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Fults E, Gerwin JN, Boyce MW, Joseph M, Wong AH, Evans LV. Educational and personal impacts of the COVID-19 pandemic on emergency medicine resident physicians: a qualitative study. BMC MEDICAL EDUCATION 2024; 24:1055. [PMID: 39334215 PMCID: PMC11429862 DOI: 10.1186/s12909-024-05972-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/07/2024] [Accepted: 08/30/2024] [Indexed: 09/30/2024]
Abstract
BACKGROUND The COVID-19 pandemic had a significant impact on both the clinical practice and the psychological states of frontline physicians in the emergency department. Trainees, at the beginning of their careers and thus still developing their practice styles and identities as physicians, were uniquely affected. OBJECTIVE In this qualitative study, we sought to explore how the pandemic environment shaped the experiences of emergency medicine resident physicians. METHODS This was a qualitative study. We conducted in-depth interviews with emergency medicine faculty, resident physicians, and staff at a single emergency department based at an urban academic institution in the northeastern United States. Interviews were audio recorded and transcribed, and transcripts were then analyzed in an iterative process by our coding team for recurring themes related to the resident experience. RESULTS We reached data saturation with 27 individuals. Of those who were interviewed, 10 were resident physicians [6 senior residents (PGY-3 or PGY-4) and 4 junior residents (PGY-1 or PGY-2)]. Three major recurring themes regarding resident physician experience emerged during our analysis of the interviews: (1) novel educational experiences dampened by negative structural forces from the pandemic, (2) fracturing of social interactions and mitigation through ad-hoc support systems and community of practice, and (3) development of negative emotions and psychological trauma including fear, resentment, and moral injury causing lasting harm. CONCLUSIONS Our results suggest that emergency medicine resident physicians training during the COVID-19 pandemic faced unique experiences concerning their education, social support systems, and emotional states. While the educational and social experiences were described as having both negative and positive impacts, the emotional experiences were largely negative. Residency program leadership may use these insights to improve resident preparation, wellness, and resilience in the face of future adverse events.
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Affiliation(s)
- Elyse Fults
- Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA
| | - Jeffrey N Gerwin
- Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA
| | - Michael W Boyce
- Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA
| | - Melissa Joseph
- Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA
| | - Ambrose H Wong
- Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA
| | - Leigh V Evans
- Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
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Craemer KA, Sayah L, Glass E, Scott S, Wachter DR, Bergo CJ, Geller SE. Development of a Maternal Health Toolkit for Emergency Department Education in Illinois. Womens Health Issues 2024:S1049-3867(24)00067-7. [PMID: 39271426 DOI: 10.1016/j.whi.2024.08.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2024] [Revised: 07/31/2024] [Accepted: 08/07/2024] [Indexed: 09/15/2024]
Abstract
BACKGROUND Most pregnancy-related deaths in Illinois are preventable. Many of those who died in recent years had at least one emergency department (ED) visit during pregnancy or the postpartum period. This suggests that with the proper training and education, EDs can play an important role in reducing maternal mortality. METHODS A Task Force of 33 interdisciplinary stakeholders from across Illinois met monthly over 1 year to gather and develop educational content focused on obstetric emergency medicine and produce the Maternal Health Emergency Department Toolkit (Toolkit) training. A survey and listening session collected stakeholders' feedback about factors that supported Toolkit development, barriers, and recommendations for similar projects. RESULTS The Task Force members adapted existing tools and developed novel resources to fill the gaps in maternal health education for the ED setting. The Toolkit consists of five educational modules including didactic information, case-based learning, and resources for additional reading and local implementation. The modules focus on ED recommendations from the Illinois Maternal Mortality Review Committees, triage and management of emergencies in perinatal patients, screening and treatment of mental health and substance use conditions, addressing trauma, performing resuscitation during pregnancy, and conducting safe and coordinated discharge of perinatal patients from the ED. Task Force members described the inclusion of experts with interdisciplinary knowledge, working in small groups, and grounding the educational content in maternal health data as factors contributing to the project's success. They identified scheduling conflicts as a challenge and recommended future projects like this one include more ED providers and staff members. CONCLUSION Through promoting cross-disciplinary engagement, education, and collaboration with obstetrics and other service lines, the Toolkit can help fill the gaps in maternal ED education to decrease maternal mortality and morbidity in Illinois.
