Burnout Among Healthcare Workers in the COVID 19 Era: A Review of the Existing Literature

Frontiers in Public Health - Tập 9
Carlo Giacomo Leo1, Saverio Sabina1, Maria Rosaria Tumolo2, Alessandro Bodini3, Giuseppe Ponzini2, Eugenio Sabato2,4, Pierpaolo Mincarone2
1Institute of Clinical Physiology, National Research Council, Lecce, Italy
2Institute for Research on Population and Social Policies, National Research Council, Brindisi, Italy
3Institute for Applied Mathematics and Information Technologies "E. Magenes," National Research Council, Milan, Italy
4Respiratory Diseases Unit, "A. Perrino" P.O., Brindisi, Italy

Tóm tắt

In the current period of global public health crisis due to the COVID-19, healthcare workers are more exposed to physical and mental exhaustion – burnout – for the torment of difficult decisions, the pain of losing patients and colleagues, and the risk of infection, for themselves and their families. The very high number of cases and deaths, and the probable future “waves” raise awareness of these challenging working conditions and the need to address burnout by identifying possible solutions. Measures have been suggested to prevent or reduce burnout at individual level (physical activity, balanced diet, good sleep hygiene, family support, meaningful relationships, reflective practices and small group discussions), organizational level (blame-free environments for sharing experiences and advices, broad involvement in management decisions, multi-disciplinary psychosocial support teams, safe areas to withdraw quickly from stressful situations, adequate time planning, social support), and cultural level (involvement of healthcare workers in the development, implementation, testing, and evaluation of measures against burnout). Although some progress has been made in removing the barrier to psychological support to cope with work-related stress, a cultural change is still needed for the stigma associated with mental illness. The key recommendation is to address the challenges that the emergency poses and to aggregate health, well-being and behavioral science expertise through long term researches with rigorous planning and reporting to drive the necessary cultural change and the improvement of public health systems.

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Tài liệu tham khảo

Maslach, 2016, Understanding the burnout experience: recent research and its implications for psychiatry, World Psychiatry., 15, 103, 10.1002/wps.20311

Rodrigues, 2018, Burnout syndrome among medical residents: a systematic review and meta-analysis, PLoS ONE., 13, e0206840, 10.1371/journal.pone.0206840

Kunda, 2006, Engineering Culture

Freudenberger, 1974, Staff Burn-Out, J Soc Issues., 30, 159, 10.1111/j.1540-4560.1974.tb00706.x

Rotenstein, 2018, Prevalence of Burnout Among Physicians: A Systematic Review, JAMA., 320, 1131, 10.1001/jama.2018.12777

Coronavirus disease 2019 (COVID-19): situation reportGeneva PP - GenevaWorld Health Organization51

WHO Coronavirus (COVID-19) Dashboard

Planas, 2021, Reduced sensitivity of SARS-CoV-2 variant Delta to antibody neutralization, Nature, 596, 276, 10.1038/s41586-021-03777-9

Denning, 2021, Determinants of burnout and other aspects of psychological well-being in healthcare workers during the Covid-19 pandemic: a multinational cross-sectional study, PLoS ONE., 16, e0238666, 10.1371/journal.pone.0238666

Elghazally, 2021, Burnout impact of COVID-19 pandemic on health-care professionals at assiut university hospitals, 2020, Int J Environ Res Public Health, 18, 5368, 10.3390/ijerph18105368

Tuan, 2021, Prevalence and factors associated with psychological problems of healthcare workforce in vietnam: findings from COVID-19 hotspots in the national second wave, Healthc, 9, 718, 10.3390/healthcare9060718

2020, COVID-19: protecting health-care workers, Lancet., 395, 922, 10.1016/S0140-6736(20)30644-9

Søvold, 2021, Prioritizing the mental health and well-being of healthcare workers: an urgent global public health priority, Front Public Heal., 9, 514, 10.3389/fpubh.2021.679397

Zoorob, 2021, Insight into resident burnout, mental wellness, and coping mechanisms early in the COVID-19 pandemic, PLoS ONE., 16, e0250104, 10.1371/journal.pone.0250104

Lasalvia, 2021, Levels of burn-out among healthcare workers during the COVID-19 pandemic and their associated factors: a cross-sectional study in a tertiary hospital of a highly burdened area of north-east Italy, BMJ Open., 11, e045127, 10.1136/bmjopen-2020-045127

Greenhalgh, 2018, Time to challenge the spurious hierarchy of systematic over narrative reviews?, Eur J Clin Invest., 48, e12931, 10.1111/eci.12931

Wiederhold, 2018, Intervention for physician burnout: a systematic review, Open Med., 13, 253, 10.1515/med-2018-0039

Kalmoe, 2019, Physician suicide: a call to action, Mo Med., 116, 211

Gramaglia, 2021, The mental health impact of 2019-nCOVID on healthcare workers from north-eastern piedmont, Italy. Focus on burnout front public, Heal., 9, 667379, 10.3389/fpubh.2021.667379

Prasad, 2021, Prevalence and correlates of stress and burnout among US healthcare workers during the COVID-19 pandemic: a national cross-sectional survey study, E Clin Med., 35, 100879, 10.1016/j.eclinm.2021.100879

Kola, 2021, COVID-19 mental health impact and responses in low-income and middle-income countries: reimagining global mental health, Lancet Psychiatry., 8, 535, 10.1016/S2215-0366(21)00025-0

