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Burnout syndrome in intensive care physicians in time of the COVID-19: a cross-sectional study.
Fumis, Renata Rego Lins; Costa, Eduardo Leite Vieira; Dal'Col, Shoraya Virginio Carneiro; Azevedo, Luciano Cesar Pontes; Pastore Junior, Laerte.
  • Fumis RRL; Intensive Care Unit, Hospital Sírio-Libanês, Sao Paulo, Brazil regolins@uol.com.br.
  • Costa ELV; Research and Education Institute, Hospital Sírio-Libanês, Sao Paulo, Brazil.
  • Dal'Col SVC; Cardio-Pulmonary Department, University of São Paulo, São Paulo, Brazil.
  • Azevedo LCP; Research and Education Institute, Hospital Sírio-Libanês, Sao Paulo, Brazil.
  • Pastore Junior L; Research and Education Institute, Hospital Sírio-Libanês, Sao Paulo, Brazil.
BMJ Open ; 12(4): e057272, 2022 04 21.
Article in English | MEDLINE | ID: covidwho-1807411
ABSTRACT

OBJECTIVES:

To assess the prevalence of burnout syndrome among intensive care physicians working in a tertiary private hospital as well as their perceived impact of the COVID-19 pandemic on their life.

DESIGN:

A cross-sectional study.

SETTING:

Intensive care units dedicated to the care of COVID-19 in Hospital Sirio-Libanes, Sao Paulo, Southeastern part of Brazil.

PARTICIPANTS:

Intensive care physicians.

INTERVENTIONS:

Each participant received an envelope with a questionnaire composed of demographic and occupational variables, information related to their personal and professional experiences facing the COVID-19 pandemic and the Maslach Burnout Inventory questionnaire. PRIMARY AND SECONDARY OUTCOMES

MEASURES:

The primary outcome was to assess the prevalence of burnout syndrome among physicians working in an intensive care unit dedicated to the care of COVID-19.

RESULTS:

A total of 51 from the universe of 63 (82%) intensive care physicians participated in the study. Nineteen (37.2%) met the criteria for burnout syndrome. In the three domains that characterise burnout syndrome, we found a low level of personal achievement in 96.1% of physicians interviewed, a high level of depersonalisation in 51.0% and 51.0% with a high level of emotional exhaustion. Decision-making conflicts between the intensive care unit team and other attending physicians were frequent (50% of all conflicts). A third of the participants had been diagnosed with COVID-19, 22 (43.1%) reported having a family member infected and 8 (15.7%) lost someone close to the COVID-19 pandemic. Participants felt that fear of infecting their loved ones was the aspect of their lives that changed most as compared with the prepandemic period.

CONCLUSIONS:

Burnout syndrome was frequent among intensive care unit physicians treating patients with COVID-19 in a large tertiary private hospital. Future studies should expand our results to other private and public hospitals and test strategies to promote intensive care unit physicians' mental health.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Physicians / Burnout, Professional / COVID-19 Type of study: Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Humans Country/Region as subject: South America / Brazil Language: English Journal: BMJ Open Year: 2022 Document Type: Article Affiliation country: Bmjopen-2021-057272

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Physicians / Burnout, Professional / COVID-19 Type of study: Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Humans Country/Region as subject: South America / Brazil Language: English Journal: BMJ Open Year: 2022 Document Type: Article Affiliation country: Bmjopen-2021-057272