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. 2021 Jan 17;11(1):e045127.
doi: 10.1136/bmjopen-2020-045127.

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

Antonio Lasalvia  1   2 , Francesco Amaddeo  2   3 , Stefano Porru  4 , Angela Carta  4 , Stefano Tardivo  5 , Chiara Bovo  6 , Mirella Ruggeri  7   2 , Chiara Bonetto  2
Affiliations

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

Antonio Lasalvia et al. BMJ Open. .

Abstract

Objective: To determine burn-out levels and associated factors among healthcare personnel working in a tertiary hospital of a highly burdened area of north-east Italy during the COVID-19 pandemic.

Design: Observational study conducted from 21 April to 6 May 2020 using a web-based questionnaire.

Setting: Research conducted in the Verona University Hospital (Veneto, Italy).

Participants: Out of 2195 eligible participants, 1961 healthcare workers with the full range of professional profiles (89.3%) completed the survey.

Primary outcome measure: Levels of burn-out, assessed by the Maslach Burnout Inventory-General Survey (MBI-GS). Multivariable logistic regression analysis was performed to identify factors associated with burn-out in each MBI-GS dimension (emotional exhaustion, EX; professional efficacy, EF; cynicism, CY).

Results: Overall, 38.3% displayed high EX, 46.5% low EF and 26.5% high CY. Burn-out was frequent among staff working in intensive care units (EX 57.0%; EF 47.8%; CY 40.1%), and among residents (EX 34.9%; EF 63.9%; CY 33.4%) and nurses (EX 49.2%; EF 46.9%; CY 29.7%). Being a resident increased the risk of burn-out (by nearly 2.5 times) in all the three MBI subscales and being a nurse increased the risk of burn-out in the EX dimension in comparison to physicians. Healthcare staff directly engaged with patients with COVID-19 showed more EX and CY than those working in non-COVID wards. Finally, the risk of burn-out was higher in staff showing pre-existing psychological problems, in those having experienced a COVID-related traumatic event and in those having experienced interpersonal avoidance in the workplace and personal life.

Conclusions: Burn-out represents a great concern for healthcare staff working in a large tertiary hospital during the COVID-19 pandemic and its impact is more burdensome for front-line junior physicians. This study underlines the need to carefully address psychological well-being of healthcare workers to prevent the increase of burn-out in the event of a new COVID-19 healthcare emergency.

Keywords: adult psychiatry; human resource management; organisation of health services.

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Conflict of interest statement

Competing interests: None declared.

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References

    1. Kisely S, Warren N, McMahon L, et al. . Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare workers: rapid review and meta-analysis. BMJ 2020;369:m1642. 10.1136/bmj.m1642 - DOI - PMC - PubMed
    1. Pappa S, Ntella V, Giannakas T, et al. . Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. Brain Behav Immun 2020;88:901–7. 10.1016/j.bbi.2020.05.026 - DOI - PMC - PubMed
    1. Chew NWS, Lee GKH, Tan BYQ, et al. . A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain Behav Immun 2020;88:559–65. 10.1016/j.bbi.2020.04.049 - DOI - PMC - PubMed
    1. Bradley M, Chahar P. Burnout of healthcare providers during COVID-19. Cleve Clin J Med 2020. 10.3949/ccjm.87a.ccc051. [Epub ahead of print: 09 Jul 2020]. - DOI - PubMed
    1. Leiter MP, Maslach C. Areas of worklife: a structured approach to organizational predictors of job burnout : Perrewé P, Ganster DC, Research in occupational stress and well-being. 3 Oxford, UK: Elsevier, 2003: 91–134.