Lancet, 2017, Suicide among health-care workers: time to act, Lancet., 389, 2, 10.1016/S0140-6736(17)30005-3

Sahebi, 2021, The prevalence of anxiety and depression among healthcare workers during the COVID-19 pandemic: an umbrella review of meta-analyses, Prog Neuropsychopharmacol Biol Psychiatry., 107, 110247, 10.1016/j.pnpbp.2021.110247

Marvaldi, 2021, Anxiety, depression, trauma-related, and sleep disorders among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis, Neurosci Biobehav Rev., 126, 252, 10.1016/j.neubiorev.2021.03.024

Brower, 2021, Professional stigma of mental health issues: physicians are both the cause and solution, Acad Med., 96, 635, 10.1097/ACM.0000000000003998

Schernhammer, 2005, Taking their own lives — the high rate of physician suicide, N Engl J Med., 352, 2473, 10.1056/NEJMp058014

Dutheil, 2019, Suicide among physicians and health-care workers: a systematic review and meta-analysis, PLoS ONE., 14, e0226361, 10.1371/journal.pone.0226361

Jahan, 2021, COVID-19 suicide and its causative factors among the healthcare professionals: case study evidence from press reports, Perspect Psychiatr Care., 57, 1707, 10.1111/ppc.12739

Salyers, 2017, The relationship between professional burnout and quality and safety in healthcare: a meta-analysis, J Gen Intern Med., 32, 475, 10.1007/s11606-016-3886-9

Tawfik, 2019, Evidence relating health care provider burnout and quality of care: a systematic review and meta-analysis, Ann Intern Med., 171, 555, 10.7326/M19-1152

Shanafelt, 2017, The business case for investing in physician well-being, JAMA Intern Med., 177, 1826, 10.1001/jamainternmed.2017.4340

West, 2016, Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis, Lancet., 388, 2272, 10.1016/S0140-6736(16)31279-X

Heath, 2020, Resilience strategies to manage psychological distress among healthcare workers during the COVID-19 pandemic: a narrative review, Anaesthesia., 75, 1364, 10.1111/anae.15180

2020, Mental health and psychosocial considerations during the COVID-19 outbreak, 18 March 2020, World Health Organization.

Treluyer, 2021, Burnout among paediatric residents during the COVID-19 outbreak in France, Eur J Pediatr., 180, 627, 10.1007/s00431-020-03907-x

Zhang, 2021, Physical relaxation for occupational stress in healthcare workers: A systematic review and network meta-analysis of randomized controlled trials, J Occup Health., 63, e12243, 10.1002/1348-9585.12243

Rieckert, 2021, How can we build and maintain the resilience of our health care professionals during COVID-19? Recommendations based on a scoping review, BMJ Open., 11, e043718, 10.1136/bmjopen-2020-043718

Batalden, 2016, Coproduction of healthcare service, BMJ Qual Saf., 25, 509, 10.1136/bmjqs-2015-004315

Epstein, 2016, Doing something about physician burnout, Lancet., 388, 2216, 10.1016/S0140-6736(16)31332-0

Moutier, 2018, Physician mental health: an evidence-based approach to change, J Med Regul., 104, 7, 10.30770/2572-1852-104.2.7

Hengerer, 2018, FSMB efforts on physician wellness and burnout, J Med Regul., 104, 14, 10.30770/2572-1852-104.2.14

Feist, 2020, Stigma Compounds the Consequences of Clinician Burnout During COVID-19: A Call to Action to Break the Culture of Silence. NAM Perspectives

Wei, 2021, Nine lessons learned from the COVID-19 pandemic for improving hospital care and health care delivery, JAMA Intern Med., 181, 1161, 10.1001/jamainternmed.2021.4237

Serrano-Ripoll, 2020, Impact of viral epidemic outbreaks on mental health of healthcare workers: a rapid systematic review and meta-analysis, J Affect Disord., 277, 347, 10.1016/j.jad.2020.08.034

Pollock, 2020, Interventions to support the resilience and mental health of frontline health and social care professionals during and after a disease outbreak, epidemic or pandemic: a mixed methods systematic review. Cochrane database, Syst Rev., 11, CD013779, 10.1002/14651858.CD013779

Amanullah, 2020, The impact of COVID-19 on physician burnout globally: a review, Healthc, 8, 421, 10.3390/healthcare8040421

Babamiri, 2020, Research on reducing burnout in health care workers in critical situations such as the COVID-19 outbreak, Work., 66, 379, 10.3233/WOR-203189

Hoffmann, 2014, Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide, BMJ., 348, g1687, 10.1136/bmj.g1687

Salazar de Pablo, 2020, Impact of coronavirus syndromes on physical and mental health of health care workers: Systematic review and meta-analysis, J Affect Disord., 275, 48, 10.1016/j.jad.2020.06.022

Luo, 2020, The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public - a systematic review and meta-analysis, Psychiatry Res., 291, 113190, 10.1016/j.psychres.2020.113190

Salari, 2020, The prevalence of stress, anxiety and depression within front-line healthcare workers caring for COVID-19 patients: a systematic review and meta-regression, Hum Resour Health., 18, 100, 10.1186/s12960-020-00544-1

Marchalik, 2020, Addressing Burnout Among Health Care Professionals by Focusing on Process Rather Than Metrics, JAMA Heal Forum., 1, e201161, 10.1001/jamahealthforum.2020.1161

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Frontiers in Public Health

Tập 9

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