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Affiliation(s)
- Katherine A Craemer
- Center for Research on Women and Gender, College of Medicine, University of Illinois Chicago, Chicago, Illinois.
| | - Lauren Sayah
- Center for Research on Women and Gender, College of Medicine, University of Illinois Chicago, Chicago, Illinois
| | - Emilie Glass
- Center for Research on Women and Gender, College of Medicine, University of Illinois Chicago, Chicago, Illinois
| | - Shirley Scott
- Department of Obstetrics and Gynecology, College of Medicine, University of Illinois Chicago, Chicago, Illinois
| | - Daniel R Wachter
- University of Chicago, Pritzker School of Medicine, Chicago, Illinois; Division of Emergency Medicine, NorthShore University Healthsystem, Evanston, Illinois
| | - Cara J Bergo
- Illinois Department of Public Health, Office of Women's Health and Family Services, Chicago, Illinois
| | - Stacie E Geller
- Center for Research on Women and Gender, College of Medicine, University of Illinois Chicago, Chicago, Illinois; Department of Obstetrics and Gynecology, College of Medicine, University of Illinois Chicago, Chicago, Illinois
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Douplat M, Subtil F, Termoz A, Jacquin L, Verbois F, Potinet V, Hernu R, Landel V, Mazza S, Berthiller J, Haesebaert J, Tazarourte K. Mental Health Consequences of the COVID-19 Outbreak Among Emergency Department Healthcare Workers. BIOMED RESEARCH INTERNATIONAL 2024; 2024:8871959. [PMID: 39286281 PMCID: PMC11405108 DOI: 10.1155/2024/8871959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/21/2023] [Revised: 04/07/2024] [Accepted: 08/20/2024] [Indexed: 09/19/2024]
Abstract
Study Objective: The present study is aimed at providing an assessment of the changes in burnout, job strain, isostrain, sleepiness, and fatigue levels over time and identifying factors associated with these symptoms among healthcare workers in French emergency departments (EDs). Method: We conducted a prospective, multicenter study in four EDs and an emergency medical service. Participants completed questionnaires at inclusion and at 90 days to assess burnout, job strain, isostrain, sleepiness, and fatigue. Results: A total of 211 respondents (43.5%) completed the questionnaires at inclusion. At the beginning of the study, 84 (40.8%) participants presented symptoms of burnout, 86 (43.2%) had symptoms of job strain, and 58 (29.4%) of isostrain. Forty-two (20.1%) healthcare workers presented symptoms of sleepiness, and 8 (3.8%) had symptoms of fatigue. We found that symptoms of burnout were more frequent for healthcare workers with a previous psychiatric history (55.3% vs. 39.1%, p = 0.02) and were lower among participants who had at least one dependent child (33.1% vs. 48.3%, p = 0.013). Symptoms of job strain were higher among administrative staff compared to physicians (55.6% vs. 28.7%, p = 0.01) and among healthcare workers with managerial responsibilities compared to those without (45.6% vs. 28.8%, p = 0.015). Symptoms of isostrain were higher among administrative staff (42.3%) compared to paramedics (34.1%) and physicians (19.8%, p = 0.026). Conclusion: We identified that potential factors associated with the emergence of symptoms of burnout and job strain are suggested, underlining several areas of improvement for the prevention against mental health disorders in the specific population of ED healthcare workers. Trial Registration: ClinicalTrials.gov identifier: NCT04383886.
