Features of the mental state of doctors of various specialties during the COVID-19 pandemic.

In the context of the COVID-19 pandemic, the burden on healthcare professionals at all levels has increased significantly, especially those who are at the forefront of the fight for patients' lives. Physicians directly caring for COVID-19 patients are exposed to excessive stress and significant biological and psychosocial risk. Objective. To identify the features of the mental state of doctors of various specialties during the COVID-19 pandemic. Material and methods. The study included 85 doctors of the Arkhangelsk region: 41 anesthesiologists/intensive care physicians (mean age 32.4+/-5.0 years) and 44 general practitioners (mean age 38.9+/-4.2 years). The study was conducted during the third wave of the COVID-19 pandemic (from May to June 2021). We used the following study methods: questionnaire, psychological testing (K. Maslach and S. Jackson Burnout Inventory (MBI), Beck's Depression Inventory, Perceived Stress Scale, World Health Organisation-Five Well-Being Index), mathematical and statistical processing of empirical data. Results and discussion. Analysis of the results showed that about half of the surveyed general practitioners and only 3 (7.3%) of the anesthesiologists/intensive care physicians had a history of COVID-19, having contracted it while performing professional duties. Manifestations of maladaptation, such as low professional competence, lack of soft skills, aggressiveness, introversion, risktaking, recklessness, and family problems, are more pronounced in anesthesiologists/intensive care physicians. They were more likely to have negative emotions and feelings, were less satisfied with themselves and life in general, and had a lower well-being index than general practitioners. General practitioners overestimated their professional burnout severity and more often complained about their state of health. Correlation analysis of the examination results for anesthesiologists/intensive care physicians allowed us to identify direct relationships between the level of perceived stress, overstrain and depression, low mood, difficulties in relationships with relatives and colleagues, dissatisfaction with various aspects of life, inverse relationships between the level of perceived stress and the well-being index. In general practitioners, direct relationships were established between perceived stress and overexertion, and inverse relationships were established between the level of perceived stress, the well-being index, and the reduction of personal achievements. Conclusion. The COVID-19 pandemic negatively impacts anesthesiologists/intensive care physicians more than general practitioners, causing negative emotions and maladaptation. In primary care physicians, the pandemic increases mobilization processes to address emerging professional challenges. Therefore, special attention should be paid to psychological support for anesthesiologists/intensive care physicians.Copyright © 2023, Media Sphera Publishing Group. All rights reserved.

Consensus of Chinese experts on the work and demonstration of online Balint groups working committee on doctor-patient relationship, Chinese psychiatrist association, Chinese medical doctor association.

Balint group helps health professionals to get emotional support and different perspectives of feedback, inspire reflection, and alleviate job burnout. During the outbreak of COVID-19, it was difficult for medical staff to carry out the traditional form of in person Balint group. Referring to the work of international pilot online Balint group, leaders of Balint group all over China have accumulated some experience and encountered new problems by using the internet to carry out discussion. In order to assist and standardize the work of online Balint group and enrich the ways of expanding Balint work, the Working Committee on Doctor-patient Relationship, Chinese Psychiatrist Association, Chinese Medical Doctor Association organized experts to have two rounds of discussion, and developed the consensus on: Principles and forms of online Balint group, the way of using web platforms for demonstration and learning, matters needing attention, the future development, and so on.Copyright © 2021, Peking Union Medical College Hospital. All rights reserved.

An Update on Professional Burnout and Conflict-Work from the Aua Workforce Workgroup

