Experiences and management of physician psychological symptoms during infectious disease outbreaks: a rapid review DOI Creative Commons
Kirsten M. Fiest, Jeanna Parsons Leigh, Karla D. Krewulak

et al.

BMC Psychiatry, Journal Year: 2021, Volume and Issue: 21(1)

Published: Feb. 10, 2021

Prior to the COVID-19 pandemic, physicians experienced unprecedented levels of burnout. The uncertainty ongoing pandemic along with increased workload and difficult medical triage decisions may lead a further decline in physician psychological health.We searched Medline, EMBASE, PsycINFO for primary research from database inception (Medline [1946], EMBASE [1974], [1806]) November 17, 2020. Titles abstracts were screened by one three reviewers full-text article screening data abstraction conducted independently, duplicate, reviewers.From 6223 unique citations, 480 articles reviewed full-text, 193 studies (of 90,499 physicians) included final review. Studies reported on symptoms management during seven infectious disease outbreaks (severe acute respiratory syndrome [SARS], strains Influenza A virus [H1N1, H5N1, H7N9], Ebola, Middle East [MERS], COVID-19) 57 countries. Psychological anxiety (14.3-92.3%), stress (11.9-93.7%), depression (17-80.5%), post-traumatic disorder (13.2-75.2%) burnout (14.7-76%) commonly among physicians, regardless outbreak or country. Younger, female (vs. male), single married), early career those providing direct care infected patients associated worse symptoms.Physicians should be aware that anxiety, depression, fear distress are common, manifest differently self-management strategies improve well-being exist. Health systems implement short long-term supports caring COVID-19.

Language: Английский

Burnout: A Review of Theory and Measurement DOI Open Access

Sergio Edú-Valsania,

Ana Laguía, Juan Antonio Moriano León

et al.

International Journal of Environmental Research and Public Health, Journal Year: 2022, Volume and Issue: 19(3), P. 1780 - 1780

Published: Feb. 4, 2022

A growing body of empirical evidence shows that occupational health is now more relevant than ever due to the COVID-19 pandemic. This review focuses on burnout, an phenomenon results from chronic stress in workplace. After analyzing how burnout occurs and its different dimensions, following aspects are discussed: (1) Description factors can trigger individual have been proposed modulate it, (2) identification effects generates at both organizational levels, (3) presentation main actions be used prevent and/or reduce (4) recapitulation tools developed so far measure a generic perspective or applied specific occupations. Furthermore, this summarizes contributions papers comprise Special Issue "Occupational Stress Health: Psychological Burden Burnout", which represent advance theoretical practical understanding burnout.

Language: Английский

Citations

461

The Impact of the COVID-19 Pandemic on Burnout, Compassion Fatigue, and Compassion Satisfaction in Healthcare Personnel: A Systematic Review of the Literature Published during the First Year of the Pandemic DOI Open Access
Cristina Lluch, Laura Galiana, Pablo Doménech

et al.

Healthcare, Journal Year: 2022, Volume and Issue: 10(2), P. 364 - 364

Published: Feb. 13, 2022

This literature review aimed to determine the level of burnout, compassion fatigue, and satisfaction, as well their associated risks protective factors, in healthcare professionals during first year COVID-19 pandemic. We reviewed 2858 records obtained from CINAHL, Cochrane Library, Embase, PsycINFO, PubMed, Web Science databases, finally included 76 this review. The main results we found showed an increase rate dimensions emotional exhaustion, depersonalization, fatigue; a reduction personal accomplishment; levels satisfaction similar those before risk factors with burnout were anxiety, depression, insomnia, along some sociodemographic variables such being woman or nurse working directly patients. Comparable for but information regarding was lacking. resilience social support.

Language: Английский

Citations

214

How the COVID-19 pandemic will change the future of critical care DOI Creative Commons
Yaseen M. Arabi, Élie Azoulay, Hasan M. Al‐Dorzi

et al.

Intensive Care Medicine, Journal Year: 2021, Volume and Issue: 47(3), P. 282 - 291

Published: Feb. 22, 2021

Language: Английский

Citations

197

A Systematic Review and Meta-Analysis of Burnout Among Healthcare Workers During COVID-19 DOI Creative Commons
Sulmaz Ghahramani, Kamran Bagheri Lankarani, Mohammad Yousefi

et al.

Frontiers in Psychiatry, Journal Year: 2021, Volume and Issue: 12

Published: Nov. 10, 2021

Burnout among healthcare personnel has been exacerbated by the COVID-19 pandemic's unique features. During pandemic, this systematic review and meta-analysis aims to provide a complete assessment of prevalence burnout across various personnel. Until January 2021, searches for English language papers were conducted using PubMed, Scopus, EMBASE, Web Science, Cochrane Library, ProQuest. Thirty observational studies found after conducting searches. The pooled overall was 52% [95% confidence interval (CI) 40-63%]. Pooled emotional exhaustion (EE), depersonalization (DP), lack personal accomplishment (PA) 51% (95% CI 42-61%), 39-65%), 28% 25-31%), respectively. This study demonstrated that nearly half workers experienced during pandemic. In included, non-frontline exposed also burnout. From high lower middle-income countries, there gradient in total burnout, EE, PA. Further on low lower-middle-income countries are suggested. A uniform diagnostic tool is warranted.

