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. 2021 Mar 1;49(3):419-427.
doi: 10.1097/CCM.0000000000004865.

Coronavirus Disease 2019 Immediately Increases Burnout Symptoms in ICU Professionals: A Longitudinal Cohort Study

Niek Kok  1 , Jelle van Gurp  1 , Steven Teerenstra  2 , Hans van der Hoeven  3 , Malaika Fuchs  4 , Cornelia Hoedemaekers  3 , Marieke Zegers  3
Affiliations

Coronavirus Disease 2019 Immediately Increases Burnout Symptoms in ICU Professionals: A Longitudinal Cohort Study

Niek Kok et al. Crit Care Med. .

Abstract

Objectives: ICU professionals are at risk of developing burnout due to coronavirus disease 2019. This study assesses the prevalence and incidence of burnout symptoms and moral distress in ICU professionals before and during the coronavirus disease 2019 crisis.

Design: This is a longitudinal open cohort study.

Setting: Five ICUs based in a single university medical center plus another adult ICU based on a separate teaching hospital in the Netherlands.

Subjects: All ICU professionals were sent a baseline survey in October-December 2019 (252 respondents, response rate: 53%), and a follow-up survey was sent in May-June 2020 (233 respondents, response rate: 50%).

Interventions: None.

Measurements and main results: Burnout symptoms and moral distress measured with the Maslach Burnout Inventory and the Moral Distress Scale, respectively. The prevalence of burnout symptoms was 23.0% before coronavirus disease 2019 and 36.1% at postpeak time, with higher rates in nurses (38.0%) than in physicians (28.6%). Reversely, the incidence rate of new burnout cases among physicians was higher (26.7%) than nurses (21.9%). Higher prevalence of burnout symptoms was observed in the postpeak coronavirus disease 2019 period (odds ratio, 1.83; 95% CI, 1.32-2.53), for nurses (odds ratio, 1.77; 95% CI, 1.03-3.04), for professionals working overtime (odds ratio 2.11; 95% CI, 1.48-3.02), and for professionals directly engaged with care for coronavirus disease 2019 patients (odds ratio, 1.87; 95% CI, 1.35-2.60). Physicians were more likely than nurses to develop burnout symptoms due to coronavirus disease 2019 (odds ratio, 3.56; 95% CI, 1.06-12.21).

Conclusions: This study shows that overburdening of ICU professionals during an extended period of time leads to symptoms of burnout. Working long hours and under conditions of scarcity of staff, time, and resources comes at the price of ICU professionals' mental health.

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Conflict of interest statement

Mr. Kok’s and Dr. Zegers’ institution received funding from ZonMw. Dr. Van Gurp’s institution received funding from the Netherlands Organisation for Health Research and Development/National Health Care Institute and the Dutch Cancer Society; he received support for article research from the Netherlands Organisation for Health Research and Development; and he disclosed government work. The remaining authors have disclosed that they do not have any potential conflicts of interest.

References

    1. Azoulay E, Cariou A, Bruneel F, et al. Symptoms of anxiety, depression, and peritraumatic dissociation in critical care clinicians managing patients with COVID-19. A cross-sectional study. Am J Respir Crit Care Med. 2020; 202:1388–1398
    1. Bell M, Sheridan A. How organisational commitment influences nurses’ intention to stay in nursing throughout their career. Int J Nurs Stud Adv. 2020; 2:100007
    1. Pfefferbaum B, North CS. Mental health and the Covid-19 pandemic. N Engl J Med. 2020; 383:510–512
    1. The Lancet. COVID-19: Protecting health-care workers. Lancet. 2020; 395:922
    1. Simons G, Baldwin DS. Covid-19: Doctors must take control of their wellbeing. BMJ. 2020; 369:m1725

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