INTRODUCTION AND OBJECTIVE: Urologists are experiencing burnout at an alarming rate. With this, the American urologic Association (AUA) has continued to collect various pertinent workforce metrics in the annual census. Here the AUA Workforce Workgroup compares the latest data collected in the census related to burnout, comparing these metrics over time. METHOD(S): The AUA Workforce Workgroup examined the annual census results since 2016. The AUA sends out an annual census to all practicing urologists. The census works to collect demographic and geographic data, in addition to collecting answers to other pertinent questions from practicing urologists. Particular to this study, burnout related data was examined from the past 5 years. Examined metrics included burnout assess across age and gender, effect of COVID on burnout, work-personal life conflict across demographic groups. RESULT(S): In 2021, 36.7% of urologists report burnout compared to 36.2% in 2016. When assessing by gender, burnout in men decreased from 36.3% to 35.2%, but increased in women from 35.3% to 49.2%. When examined by age, the largest increases in burnout were seen in the<45 years old group, increasing from 37.9% to 44.8%, followed by 45-54 years old, 43.4% to 44.6%. Those over age 55 either had a decrease or stable burnout. When asked about the effect of COVID-19 on burnout, 54% of urologists didn't feel COVID-19 impacted burnout. When considering work-life conflicts, 25.0% of men and 4.6% of women reported no conflict between work and personal responsibilities, while 25.7% of men and 44.7% of women resolved conflicts in favor of work or were unable to resolve them. Respondents were then asked how satisfied they were with work-life balance, where 22.5% of men, and 37.1% of women responded dissatisfied. Similarly, 33.6% of males reported their work schedule does not leave enough time for personal/family life, compared to 57.5% of females. CONCLUSION(S): Overall, urologists have higher burnout now when compared to 2016. The gender discrepancy has vastly widened with women experiencing burnout at an increased rate compared to 2016, while burnout in men decreased. Burnout has increased the most in younger urologists, with the highest increase seen in those<45 years old. Further action is needed to substantiate the causes of burnout. (Figure Presented).

Features of the mental state of doctors of various specialties during the COVID-19 pandemic.

In the context of the COVID-19 pandemic, the burden on healthcare professionals at all levels has increased significantly, especially those who are at the forefront of the fight for patients' lives. Physicians directly caring for COVID-19 patients are exposed to excessive stress and significant biological and psychosocial risk. Objective. To identify the features of the mental state of doctors of various specialties during the COVID-19 pandemic. Material and methods. The study included 85 doctors of the Arkhangelsk region: 41 anesthesiologists/intensive care physicians (mean age 32.4+/-5.0 years) and 44 general practitioners (mean age 38.9+/-4.2 years). The study was conducted during the third wave of the COVID-19 pandemic (from May to June 2021). We used the following study methods: questionnaire, psychological testing (K. Maslach and S. Jackson Burnout Inventory (MBI), Beck's Depression Inventory, Perceived Stress Scale, World Health Organisation-Five Well-Being Index), mathematical and statistical processing of empirical data. Results and discussion. Analysis of the results showed that about half of the surveyed general practitioners and only 3 (7.3%) of the anesthesiologists/intensive care physicians had a history of COVID-19, having contracted it while performing professional duties. Manifestations of maladaptation, such as low professional competence, lack of soft skills, aggressiveness, introversion, risktaking, recklessness, and family problems, are more pronounced in anesthesiologists/intensive care physicians. They were more likely to have negative emotions and feelings, were less satisfied with themselves and life in general, and had a lower well-being index than general practitioners. General practitioners overestimated their professional burnout severity and more often complained about their state of health. Correlation analysis of the examination results for anesthesiologists/intensive care physicians allowed us to identify direct relationships between the level of perceived stress, overstrain and depression, low mood, difficulties in relationships with relatives and colleagues, dissatisfaction with various aspects of life, inverse relationships between the level of perceived stress and the well-being index. In general practitioners, direct relationships were established between perceived stress and overexertion, and inverse relationships were established between the level of perceived stress, the well-being index, and the reduction of personal achievements. Conclusion. The COVID-19 pandemic negatively impacts anesthesiologists/intensive care physicians more than general practitioners, causing negative emotions and maladaptation. In primary care physicians, the pandemic increases mobilization processes to address emerging professional challenges. Therefore, special attention should be paid to psychological support for anesthesiologists/intensive care physicians.Copyright © 2023, Media Sphera Publishing Group. All rights reserved.

