Prevalence of burnout and mental health problems among medical staff during the COVID-19 pandemic: a systematic review and meta-analysis

BMJ Open, Journal Year: 2023, Volume and Issue: 13(7), P. e061945 - e061945

Published: July 1, 2023

Objective The COVID-19 pandemic has had a significant impact on the burnout and mental health of medical staff. This meta-analysis aims to provide additional (and updated) evidence related problems among staff using broader data pool. Design Systematic review meta-analysis. Data sources PubMed, Embase, Cochrane Library, CNKI, Wanfang three preprint databases (SSRN, bioRxiv medRxiv) were searched from 1 January 2020 17 May 2021. Eligibility criteria We included observational studies investigating prevalence during pandemic, including cross-sectional study, cohort study case–control study. extraction synthesis Two independent reviewers used self-designed form extract primary data. Joanna Briggs Institute quality appraisal tool was assess selected studies. Heterogeneity assessed by I 2 statistic. A random-effects model pool prevalence. Subgroup analysis performed explore between-group differences. Results 250 included, with sample 292 230 participants 46 countries. pooled burnout, anxiety, depression, insomnia, stress, post-traumatic stress disorder symptoms somatic 43.6% (95% CI 36.3% 51.2%), 37.1% 34.7% 39.7%), 37.6% 35.0% 40.4%), 43.7% 39.1% 48.5%), 41.3% 35.1% 47.9%), 30.6% 23.6% 38.5%) 25.0% 16.7% 35.6%), respectively. showed higher depression insomnia in frontline workers than non-frontline workers, anxiety females males. Mild cases accounted for most proportion outcomes except stress. Conclusions highlights that identifying risks adopting preventive interventions are priorities policymakers avoid long-term occupational, social impacts. PROSPERO registration number CRD42021254425.

Language: Английский

---

From Anxiety to Hardiness: The Role of Self-Efficacy in Spanish CCU Nurses in the COVID-19 Pandemic

Medicina, Journal Year: 2024, Volume and Issue: 60(2), P. 215 - 215

Published: Jan. 26, 2024

Background and Objectives: Evidence shows that throughout the COVID-19 pandemic, nurses suffered from emotional symptoms, yet in spite of this, few studies within “positive psychology” have analyzed emergence/promotion positive traits, such as hardiness. In this context, present study aimed to test a model regarding mediating role self-efficacy between anxiety experienced at beginning pandemic hardiness assessed six months later among critical care units (CCU) Spain. Materials Methods: An observational, descriptive, prospective longitudinal with two data collection periods: (1) 1 21 June 2020 (final phase state alarm declared Spain on 14 March) which socio-demographic occupational variables, (Depression, Anxiety Stress Scale, DASS-21), (General Self-Efficacy GSES) basal resilience (Resilience Scale-14, RS-14) were assessed, (2) follow-up 6 (January–March 2021) (Occupational Hardiness Questionnaire, OHQ) was evaluated. To analyze data, multivariate regressions performed using PROCESS macro (simple mediation, 4). Results: A total 131 Spanish CCUs, mean age 40.54 years (88.5% women) participated study. Moderate severe levels observed 19.1% sample. Significant correlations self-efficacy, (all p < 0.001). negative (p 0.001), = 0.027) 0.005). The indirect effect through significant (Effect (SE) −0.275 (0.100); LLCI −0.487, ULCI −0.097), contributing 28% variance, including 0.015), 0.784), gender 0.294) experience 0.652) covariates. mediation (non-significant anxiety-hardiness direct effect; Effect −0.053 (0.215), t 0.248, 0.804, −0.372, 0.479). Conclusions: results suggest CCU nurses, may contribute development resources self-efficacy.

Language: Английский

---

Anxiety, depression, stress, burnout, and professional quality of life among the hospital workforce during a global health pandemic

The Journal of Rural Health, Journal Year: 2022, Volume and Issue: 38(4), P. 795 - 804

Published: March 21, 2022

Working in a hospital setting during global health pandemic can lead to increased levels of anxiety, stress, burnout, and depression. Anecdotal evidence exists, but there is little research utilizing clinically validated tools measure staff psychological distress.In Summer 2021, 771 North Dakota responded an electronic survey collecting demographic data employing behavioral screening assess depression, emotional distress, work-related quality life.Compassion satisfaction was significantly higher for those who worked rural areas than urban [t(769) = -1.99, P .0467]. The burnout rating 2.23, .0261)]. There no significant geographic variation or Anxiety, stress were all directly with COVID-19 patients did not, regardless location.Hospital caring experienced equitable (and high) depression anxiety. However, indicate that providers greater protective factors, resulting lower rates compassion satisfaction. Rural communities, hospitals, systems may have characteristics could be duplicated support well-being. Support promotion mental wellness must also come from the system, care policy leaders. If we do not our staff, will left community.

