Mental health crisis in healthcare providers in the COVID-19 pandemic: a cross-sectional facility-based survey
BMJ Open
; 11(7), 2021.
Article
in English
| ProQuest Central | ID: covidwho-1842705
ABSTRACT
ObjectivesDuring a pandemic, healthcare providers experience increased mental and physical burden. Burnout can lead to treatment errors, patient mortality, increased suicidal ideation and substance abuse as well as medical malpractice suits among medical staff. This study aimed to investigate the occurrence of burnout, acute stress disorder, anxiety disorder and depressive disorder among healthcare providers at the third month of the COVID-19 pandemic.DesignA cross-sectional facility-based survey.SettingHospitals around the country with different levels of care.ParticipantsA total of 1795 respondents, including 360 men and 1435 women who participated in the survey.Primary outcome measuresBurnout was assessed using the Physician Work Life Study. A score of ≥3 implied burnout.ResultsOf the 1795 respondents, 723 (40.3%) reported burnout, and 669 (37.3%) cared for patients with COVID-19. Anxiety levels were mild in 185 (10.3%) respondents, moderate in 209 (11.6%) and severe in 1401 (78.1%). The mean Center for Epidemiologic Studies Depression Scale-10 score was 9.5±6.3, and 817 (45.5%) respondents were classified as having depression. Factors associated with burnout were working in acute and critical care (ACC) divisions (adjusted OR (aOR)=1.84, 95% CI 1.20 to 3.39, p=0.019), caring for patients with COVID-19 (aOR=3.90, 95% CI 1.14 to 13.37, p=0.031) and having depressive disorder (aOR=9.44, 95% CI 7.44 to 11.97, p<0.001).ConclusionsPhysicians and nurses are vulnerable to burnout during a pandemic, especially those working in ACC divisions. Anxiety disorder, depressive disorder and care of patients with COVID-19 may be factors that influence the occurrence of burnout among healthcare providers.
Medical Sciences; COVID-19; mental health; occupational & industrial medicine; Patient safety; Sampling techniques; Stress; Severe acute respiratory syndrome coronavirus 2; Quantitative psychology; Demographics; Pandemics; Epidemics; Mental disorders; Questionnaires; Burnout; Mental depression; Anxiety disorders; Coronaviruses; Education; Critical care; Taiwan
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Collection:
Databases of international organizations
Database:
ProQuest Central
Type of study:
Observational study
/
Randomized controlled trials
Language:
English
Journal:
BMJ Open
Year:
2021
Document Type:
Article
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