Senior Vs. Junior Urology Trainees: Factors Associated with Burnout

INTRODUCTION AND OBJECTIVE: Burnout is one of the many challenges physicians may face in their careers. While there are studies focusing on burnout among surgical specialties, there are limited studies focusing on burn out at different levels of training. The aim of this study is to measure and compare rates of burnout between junior and senior trainees in urological surgery as well as to identify changes in training that could be made to improve work-life balance. METHOD(S): To assess professional burnout, respondents completed the 22-item Maslach Burnout Inventory Human Services Survey as part of the 2019 AUA census. Respondents were categorized into junior trainees (PGY1, PGY2, PGY3) and senior trainees (PGY4, PGY5, and fellow). RESULT(S): A total of 512 respondents were included. Senior trainees represented 57% while junior trainees represented 43% of the total cohort. The prevalence of burnout (p=0.005) and high levels of depersonalization (p=0.018) were 50% in junior trainees and 38% in senior trainees. High levels of emotional exhaustion were 9% for junior and 5% for senior trainees (p=0.053) (Table 1). The top changes to improve work life balance for urology trainees were access to meal plans, on-call rooms, and time to attend health appointments (Figure 1). CONCLUSION(S): Juniors experience higher levels of burnout, depersonalization, and emotional exhaustion when compared to seniors. Providing meal plans, on-call quarters, and time to attend health appointments are the top changes to improve work-life balance among urology trainees. These changes may have a dramatic impact on the well-being of our trainees, especially in this post-COVID era. (Figure Presented).

Tackling the First COVID-19 Wave at the Cape Town Hospital of Hope: Why Was It Such a Positive Experience for Staff?

Background: In contrast to alarming reports of exhaustion and burnout amongst healthcare workers in the first wave of the COVID-19 pandemic, we noticed surprisingly positive staff experiences of working in a COVID-19 field hospital in South Africa. The 862-bed "Hospital of Hope" was established at the Cape Town International Convention Centre specifically to cope with the effects of the first wave of the COVID-19 pandemic in Cape Town. Methods: We aimed to systematically describe and assess the effects on staff and the local health system. A cross-sectional descriptive study design was employed using mixed methods including record reviews and interviews with key informants. Results: Quantitative results confirmed high job satisfaction and low staff infection rates. The emerging themes from the qualitative data are grouped around a "bull's eye" of the common purpose of person-centeredness, from both patient and staff perspectives, and include staff safety and support, rapid communication, continuous learning and adaptability, underpinned by excellent teamwork. The explanations for the positive feedback included good disaster planning, adequate resources, and an extraordinary responsiveness to the need. Conclusions: The "Hospital of Hope" staff experience produced valuable lessons for designing and managing routine health services outside of a disaster. The adaptability and responsiveness of the facility and its staff were largely a product of the unprecedented nature of the pandemic, but such approaches could benefit routine health services enormously, as individual hospitals and health facilities realize their place in a system that is "more than the sum of its parts".

INFLUENCE OF ORGANIZATIONAL FACTORS ON THE FORMATION OF MENTAL MALADAPTATION IN MEDICAL WORKERS DURING THE PANDEMIC OF A NEW CORONAVIRUS INFECTION COVID-19

The aim of the study is to analyze the modern foreign and domestic scientific literature devoted to the influence of pro-duction factors on the formation of mental maladaptation in medical workers, as well as possible methods of its prevention and curing. Materials and research methods. Scientific studies of negative psychological reactions and manifestations of mental disorders in medical workers of various profiles in the COVID-19 pandemic were analyzed. The search protocol included the use of various databases, including PubMed;Russian information and analytical portal in science, technology, medicine, and education — eLIBRARY.ru;open-access statistical reporting data;and official websites of scientific journals on the subjects under study. Study results and their analysis. The results of the study showed that most medical professionals experienced stress caused by organizational factors such as a lack of personal protective equipment (PPE), fears of not being able to receive quality medical care if they were sent to work elsewhere, fears of rapidly changing context, lack of access to current information and communication, lack of special medications, shortage of ventilators and beds in intensive care units In the conditions of regular health care work, most of the professionals noted tension in the process of performing professional duties, exceeding their physical and mental capacities, which was one of the main reasons for anxiety, nervousness or stress at work. © Burnasyan FMBC FMBA.

Features of Anesthesiologists-Reanimatologists' Emotional States in Different COVID-19 Pandemic Periods in Russia

