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Healthcare worker stress, anxiety and burnout during the COVID-19 pandemic in Singapore: A 6-month multi-centre prospective study.
Teo, Irene; Chay, Junxing; Cheung, Yin Bun; Sung, Sharon C; Tewani, Komal G; Yeo, Li Fang; Yang, Grace Meijuan; Pan, Fang Ting; Ng, Jin Ying; Abu Bakar Aloweni, Fazila; Ang, Hui Gek; Ayre, Tracy Carol; Chai-Lim, Crystal; Chen, Robert Chun; Heng, Ai Ling; Nadarajan, Gayathri Devi; Ong, Marcus Eng Hock; See, Brian; Soh, Chai Rick; Tan, Boon Kiat Kenneth; Tan, Bien Soo; Tay, Kenny Xian Khing; Wijaya, Limin; Tan, Hiang Khoon.
  • Teo I; Programme in Health Services & Systems Research, Duke-NUS Medical School, Singapore, Singapore.
  • Chay J; Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore, Singapore.
  • Cheung YB; Department of Psychosocial Oncology, National Cancer Centre Singapore, Singapore, Singapore.
  • Sung SC; Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore, Singapore.
  • Tewani KG; Programme in Health Services & Systems Research, Duke-NUS Medical School, Singapore, Singapore.
  • Yeo LF; Centre for Quantitative Medicine, Duke-NUS Medical School, Singapore, Singapore.
  • Yang GM; Centre for Child Health Research, Tampere University, Tampere, Finland.
  • Pan FT; Programme in Health Services & Systems Research, Duke-NUS Medical School, Singapore, Singapore.
  • Ng JY; Department of Developmental Psychiatry, Institute of Mental Health, Singapore, Singapore.
  • Abu Bakar Aloweni F; Department of Gynaecological Oncology, KK Women's and Children's Hospital, Singapore, Singapore.
  • Ang HG; Department of Internal Medicine, Changi General Hospital, Singapore, Singapore.
  • Ayre TC; Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore, Singapore.
  • Chai-Lim C; Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore, Singapore.
  • Chen RC; Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore, Singapore.
  • Heng AL; Division of Nursing, Singapore General Hospital, Singapore, Singapore.
  • Nadarajan GD; Division of Allied Health, Singapore General Hospital, Singapore, Singapore.
  • Ong MEH; Division of Nursing, Singapore General Hospital, Singapore, Singapore.
  • See B; Medical Social Services, Singapore General Hospital, Singapore, Singapore.
  • Soh CR; Division of Radiological Sciences, Singapore General Hospital, Singapore, Singapore.
  • Tan BKK; Division of Radiological Sciences, Singapore General Hospital, Singapore, Singapore.
  • Tan BS; Department of Emergency Medicine, Singapore General Hospital, Singapore, Singapore.
  • Tay KXK; Programme in Health Services & Systems Research, Duke-NUS Medical School, Singapore, Singapore.
  • Wijaya L; Department of Emergency Medicine, Singapore General Hospital, Singapore, Singapore.
  • Tan HK; Occupational Health Service, Changi General Hospital, Singapore, Singapore.
PLoS One ; 16(10): e0258866, 2021.
Article in English | MEDLINE | ID: covidwho-1480457
ABSTRACT

AIM:

The long-term stress, anxiety and job burnout experienced by healthcare workers (HCWs) are important to consider as the novel coronavirus disease (COVID-19) pandemic stresses healthcare systems globally. The primary objective was to examine the changes in the proportion of HCWs reporting stress, anxiety, and job burnout over six months during the peak of the pandemic in Singapore. The secondary objective was to examine the extent that objective job characteristics, HCW-perceived job factors, and HCW personal resources were associated with stress, anxiety, and job burnout.

METHOD:

A sample of HCWs (doctors, nurses, allied health professionals, administrative and operations staff; N = 2744) was recruited via invitation to participate in an online survey from four tertiary hospitals. Data were gathered between March-August 2020, which included a 2-month lockdown period. HCWs completed monthly web-based self-reported assessments of stress (Perceived Stress Scale-4), anxiety (Generalized Anxiety Disorder-7), and job burnout (Physician Work Life Scale).

RESULTS:

The majority of the sample consisted of female HCWs (81%) and nurses (60%). Using random-intercept logistic regression models, elevated perceived stress, anxiety and job burnout were reported by 33%, 13%, and 24% of the overall sample at baseline respectively. The proportion of HCWs reporting stress and job burnout increased by approximately 1·0% and 1·2% respectively per month. Anxiety did not significantly increase. Working long hours was associated with higher odds, while teamwork and feeling appreciated at work were associated with lower odds, of stress, anxiety, and job burnout.

CONCLUSIONS:

Perceived stress and job burnout showed a mild increase over six months, even after exiting the lockdown. Teamwork and feeling appreciated at work were protective and are targets for developing organizational interventions to mitigate expected poor outcomes among frontline HCWs.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Burnout, Professional / Health Personnel / Pandemics / SARS-CoV-2 / COVID-19 Type of study: Controlled clinical trial / Etiology study / Observational study / Prognostic study / Qualitative research / Randomized controlled trials / Risk factors Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2021 Document Type: Article Affiliation country: Journal.pone.0258866

Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Burnout, Professional / Health Personnel / Pandemics / SARS-CoV-2 / COVID-19 Type of study: Controlled clinical trial / Etiology study / Observational study / Prognostic study / Qualitative research / Randomized controlled trials / Risk factors Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2021 Document Type: Article Affiliation country: Journal.pone.0258866