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. 2021 Nov 23;9(1):94-105.
doi: 10.3934/publichealth.2022008. eCollection 2022.

Nursing staff fatigue and burnout during the COVID-19 pandemic in Greece

Christos Sikaras  1   2 , Ioannis Ilias  3 , Athanasios Tselebis  4 , Argyro Pachi  4 , Sofia Zyga  2 , Maria Tsironi  2 , Andrea Paola Rojas Gil  2 , Aspasia Panagiotou  2
Affiliations

Nursing staff fatigue and burnout during the COVID-19 pandemic in Greece

Christos Sikaras et al. AIMS Public Health. .

Abstract

Introduction: The coronavirus pandemic (COVID-19) is an unprecedented global health crisis with emotional and physical impact on health care workers.

Objective: The purpose of this study was to investigate the levels of fatigue and burnout in nursing staff during the pandemic.

Methods: The present study involved nursing staff from hospitals in Greece in February 2021, who completed the Fatigue (FAS) and Burnout (CBI) questionnaires. Gender, age, years of work experience, workplace (COVID-19 or non-COVID-19 wards) and SARS-CoV-2 infection status were recorded.

Results: The sample included 593 women and 108 men, with a mean age ± SD: 42.9 ± 9.9 years and 18.14 ± 10.8 years work experience. Slightly more than half, (367, 52.4%) worked in COVID-19 departments. Fifty-six (8%) tested positive for SARS-CoV-2 and 14 of them needed to be treated. The mean ± SD FAS and CBI scores were 25.6 ± 7.4 and 46.9 ± 18.8, respectively (67.9% and 42.9% had scores suggestive of fatigue and burnout, respectively). Women showed higher values in both scales (p < 0.01). Subjects working in COVID-19 wards scored significantly higher on both the FAS and CBI scales; they were also younger and with less work experience (p < 0.01). Staff treated for COVID-19 scored higher on the burnout scale (p < 0.01) than the uninfected staff. Fatigue showed a strong positive correlation with burnout (p < 0.01, r = 0.70). Stepwise multiple regression showed that the variation of fatigue was explained by 47.0% and 6.1% by the scores on the subscales of personal and work-related burnout, respectively.

Conclusion: In conclusion, high rates of fatigue and burnout were found in the studied population. Nurses working with COVID-19 patients had higher rates of fatigue and burnout compared to those working elsewhere. There was a strong positive correlation (r = 0.70) between burnout and fatigue. Particular attention should be paid to staff who became ill and need to be treated.

Keywords: COVID-19; burnout; fatigue; nurses.

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Conflict of interest statement

Conflict of interest: All authors declare no conflict of interest.

Figures

Figure 1.
Figure 1.. Mediation analysis diagram for workplace (COVID-19/non-COVID-19), gender (men vs women), CBI tot and FAS; regression coefficients with standard errors in parentheses.
See this image and copyright information in PMC

References

    1. Jarrahi A, Ahluwalia M, Khodadadi H, et al. Neurological consequences of COVID-19: what have we learned and where do we go from here? J Neuroinflammation. 2020;17:286. - PMC - PubMed
    1. Burkhart Sasangohar F, Jones SL, Masud FN, et al. Provider burnout and fatigue during the COVID-19 pandemic: lessons learned from a high-volume intensive care unit. Anesth Analg. 2020;131:106–111. - PMC - PubMed
    1. Stedman T. Stedman's medical dictionary. 28 Eds. Dalcassian publishing company; 2005.
    1. Zhan YX, Zhao SY, Yuan J, et al. Prevalence and influencing factors on fatigue of first-line nurses combating with COVID-19 in China: a descriptive cross-sectional study. Curr Med Sci. 2020;40:625–635. - PMC - PubMed
    1. Graham KC, Cvach M. Monitor alarm fatigue: standardizing use of physiological monitors and decreasing nuisance alarms. Am J Crit Care. 2010;19:28–34. - PubMed

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