Language: Английский

Citations

186

The Psychological Impact of COVID-19 Pandemic on Health Care Workers: A Systematic Review and Meta-Analysis DOI Creative Commons
Ping Sun, Manli Wang, Tingting Song

et al.

Frontiers in Psychology, Journal Year: 2021, Volume and Issue: 12

Published: July 8, 2021

Objective: The COVID-19 epidemic has generated great stress throughout healthcare workers (HCWs). situation of HCWs should be fully and timely understood. aim this meta-analysis is to determine the psychological impact pandemic on health care workers. Method: We searched original literatures published from 1 Nov 2019 20 Sep 2020 in electronic databases PUBMED, EMBASE WEB OF SCIENCE. Forty-seven studies were included with a combined total 81,277 participants. Results: pooled prevalence anxiety 37% (95% CI 0.31–0.42, I 2 = 99.9%) 44 studies. Depression estimated 39 studies, depression 36% 0.31–0.41, 99.6%). There are 10 reported insomnia, overall insomnia 32% 0.23–0.42, 99.5%). subgroup analysis showed higher incidence among women frontline compared men non-frontline respectively. Conclusions: caused heavy professionals especially Timely counseling intervention ought implemented for order alleviate their improve general mental health.

Language: Английский

Citations

169

What We Have Learned from Two Decades of Epidemics and Pandemics: A Systematic Review and Meta-Analysis of the Psychological Burden of Frontline Healthcare Workers DOI Open Access
Isolde Martina Busch, Francesca Moretti,

Mariangela Mazzi

et al.

Psychotherapy and Psychosomatics, Journal Year: 2021, Volume and Issue: 90(3), P. 178 - 190

Published: Jan. 1, 2021

In light of the current coronavirus disease 2019 (COVID-19) pandemic and potential future infectious outbreaks, a comprehensive understanding negative effects epidemics pandemics on healthcare workers’ mental health could inform appropriate support interventions. Thus, we aimed to synthesize quantify psychological psychosomatic symptoms among frontline medical staff. We searched four databases up March 19, 2020 additional literature, with daily search alerts set until October 26, 2020. Studies reporting and/or workers caring for patients severe acute respiratory syndrome, H1N1, Ebola, Middle East or COVID-19 were eligible inclusion. Two reviewers independently conducted search, study selection, quality appraisal, data extraction, synthesis involved third reviewer in case disagreement. used random modeling estimate overall prevalence rates psychological/psychosomatic I2 statistic. included 86 studies, from 75,991 participants. Frontline staff showed wide range symptoms, including concern about transmitting virus family (60.39%, 95% CI 42.53–76.96), perceived stress (56.77%, 34.21–77.95), concerns own (45.97%, 31.08–61.23), sleeping difficulties (39.88%, 27.70–52.72), burnout (31.81%, 13.32–53.89), depression (25.72%, 18.34–33.86), anxiety (25.36%, 17.90–33.64), posttraumatic disorder (24.51%, 18.16–31.46), issues (23.11%, 15.98–31.10), somatization (14.68%, 10.67–19.18). found consistent evidence pervasive profound impact large-scale outbreaks workers. As CO­VID-19 crisis continues unfold, guaranteeing easy access structures entire workforce is vitally important.

Language: Английский

Citations

157

Factors Associated With Psychological Distress in Health-Care Workers During an Infectious Disease Outbreak: A Rapid Systematic Review of the Evidence DOI Creative Commons
Fuschia M. Sirois, Janine Owens

Frontiers in Psychiatry, Journal Year: 2021, Volume and Issue: 11

Published: Jan. 28, 2021

Objective: Health-care workers (HCW) are at risk for psychological distress during an infectious disease outbreak, such as the coronavirus pandemic, due to demands of dealing with a public health emergency. This rapid systematic review examined factors associated among HCW outbreak. Method: We systematically reviewed literature on (demographic characteristics, occupational, social, psychological, and infection-related factors) in outbreak (COVID-19, SARS, MERS, H1N1, H7N9, Ebola). Four electronic databases were searched (2000 15 November 2020) relevant peer-reviewed research according pre-registered protocol. A narrative synthesis was conducted identify fixed, modifiable, linked psychiatric morbidity. Results: From 4,621 records identified, 138 data from 143,246 139 studies included. All but two cross-sectional. The majority COVID-19 (k = 107, N 34,334) SARS 21, 18,096). Consistent evidence indicated that being female, nurse, experiencing stigma, maladaptive coping, having contact or infected patients, quarantine, HCW. Personal organizational social support, perceiving control, positive work attitudes, sufficient information about proper protection, training, resources, less distress. Conclusions: highlights key who most modifying reduce improve resilience. Recommendations increased receive early interventions ongoing monitoring because there is can persist up 3 years after Further needs track associations resilience over time extent which certain inter-related contribute sustained transient

Language: Английский

Citations

154

Coronavirus Disease 2019 Immediately Increases Burnout Symptoms in ICU Professionals: A Longitudinal Cohort Study* DOI
Niek Kok, Jelle van Gurp, Steven Teerenstra

et al.