Introduction: The COVID-19 pandemic is one of the most stressful events in recent times. Medical professionals, including anesthesiologists-reanimatologists, suffered the main blow in this difficult and stressful environment. Aim(s): This study aimed at identifying the features of anesthesiologists-reanimatologists' emotional states in different COVID-19 pandemic periods. Method(s): The study was conducted through an anonymous questionnaire among anesthesiologists-reanimatologists in two periods. In the First stage - which was carried out in May 2020 (during the first COVID-19 pandemic wave) - 58 anesthesiologists-reanimatologists in the Arkhangelsk region took part. During the Second segment - which took place in October 2020 (in the second COVID-19 pandemic wave) - 43 anesthesiologistsreanimatologists were examined. Repeated questioning was carried out among the same participants. Result(s): In October 2020, compared to May, the number of doctors who noted a high intensity of professional activity increased. Regardless of the study period, one-third of the subjects experienced constant pronounced anxiety. Anesthesiologists-reanimatologists, whose professional activity was directly related to the patients in COVID-19 care, noted a poorer emotional state more frequently in October, accompanied by anxiety, depressed mood, irritability and a high burnout level, which may indicate a depletion of internal resources in this group. Conclusion(s): The study results showed that for anesthesiologists-reanimatologists, a further depletion of emotional resources accompanied the second pandemic wave. The anesthesiologists-reanimatologists' emotional state was mediated by a number of social and gender factors, as well as specific labor organization features.Copyright © 2022 The Authors. Published by Semmelweis University, Institute of Mental Health, Budapest.

Using participatory management to empower nurses to identify and prioritize the drivers of their burnout

Background: The coronavirus disease 2019 (COVID-19) pandemic contributed to intensified nurse burnout. Workplace factors influence burnout, requiring organizational-level action to mitigate this problem. Aim: To inform immediate and long-term organizational tactics, we created workforce-informed recommendations for addressing burnout by engaging our nursing workforce to identify and prioritize the factors driving their burnout. Methods: We creatively applied the participatory management LISTEN-SORT-EMPOWER model to gather nurse views on burnout, capturing data through focus group sessions and mobile app postings. We coded findings through thematic and sentiment analysis, and participants ranked these results to prioritize the factors of their burnout. Results: We collected 80 h of feedback and 603 app comments, resulting in 800,000+ words. Our analysis identified twelve drivers of burnout, including three themes: (1) Staffing shortages (660;43.8%);(2) Environment and culture (548;36.4%);(3) Total compensation (299;19.8%). Additionally, 1300+ nurses chose income, workload/stress injury, and work schedule as uppermost priorities for addressing their burnout. Conclusions: Through novel project methods, leaders embraced participatory management to actively partner with nurses in identifying the drivers of nurse burnout. Healthcare organizations can design relevant and effective interventions to lessen clinician burnout by directly engaging and partnering with those experiencing burnout. © 2023 Informa UK Limited, trading as Taylor & Francis Group.

Pandemic Covid-19 and the risk of burnout among health personnel at Hassan II Hospital in Agadir, Morocco

Introduction: Burnout is a psychological syndrome resulting from chronic exposure to stress. Health care personnel are strongly impacted by this phenomenon during the Covid-19 pandemic. The objective of this work is to evaluate the prevalence of professional, personal and relational burnout and the associated factors among health personnel at Hassan II Hospital in Agadir. Material(s) and Method(s): This is an exhaustive cross-sectional study with descriptive and analytical aims carried out among staff working at the Hassan II Hospital. The data collection used the construction of a web questionnaire on the Google Forms platform. The evaluation of the risk of burnout was done by the Copenhagen Burnout Inventory (CBI) questionnaire. This questionnaire consists of 19 questions rated from 0 to 4. Preliminary Results: Of the 124 participants, 58.1% were women;the average age was 29, 3+/-2 years. 39.2% of patients had comoridities: dominated by anxiety (17.7) %, sleep disorders (16.3%) and depression (9.7%). 48.8% had a mild form of COVID-19 while only 2.8% had a severe form. 58.1% were on call at Covid-19, 42% of participants reported working between 35 and 48 hours per week, 32.3% were on call at least 8 times per month. Personal burnout was noted in 31.6%, professional burnout in 42% and relational burnout in 32%. The degree of burnout was higher in women and participants with a psychiatric history and sleep disorders. Conclusion(s): Health care personnel are confronted daily with social, physical and psychological suffering to which they cannot always respond. A prevention and care strategy is needed to limit the negative consequences of this suffering.