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Affiliation(s)
- Marion Douplat
- Emergency DepartmentHospices Civils of LyonLyon Sud Hospital, Pierre Bénite F-69495, France
- Research on Healthcare Performance (RESHAPE)Université Claude Bernard Lyon 1, Lyon, France
- UMR ADéS 7268Aix-Marseille University/EFS/CNRS Espace éthique méditerranéen, Marseille, France
| | - Fabien Subtil
- Service de BiostatistiqueHospices Civils de Lyon, Lyon, France
- Université de Lyon Université Lyon 1CNRSLaboratoire de Biométrie et Biologie Évolutive, UMR 5558, Villeurbanne, France
| | - Anne Termoz
- Pôle de Santé PubliqueService de recherche et d'épidémiologie cliniquesHospices Civils de Lyon, Lyon, France
| | - Laurent Jacquin
- Emergency DepartmentHospices Civils of LyonEdouard Herriot Hospital, Lyon F-69003, France
| | - Frédéric Verbois
- Emergency DepartmentVillefranche Hospital, Gleize F-69400, France
| | - Veronique Potinet
- Emergency DepartmentHospices Civils of LyonLyon Sud Hospital, Pierre Bénite F-69495, France
| | - Romain Hernu
- Emergency DepartmentHospices Civils of LyonCroix Rousse Hospital, Lyon F-69004, France
| | - Verena Landel
- Direction de la Recherche en SantéHospices Civils de Lyon, Lyon, France
| | - Stéphanie Mazza
- CNRS, INSERMCentre de Recherche en Neurosciences de Lyon CRNL U1028 UMR5292, F-69500, Bron, Lyon, France
| | - Julien Berthiller
- Pôle de Santé PubliqueService de recherche et d'épidémiologie cliniquesHospices Civils de Lyon, Lyon, France
| | - Julie Haesebaert
- Research on Healthcare Performance (RESHAPE)Université Claude Bernard Lyon 1, Lyon, France
- Pôle de Santé PubliqueService de recherche et d'épidémiologie cliniquesHospices Civils de Lyon, Lyon, France
| | - Karim Tazarourte
- Research on Healthcare Performance (RESHAPE)Université Claude Bernard Lyon 1, Lyon, France
- Emergency DepartmentHospices Civils of LyonEdouard Herriot Hospital, Lyon F-69003, France
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Douplat M, Curtet M, Termoz A, Subtil F, Elsensohn MH, Mazza S, Jacquin L, Clément B, Fassier JB, Nohales L, Berthiller J, Haesebaert J, Tazarourte K. Long-term psycho-traumatic consequences of the COVID-19 health crisis among emergency department healthcare workers. Stress Health 2024:e3478. [PMID: 39243230 DOI: 10.1002/smi.3478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/05/2024] [Revised: 08/21/2024] [Accepted: 09/01/2024] [Indexed: 09/09/2024]
Abstract
Assess the changes in post-traumatic stress disorder (PTSD), burnout, anxiety, depression, jobstrain, and isostrain levels over time among healthcare workers in emergency departments (EDs) after successive outbreaks of COVID-19. A prospective, multicenter study was conducted in 3 EDs and an emergency medical service. Healthcare workers who participated in our previous study were invited to participate in a follow-up 16 and 18 months and completed the questionnaires to assess symptoms of PTSD, burnout, anxiety, depression, jobstrain, and isostrain. Among the 485 healthcare workers asked to participate, 211 (43.5%) completed the survey at inclusion (122 were followed up at 3 months) and 59 participate to the follow-up study. At 16 months, 10.9% of healthcare workers had symptoms of PTSD and 17.4% at 18 months. At inclusion, 33.5% and 11.7% of healthcare workers had symptoms of anxiety and depression, respectively. A decrease in anxiety between inclusion and 16 months (p = 0.02) and an increase between 16 and 18 months (p = 0.009) was observed. At inclusion, 40.8% of all healthcare workers had symptoms of burnout. There was an increase in symptoms of burnout between inclusion and 18 months (p = 0.006). At inclusion, 43.2% and 29.5% of healthcare workers were exposed to jobstrain and isostrain, respectively. Jobstrain were higher among paramedics and administrative staff compared to physicians (p = 0.001 and p = 0.026, respectively). Successive outbreaks of COVID-19 led to long-term mental health consequences among ED healthcare workers that differed according to occupation. This must be taken into account to rethink the management of teams.
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Affiliation(s)
- Marion Douplat
- Emergency Department, Hospices Civils of Lyon, Lyon Sud Hospital, Lyon, France
- Université Claude Bernard Lyon 1, Research on Healthcare Performance (RESHAPE), INSERM, Lyon, France
- Aix-Marseille University/ EFS / CNRS, Marseille, France
| | - Marie Curtet
- Emergency Department, Hospices Civils of Lyon, Lyon Sud Hospital, Lyon, France
| | - Anne Termoz
