; VALIDATION; STRESS; IMPACT; PREVALENCE; SINGAPORE;

D O I：

10.1371/journal.pone.0238666

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

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.

引用

页数：18

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