Language: Английский

---

Long-Term Quality of Life after COVID-19 Infection: Cross-Sectional Study of Health Care Workers

International Journal of Environmental Research and Public Health, Journal Year: 2024, Volume and Issue: 21(2), P. 235 - 235

Published: Feb. 17, 2024

(1) Background: Post-COVID syndrome is defined as symptoms that occur simultaneously with or after a COVID-19 infection, last for 12 weeks, and are not due to another diagnosis. Limited data available on people's long-term quality of life following infection. The aim this cross-sectional study was investigate the among employees hospital in Germany identify risk factors. (2) Methods: A monocentric, conducted using validated digitized WHOQOL-BREF questionnaire via Netigate® between 10/2022 02/2023. Data global health status were collected four domains: physical health, mental social relationships, environment. (3) Results: response rate 73.8 % (923/1250). Furthermore, 63.4 staff respondents reported at least one persistent symptom leading significant differences life. Pre-existing conditions, symptoms, disabilities infection well high BMI, no partnership, low educational level found significantly contribute (4) Conclusions: Obesity, lack education independent factors lower post-COVID-19 cohort staff. Further multicenter studies required validate incidence their suitability post-COVID syndrome.

Language: Английский

---

Transforming health care: Investigating Influenzer, a novel telemedicine-supported early discharge program for patients with lower respiratory tract infection: A non-randomized feasibility study

Journal of Telemedicine and Telecare, Journal Year: 2024, Volume and Issue: unknown

Published: May 23, 2024

Background The COVID-19 pandemic has posed unprecedented challenges to healthcare systems globally, necessitating innovative care models like hospital-at-home and virtual programs. Influenzer telemedicine program aims deliver hospital-led monitoring treatment patients at home. Integrating technology with domestic visits provides an alternative traditional hospitalization, the aim of easing burden on facilities without compromising patient safety. To evaluate effectiveness program, a randomized controlled trial is proposed. This study aimed assess feasibility proposed clinical design. Methods A non-randomized was conducted Department Pulmonary Infectious Diseases Nordsjaellands Hospital offering telemedicine-supported early discharge lower respiratory tract infections, including COVID-19. procedures, recruitment, adherence, retention, analyzed. Also, participants’ characteristics trajectory during intervention, services, were assessed. Results Nineteen enrolled from June 2022 April 2023 treated Forty not as 15 (25%) non-eligible according protocol, refused participate 10 (17%) had been approached. Subjects home comparable outcomes those in acute hospital, no major safety incidences occurred highly satisfied. Participants demonstrated 99% adherence planned daily activities. In total, 63% completed all survey assessments least partially baseline, discharge, 3 months post-discharge, while 89% participated follow-up interview. No participants withdrew their consent. Conclusions documented that home–hospital feasible well accepted Scandinavian setting terms withdrawals excellent participant Challenges organizational structures recruitment data collection required resolution prior our trial. Insights this have led improved design final evaluation Trial registration ClinicalTrials.gov, NCT05087082. Registered 18 August 2021.

Language: Английский

---

Long-Term Quality of Life after COVID-19 Infection: A Cross-Sectional Study of Health Care Workers

Published: Jan. 12, 2024

Abstract: (1) Background: Post-COVID syndrome is defined as symptoms that occur simultane-ously with or after COVID-19 infection, last for 12 weeks, and are not due to another diagnosis. Limited data available on people’s long-term quality of life (QoL) following infection. The aim this cross-sectional study was investigate QoL among employees the St. Josef Hospital in Paderborn, Germany, identify risk factors. (2) Methods: A monocentric, conducted using validated digitized WHOQOL-BREF questionnaire via Netigate® between 10/2022 02/2023. Data global health status were collected four domains: physical health, mental social relationships, environment. (3) Results: response rate 73.84% (923/1250). Furthermore, 63.45% hospital staff respondents reported at least one persistent symptom leading significant differences QoL. Pre-existing conditions, symptoms, disability well high BMI, no partnership, low educational level found significantly contribute (4) Conclusions: Obesity, lack a education independent factors lower post-COVID-19 infection cohort staff. Further multicenter studies re-quired validate incidence their suitability post-COVID syndrome.