Professional burnout in a COVID-19 pandemic

Aim: to show the characteristics of professional burnout in doctors (drs) working in a COVID-19 pandemic. Material(s) and Method(s): 104 drs were interviewed (general practitioners - 42 (40.4%), 26-44 y.o. (40.4%)). We used a questionnaire C. Maslach and S. Jackson using Google form. Numbers (from 0-6) were compiled according to the answers and grouped into three categories. Non-parametric statistic. Result(s): Diagnostics of burnout reflects different degree of burnout phases: 1) emotional exhaustion (feeling of emotional emptiness and fatigue, 2) depersonalization (cynical, indifferent attitude to work and pts), 3) reduction of professional achievements (sense of incompetence in professional sphere). Moderate level of emotional exhaustion - 34 (32,6%) drs, high - 63 drs (60,5%). Depersonalization: moderate (i.e. formation of professional exhaustion) in 33 (31,7%) % drs, and high (formed burnout) in 67 (64,4%) drs. In 36 (34,6%) drs the exhaustion according professional achievement reduction is formed, and already at a critical level in 43 (41,3%) respondents. (Fig.1) Conclusion(s): 1. Professional burnout requires careful study and control. 2. The pronounced professional burnout by the indicators of emotional exhaustion (60,5%) and depersonalization (64,4%) is revealed in drs. 3. The brief questionnaires can be used for screening. 4. Burnout can result in increased number of drs mistakes, so it is important to involve a highly specialized specialists.

Burnout and Covid-19 Vaccination Intention among Dentists in Bulgaria: A Survey

Introduction: Dentists are potential candidates for burnout due to the specifities in clinical practice and additional external factors initiated by the current pandemic. The aim of this study was to investigate dentists'intentions and attitudes toward COVID-19 vaccination and to examine how the latter were associated with the levels of their occupational burnout. Material(s) and Method(s): An anonymous validated 43-question survey, including demographic and pandemic questions and the Maslach Burnout Inventory (MBI), was administered to a random sample of 1405 dentists from 73 settlements in Bulgaria. The data was analyzed with IBM SPSS Statistics 25.0 using standard descriptive statistics, one way ANOVA, Kolmogrov-Smirnov, and Shapiro-Wilk tests, Kruskal-Wallis H test and Mann-Whitney U test. Result(s): Overall, 387 dentists responded to the survey (response rate 27.5%). All three dimensions of burnout corresponded to moderate level of burnout (EE - 21.29+/-12.49, DP - 10.17+/-6.20 and PA - 34.76+/-7.87). A large proportion of respondents (n=151;39.0%) reported they did not intend to get vaccinated and almost 1/4 of dentists (n = 95;24.5%) believed that COVID-19 vaccines would have many side effects. COVID-19 vaccine unwillingness was significantly linked to the elevated levels of emotional exhaustion and depersonalization (p<0.05). There was also a significant relationship between vaccine side effects beliefs and burnout dimensions(p<0.05). Conclusion(s): Dentists'occupational burnout and intentions for vaccination were significantly associated. Developing programs to reduce vaccination hesitancy, increase trust and build favorable attitudes is vital for controlling the COVID-19 pandemic and can play a role in protection of psychological well-being of dentists.Copyright © 2023 by the authors. License to CARBONE EDITORE S.R.L., Palermo, Italy.

Correlation between musculoskeletal pain and stress levels in teachers during the remote teaching period of the COVID-19 pandemic / Correlação entre dor musculoesquelética e níveis de estresse em professores durante o período de ensino remoto na pandemia de COVID-19

Abstract Introduction Remote teaching during the COVID-19 pandemic caused teachers to work under adverse conditions and sit in front of a computer rather than stand, which can lead to musculoskeletal pain and stress in this population. Objective To observe the prevalence of musculoskeletal pain and its correlation with stress levels in teachers during the remote teaching period of the COVID-19 pandemic. Methods A cross-sectional study carried out in elementary and high schools in the city of São José do Belmonte, Pernambuco state (PE). Sixty teachers of both sexes aged 18 years and older were evaluated. The Nordic Questionnaire of Musculoskeletal Symptoms (NQMS) was used to assess musculoskeletal pain, the Visual Analogue Scale to quantify pain intensity and the Maslach Burnout Inventory to identify symptoms of stress and burnout. Results Seventy five percent (n = 45) of the teachers reported musculoskeletal pain, with a higher prevalence in the lumbar spine 68.3% (n = 41), followed by the cervical spine 45.0% (n = 27),thoracic spine, wrists and hands, both with 41.7% (n = 25). A positive correlation was observed between the presence of musculoskeletal pain and high levels of occupational stress (p = 0.036). Conclusion A high prevalence of musculoskeletal pain was identified in teachers during the remote teaching period. The lumbar, cervical and thoracic spine, wrists and hands exhibited the highest pain prevalence. Teachers who experienced musculoskeletal pain had higher stress levels and there was a positive correlation between musculoskeletal pain intensity and high occupational stress levels.