Critical Care Medicine, Journal Year: 2021, Volume and Issue: 49(3), P. 419 - 427

Published: Jan. 28, 2021

OBJECTIVES: ICU professionals are at risk of developing burnout due to coronavirus disease 2019. This study assesses the prevalence and incidence symptoms moral distress in before during 2019 crisis. DESIGN: is a longitudinal open cohort study. SETTING: Five ICUs based single university medical center plus another adult on separate teaching hospital Netherlands. SUBJECTS: All were sent baseline survey October–December (252 respondents, response rate: 53%), follow-up was May–June 2020 (233 50%). INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Burnout measured with Maslach Inventory Moral Distress Scale, respectively. The 23.0% 36.1% postpeak time, higher rates nurses (38.0%) than physicians (28.6%). Reversely, rate new cases among (26.7%) (21.9%). Higher observed period (odds ratio, 1.83; 95% CI, 1.32–2.53), for 1.77; 1.03–3.04), working overtime ratio 2.11; 1.48–3.02), directly engaged care patients 1.87; 1.35–2.60). Physicians more likely develop 3.56; 1.06–12.21). CONCLUSIONS: shows that overburdening an extended time leads burnout. Working long hours under conditions scarcity staff, resources comes price professionals’ mental health.

Language: Английский

Citations

153

The new frontline: exploring the links between moral distress, moral resilience and mental health in healthcare workers during the COVID-19 pandemic DOI Creative Commons
Edward G. Spilg, Cynda Hylton Rushton, Jennifer L. Phillips

et al.

BMC Psychiatry, Journal Year: 2022, Volume and Issue: 22(1)

Published: Jan. 6, 2022

Global health crises, such as the COVID-19 pandemic, confront healthcare workers (HCW) with increased exposure to potentially morally distressing events. The pandemic has provided an opportunity explore links between moral distress, resilience, and emergence of mental symptoms in HCWs.A total 962 Canadian (88.4% female, 44.6 + 12.8 years old) completed online survey during first wave Canada (between April 3rd September 3rd, 2020). Respondents a series validated scales assessing perceived stress, anxiety, depression symptoms, resilience. were grouped based on patients who tested positive for COVID-19. In addition descriptive statistics analyses covariance, multiple linear regression was used evaluate if resilience moderates association events distress. Factors associated also assessed.Respondents working showed significantly more severe (F > 5.5, p < .020), higher proportion screened disorders (Chi-squared 9.1, = .002), compared not. Moral moderated relationship distress (p .001); those subgroup lowest had steeper cross-sectional worsening frequency increased. correlated lower (r .27, .001). independently stronger included: being male, older age, no disorder diagnosis, sleeping more, support from employers colleagues (B [0.02, |-0.26|].Elevated facing global crisis call development interventions promoting protective measure against adversities.

Language: Английский

Citations

136

Moral Injury and Moral Resilience in Health Care Workers during COVID-19 Pandemic DOI Creative Commons
Cynda Hylton Rushton,

Tessy Thomas,

Inga Antonsdottir

et al.

Journal of Palliative Medicine, Journal Year: 2021, Volume and Issue: 25(5), P. 712 - 719

Published: Oct. 22, 2021

Background: The 2019 coronavirus (COVID-19) pandemic placed unprecedented strains on the U.S. health care system, putting workers (HCWs) at increased risk for experiencing moral injury (MI). Moral resilience (MR), ability to preserve or restore integrity, has been proposed as a resource mitigate detrimental effects of MI among HCWs. Objectives: objectives this study were investigate prevalence HCWs, identify relationship factors that predict MI, and determine whether MR can act buffer against it. Design: Web-based exploratory survey. Setting/Subjects: HCWs from research network in mid-Atlantic region. Measurements: Survey items included: our outcome, Injury Symptoms Scale-Health Professional (MISS-HP), predictors including demographics, derived Rushton Resilience Scale (RMRS), ethical concerns index (ECI). Results: Sixty-five percent 595 respondents provided COVID-19 care. overall clinically significant was 32.4%; nurses reporting highest occurrence. Higher scores each ECI significantly positively associated with higher symptoms (p < 0.05). related following: score, religious affiliation, having ≥20 years their profession. moderator effect experience MI. Conclusions: are during pandemic. offers promising individual impact Further is needed understand how cultivate MR, reduce ECI, other systems level prevent

Language: Английский

Citations

119