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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.
Lasalvia, Antonio; Amaddeo, Francesco; Porru, Stefano; Carta, Angela; Tardivo, Stefano; Bovo, Chiara; Ruggeri, Mirella; Bonetto, Chiara.
  • Lasalvia A; UOC Psichiatria, Azienda Ospedaliera Universitaria Integrata (AOUI) di Verona, Verona, Italy antonio.lasalvia@univr.it.
  • Amaddeo F; Section of Psychiatry, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
  • Porru S; Section of Psychiatry, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
  • Carta A; UOC Psicosomatica e Psicologia Medica, Azienda Ospedaliera Universitaria Integrata (AOUI) di Verona, Verona, Italy.
  • Tardivo S; Section of Occupational Medicine, Department of Diagnostics and Public Health, University of Verona and Clinical Unit of Occupational Medicine, Integrated University Hospital of Verona, Verona, Italy.
  • Bovo C; Section of Occupational Medicine, Department of Diagnostics and Public Health, University of Verona and Clinical Unit of Occupational Medicine, Integrated University Hospital of Verona, Verona, Italy.
  • Ruggeri M; Section of Hygiene, Department of Diagnostic and Public Health, University of Verona, Verona, Italy.
  • Bonetto C; Health Director, Azienda Ospedaliera Universitaria Integrata (AOUI) di Verona, Verona, Italy.
BMJ Open ; 11(1): e045127, 2021 01 17.
Article in English | MEDLINE | ID: covidwho-1033126
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.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Burnout, Professional / Health Personnel / Workplace / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: BMJ Open Year: 2021 Document Type: Article Affiliation country: Bmjopen-2020-045127

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Burnout, Professional / Health Personnel / Workplace / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: BMJ Open Year: 2021 Document Type: Article Affiliation country: Bmjopen-2020-045127