- Pôle de Santé Publique, Service de Recherche et D'épidémiologie Cliniques, Hospices Civils de Lyon, Lyon, France
| | - Fabien Subtil
- Service de Biostatistique, Hospices Civils de Lyon, Lyon, France
- Laboratoire de Biométrie et Biologie Évolutive UMR 5558, Université de Lyon Université Lyon 1, CNRS, Villeurbanne, France
| | | | - Stéphanie Mazza
- Université Claude Bernard Lyon 1, CNRS, INSERM, Centre de Recherche en Neurosciences de Lyon CRNL U1028 UMR5292, FORGETTING, Bron, France
| | - Laurent Jacquin
- Emergency Department, Hospices Civils of Lyon, Edouard Herriot Hospital, Lyon, France
| | - Bénédicte Clément
- Emergency Department, Hospices Civils of Lyon, Croix Rousse Hospital, Lyon, France
| | - Jean-Baptiste Fassier
- Occupational Health and Medicine Department, Hospices Civils de Lyon, Lyon, France
- University Lyon, Université Claude Bernard Lyon 1, Unité Mixte de Recherche, Epidémiologique et de Surveillance Transport Travail Environnement, UMRESTTE UMR, Lyon, France
| | - Ludivine Nohales
- Occupational Health and Medicine Department, Hospices Civils de Lyon, Lyon, France
- University Lyon, Université Claude Bernard Lyon 1, Unité Mixte de Recherche, Epidémiologique et de Surveillance Transport Travail Environnement, UMRESTTE UMR, Lyon, France
| | - Julien Berthiller
- Pôle de Santé Publique, Service de Recherche et D'épidémiologie Cliniques, Hospices Civils de Lyon, Lyon, France
| | - Julie Haesebaert
- Université Claude Bernard Lyon 1, Research on Healthcare Performance (RESHAPE), INSERM, Lyon, France
- Pôle de Santé Publique, Service de Recherche et D'épidémiologie Cliniques, Hospices Civils de Lyon, Lyon, France
| | - Karim Tazarourte
- Université Claude Bernard Lyon 1, Research on Healthcare Performance (RESHAPE), INSERM, Lyon, France
- Emergency Department, Hospices Civils of Lyon, Edouard Herriot Hospital, Lyon, France
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Cárdaba-García RM, Soto-Cámara R, García-Santa-Basilia N, Matellán-Hernández MP, Onrubia-Baticón H, Martínez-Caballero CM, Thuissard-Vasallo IJ, Navalpotro-Pascual S. Impact of the COVID-19-pandemic and perception of self-efficacy on the mental health of out-of-hospital emergency healthcare professionals by modality of care. J Adv Nurs 2024; 80:3692-3704. [PMID: 38444126 DOI: 10.1111/jan.16119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Revised: 11/19/2023] [Accepted: 02/09/2024] [Indexed: 03/07/2024]
Abstract
OBJECTIVE To analyse the influence of the COVID-19 pandemic and the perception of self-efficacy on the health professionals of the Spanish out-of-hospital emergency services. DESIGN Observational, cross-sectional and descriptive with a survey methodology of 1710 participants from Spain (1 February-30 April, 2021). METHODS The mental health of healthcare workers was assesed in terms of stress, anxiety and depression, as well as their self-efficacy. Linear and logistic regression models were fitted to predict these variables. A moderation analysis was conducted to determine the effect of self-efficacy on mental health. RESULTS The means of the sample for stress, anxiety, depression and self-efficacy were 20.60, 15.74, 13.07 and 70.87, respectively. In the regression models, being a woman was the most significant factor for severe mental health impairment. Female gender was also a relevant factor for self-efficacy. Self-efficacy had a direct effect on the mental health for working in patient care. CONCLUSIONS Healthcare workers showed moderate stress, severe anxiety, mild depression and good self-efficacy. Direct patient care was associated with more stress and severe anxiety. Age, female gender, job changes and job adjustment were associated with levels of stress, anxiety and depression. Self-efficacy is a determining factor of mental health in the direct care modality. IMPLICATIONS The mental health of healthcare workers has been of great importance in the aftermath of the pandemic, but out-of-hospital emergency workers have been neglected in research. The levels of stress, anxiety and depression during the pandemic justify the creation of prevention and early diagnosis programmes, as they are essential in a health disaster. Surprisingly, their high level of perceived self-efficacy directly impact on the mental health of patient helthcare workers, so improving it will reduce the psychological risk. REPORTING METHOD We have followed the STROBE guidelines. It has been partially funded by the Asistencia Sanitanitaria Interprovincial de Seguros - ASISA Foundation (Spain). PATIENT OR PUBLIC CONTRIBUTION: 'No patient or public involvement'.