Resumo Introdução O ensino remoto, ocorrido durante a pan-demia de COVID-19, levou os professores a trabalharem em condições adversas e modificou a postura em que eles ensinavam, passando da posição ortostática para a sentada diante de um computador, o que pode favorecer a presença de dores musculoesqueléticas e estresse. Objetivo Observar a prevalência de dor musculoesquelética e sua correlação com níveis de estresse em professores durante o ensino remoto na pandemia de COVID-19. Métodos Estudo de corte transversal realizado em escolas do ensino fundamental e médio do município de São José do Belmonte, em Pernambuco. Foram avaliados 60 professores, de ambos os sexos e faixa etária acima dos 18 anos. Para avaliar a presença de dores musculoesqueléticas, utilizou-se o N ordic Questionnaire of Musculoskeletal Symptoms ; para quantificar a intensidade das dores, a Escala Visual Analógica; e para identificar sintomas de estresse e esgotamento profissional, o Maslach Burnout Inventory . Resultados Setenta e cinco por cento (n = 45) dos professores avaliados apresentavam dores musculo-esqueléticas, com maior prevalência na coluna lombar (68,3%, n = 41), seguida pela coluna cervical (45,0%,n = 27), coluna torácica, punhos e mãos, ambos com (41,7%, n = 25). Observou-se também uma correlação positiva entre a presença de dor musculoesquelética e níveis elevados de estresse ocupacional nos professores avaliados (p = 0,036). Conclusão Observou-se uma elevada prevalência de dor musculoesquelética nos professores durante o período de ensino remoto. A coluna lombar, cervical, torácica, punhos e mãos foram as regiões com maior prevalência das dores. Os professores que apresentavam dor musculoesquelética relataram maiores níveis de estresse e houve uma correlação positiva entre a intensidade da dor musculoesquelética e níveis elevados de estresse ocupacional.

Burnout in South Asian rheumatologists in the COVID-19 pandemic: an online survey.

Physician burnout is recognized as a global crisis and an epidemic. However, burnout in rheumatology is an understudied phenomenon. We explored the prevalence of physician burnout among rheumatologists from South Asia in the peri-pandemic period (2021-2022). Rheumatologists from Asian countries were invited to participate in an anonymized, validated, and pilot-tested e-survey via social media platforms from December 2021 to April 2022. Demographic information, social aspects (marital status, income, vacation time, daily exercise), substance abuse, EHR (electronic health record) use, and years in practice were obtained. In addition, burnout was estimated using Maslach Burnout Inventory-Human Services Survey for Medical Personnel (MBI-HSS) in three domains: emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA), and intergroup comparisons were made using independent t test and one-way ANOVA using SPSS v27. Of 146 respondents who participated in the survey, 134 belonged to Asian nations. The highest number of respondents was from Pakistan (56/134, 38.36%), followed by India (49/134, 33.56%). Slightly more respondents were male, 75 (51.4%), than females, 71 (48.6%). Over two-thirds of our respondents (99/134, 67.8%) reported burnout in at least one domain. Notably, we found statistically significant increased depersonalization scores in males. (P < 0.05). Females scored significantly higher on the following items: #5 (I feel I treat some patients as if they were impersonal objects), item# 10 (I've become more insensitive toward people since I took this job and item#22 (I feel patients blame me for some of their problems) (P < 0.05). We found differences in monthly salaries among South Asian (1484 ± 2717 USD) and non-South Asian respondents (5672 ± 8874 USD) (P < 0.01). A substantial proportion of rheumatologists in our survey report burnout, suggesting a felt need to introduce organizational measures to prevent and mitigate burnout and preserve the rheumatology workforce.