Language: Английский

---

Post-Pandemic Insomnia in Healthcare Workers: A Prospective Study including Sociodemographic, Occupational and Psychosocial Variables

Journal of Clinical Medicine, Journal Year: 2024, Volume and Issue: 13(12), P. 3498 - 3498

Published: June 14, 2024

Background/Objectives: Previous research points to the prevalence of insomnia during COVID-19 pandemic among healthcare workers (HCWs). However, longitudinal studies on its evolution, including post-pandemic stage, are less abundant, with a special lack about possible psychosocial risk factors. The aim current study is analyze evolution in Spanish HCWs from beginning until two years later, examining influence sociodemographic, occupational and variables. Methods: This was prospective design three data collection periods which assessed using Insomnia Severity Index (ISI), addition (i.e., social support, self-efficacy, resilience cognitive fusion) variables (n = 216) who were direct contact patients. Results: High scores observed for insomnia, clear decrease throughout studied (F 30.198, p < 0.001). An association between certain sociodemographic work category, 0.001; availability Personal Protective Equipment (PPE), workload, worry self or family contagion, 0.002, 0.003, respectively). had negative relationships support (p 0.014), self-efficacy 0.001) positive fusion Interaction effects friends 0.024, ƞ2 0.34) 0.047; 0.25) found. Conclusions: Social act as buffers insomnia. Cognitive acts precipitator well directly influencing evolution. also affects Within specific circumstances pandemic, long-term effect short-term observed. findings emphasize need implement interventions promote mental well-being HCWs, particularly crisis contexts that involve an increase stress, emphasizing role protective

Language: Английский

---

Cognitive function and work resilience of healthcare professionals: A comparative cross-sectional study

Journal of Family and Community Medicine, Journal Year: 2024, Volume and Issue: 31(2), P. 153 - 159

Published: April 1, 2024

BACKGROUND: Healthcare professionals (HCPs) face a variety of work-related stressors that have impact on their mental health and cognitive performance. Work resilience is psychological resource helps workers cope with stress prevents unfavorable impact. The aim this study was to assess the associations between working as HCPs function well work resilience. MATERIALS AND METHODS: This comparative cross-sectional conducted among at Suez Canal University Hospital in Ismailia Governorate, Egypt, during April 2023 August 2023. Two hundred thirty-five 107 administrative employees (Admins) were invited participate study. A self-administered questionnaire used obtain sociodemographic other relavent data. Cognitive assessed Mini-Mental State Examination test; Brief Resilience Scale; distress measured Depression, Anxiety, Stress Scale - 21-items (DASS-21) scale. Statistical significance determined by Mann Whitney U-test for continuous variables, Chi-square test or Fisher’s exact, appropriate, categorical variables. Multiple logistic regression models employed determine main outcomes (cognitive impairment low resilience) covariate (working vs. Admins), adjusting all potential confounders. RESULTS: showed significantly greater impairment, less resilience, DASS-21 than Admins. odds impaired higher Admins (odds ratio [OR]: 4.45, 95% confidence interval [CI]: 1.27–15.67, P = 0.020), adjusted covariates. Similarly, (OR: 5.81, CI: 2.72–12.44, < 0.001), However, association not statistically significant 0.55, 0.23–1.33, 0.185). CONCLUSION: had Workplace policies interventions control depression, stress, anxiety are required it encouragement physical activity. Programs combine positive coping skills training (e.g., relaxation training, thinking, problem solving) resilience-building taking proactive approach solving problems, being flexible adaptive) should be developed, special attention who sense self-efficacy.

Language: Английский

---

Anxiety Evolution among Healthcare Workers—A Prospective Study Two Years after the Onset of the COVID-19 Pandemic Including Occupational and Psychoemotional Variables

Medicina, Journal Year: 2024, Volume and Issue: 60(8), P. 1230 - 1230

Published: July 29, 2024

Although previous research has found a high prevalence of anxiety during the COVID-19 pandemic among healthcare workers, longitudinal studies on post-pandemic and predictor variables have been less abundant. To examine evolution in workers from beginning until one half years later, analyzing influence occupational psychosocial variables, as well their possible predictors.

Language: Английский

---

Child welfare workers satisfaction and wellbeing during the COVID-19 pandemic: Perspectives of agency staff in Ohio

Child Abuse & Neglect, Journal Year: 2022, Volume and Issue: 136, P. 106000 - 106000

Published: Dec. 21, 2022

Language: Английский

---