Psychosocial and working conditions associated with burnout among health professionals of a highly complex hospital in Bogotá, Colombia

Objective: To evaluate the association of psychosocial and work factors in the presence of job exhaustion in physiotherapists and respiratory therapists of a highly complex hospital in Bogotá, Colombia. Materials and methods: An analytical cross-sectional study. 31 physiotherapists and respiratory therapists from a high complexity hospital were surveyed. The data collection was carried out through a virtual questionnaire, it included psychosocial, demographic and labor variables;the prevalence of burnout was assessed using the Maslach Burnout Inventory for health professionals. Univariate and bivariate analyses were performed using SPSS version 25.0. Results: It was found that 93.5% (n = 29) corresponded to female, the mean age was 36±8.7 years old, with a type of fixed-term employment relationship of 96.8% (n = 30). Number of patients seen per shift of more than 15 patients in 38.7% (n = 12) of the cases. The 38.7% (n = 12) of the professionals presented job exhaustion, either due to emotional exhaustion, depersonalization, or low personal fulfillment. Finally, 64.5% (n = 20) and 74.2% (n = 23) considered that their mental or physical health has deteriorated due to working conditions given the current SARS-CoV-2 pandemic. Conclusion: A considerable percentage of professionals presented job exhaustion. Some psychosocial and working conditions are highlighted (insufficient staff, exhausting workday, lack of collaboration, loss of information) associated with the presence of burnout. There is deterioration in the physical and mental health of professionals due to the SARS-CoV-2 pandemic. © 2022 Asociación Española de Fisioterapeutas

Burnout, Depression, Anxiety, and Stress among Family Physicians in Kansas: 18 Months into the COVID-19 Pandemic

Introduction: Given the significant turmoil during the COVID-19 pandemic, the authors evaluated burnout and other types of emotional distress experienced by family physicians in Kansas during the second year of the pandemic. The authors compared findings of this study to a similar study conducted 3 months into the pandemic. Method(s): A cross-sectional online survey of 272 actively practicing family physicians in Kansas was conducted from September 15 to October 18, 2021. A 34-item questionnaire was used to measure the physicians' levels of burnout, personal depression, anxiety, and stress. A mixed method approach was used to collect, analyze, and interpret the data. Descriptive statistics, Mann-Whitney U test/independent samples t-test, v2, adjusted odds ratio, and immersion-crystallization methods were used to analyze the data. Result(s): The response rate was 48.9% (n = 133). In aggregate, 69.2% of respondents reported at least 1 manifestation of professional burnout in 2021 compared with 50.4% in 2020;P <= .01). The 2021 respondents were at higher odds of experiencing burnout compared with 2020 respondents (aOR = 1.86;95% CI, 1.00 to 3.57;P = .046). The respondents who reported at least 1 manifestation of professional burnout were more likely to screen positive for depression (aOR = 1.87;95% CI, 1.31-2.66;P <= .01), report higher levels of anxiety (aOR = 1.53;95% CI, 1.04-2.24;P = .013), and higher levels of stress (aOR = 1.39;95% CI, 1.17-1.66;P <= .001). Conclusion(s): As the COVID-19 pandemic continued, there are significant and worsening rates of professional burnout and other forms of emotional distress among family physicians. These findings suggest timely need for appropriate psychological supports. Copyright © 2022 American Board of Family Medicine. All rights reserved.

A narrative review of research on healthcare staff's burnout during the COVID-19 pandemic

Background: During the 2019 coronavirus disease (COVID-19) pandemic, burnout emerges as a critical health problem that might involve workers in many occupations, particularly healthcare personnel. Although burnout syndrome is not necessarily proved to be nosologic, it yields serious physical, mental, and social outcomes. However, it is essential to provide practical strategies and effective instruments for people so that they can adapt to such highly stressful conditions. Objective(s): The present review was conducted to explore preliminary evidence for nature, treatment, and prevention of burnout among healthcare workers during the COVID-19 pandemic. Method(s): Related English literatures published from the beginning of January 2020 to the end of September 2020 were searched in PubMed, Web of Science, Scopus, and Google scholar databases. "Burnout," "COVID-19," "healthcare workers," "medical staff," and "pandemic" constituted the search terms. A narrative technique was implemented for material synthesis and creating a compelling and cohesive story. Result(s): Final results provided the burnout history and its major effects, causes, and prevalence among healthcare workers. Also, some strategies were listed to be employed by hospital medical staff and organizations to deal with the COVID-19 pandemic. Conclusion(s): Recent evidence demonstrated that healthcare staff could gain significant benefits from interventions to modify burnout syndrome, especially from organization-directed interventions. So, health policymakers and practitioners should adopt such interventions and develop context-specific approaches promoting a healthy workplace and averting burnout during the COVID-19 crisis. Copyright © The Author(s) 2022.