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Affiliation(s)
- Rosa María Cárdaba-García
- Nursing Department, Faculty of Nursing, University of Valladolid, Valladolid, Spain
- Nursing Care Research (GICE), Faculty of Nursing, University of Valladolid, Valladolid, Spain
- Red de Investigación de Emergencias Prehospitalarias (RINVEMER), Sociedad Española de Urgencias y Emergencias (SEMES), Madrid, Spain
| | - Raúl Soto-Cámara
- Red de Investigación de Emergencias Prehospitalarias (RINVEMER), Sociedad Española de Urgencias y Emergencias (SEMES), Madrid, Spain
- Department of Health Sciences, University of Burgos, Burgos, Spain
- Emergency Medical Service of Castilla y León-Sacyl, Valladolid, Spain
| | - Noemi García-Santa-Basilia
- Red de Investigación de Emergencias Prehospitalarias (RINVEMER), Sociedad Española de Urgencias y Emergencias (SEMES), Madrid, Spain
- Emergency Medical Service of Castilla y León-Sacyl, Valladolid, Spain
| | - María Paz Matellán-Hernández
- Red de Investigación de Emergencias Prehospitalarias (RINVEMER), Sociedad Española de Urgencias y Emergencias (SEMES), Madrid, Spain
- Emergency Medical Service of Castilla y León-Sacyl, Valladolid, Spain
| | - Henar Onrubia-Baticón
- Red de Investigación de Emergencias Prehospitalarias (RINVEMER), Sociedad Española de Urgencias y Emergencias (SEMES), Madrid, Spain
- Emergency Medical Service of Castilla y León-Sacyl, Valladolid, Spain
| | - Carmen María Martínez-Caballero
- Red de Investigación de Emergencias Prehospitalarias (RINVEMER), Sociedad Española de Urgencias y Emergencias (SEMES), Madrid, Spain
- Emergency Medical Service of Castilla y León-Sacyl, Valladolid, Spain
| | | | - Susana Navalpotro-Pascual
- Red de Investigación de Emergencias Prehospitalarias (RINVEMER), Sociedad Española de Urgencias y Emergencias (SEMES), Madrid, Spain
- Department of Nursing, Faculty of Medicine, Autonomous University of Madrid, Madrid, Spain
- Emergency Medical Service of Madrid-SUMMA 112, Madrid, Spain
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de Wit K, Tran A, Clayton N, Seeburruth D, Lim RK, Archambault PM, Chan TM, Rang LCF, Gray S, Ritchie K, Gérin-Lajoie C, Mercuri M. A Longitudinal Survey on Canadian Emergency Physician Burnout. Ann Emerg Med 2024; 83:576-584. [PMID: 38323951 DOI: 10.1016/j.annemergmed.2024.01.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Revised: 12/11/2023] [Accepted: 01/04/2024] [Indexed: 02/08/2024]
Abstract
STUDY OBJECTIVE Since Canada eased pandemic restrictions, emergency departments have experienced record levels of patient attendance, wait times, bed blocking, and crowding. The aim of this study was to report Canadian emergency physician burnout rates compared with the same physicians in 2020 and to describe how emergency medicine work has affected emergency physician well-being. METHODS This longitudinal study on Canadian emergency physician wellness enrolled participants in April 2020. In September 2022, participants were invited to a follow-up survey consisting of the Maslach Burnout Inventory and an optional free-text explanation of their experience. The primary outcomes were emotional exhaustion and depersonalization levels, which were compared with the Maslach Burnout Inventory survey conducted at the end of 2020. A thematic analysis identified common stressors, challenges, emotions, and responses among participants. RESULTS The response rate to the 2022 survey was 381 (62%) of 615 between September 28 and October 28, 2022, representing all provinces or territories in Canada (except Yukon). The median participant age was 42 years. In total, 49% were men, and 93% were staff physicians with a median of 12 years of work experience. 59% of respondents reported high emotional exhaustion, and 64% reported high depersonalization. Burnout levels in 2022 were significantly higher compared with 2020. Prevalent themes included a broken health care system, a lack of societal support, and systemic workplace challenges leading to physician distress and loss of physicians from the emergency workforce. CONCLUSION We found very high burnout levels in emergency physician respondents that have increased since 2020.
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Affiliation(s)
- Kerstin de Wit
- Department of Emergency Medicine, Queen's University, Kingston, Ontario, Canada; Division of Emergency Medicine, Department of Medicine, McMaster University, Hamilton, Ontario, Canada; Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada.
| | - Anna Tran
- School of Medicine, Queen's University, Kingston, Ontario, Canada
| | - Natasha Clayton
- Department of Emergency Medicine, Queen's University, Kingston, Ontario, Canada; Division of Emergency Medicine, Department of Medicine, McMaster University, Hamilton, Ontario, Canada; Emergency Department, Hamilton Health Sciences, Hamilton, Ontario, Canada
| | - Darshana Seeburruth
- Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Rodrick K Lim
- Department of Pediatrics and Medicine, Western University, London, Ontario, Canada
| | - Patrick M Archambault
- Department of Family and Emergency Medicine, Université Laval, Québec City, Québec, Canada; Centre Intégré en Santé et Services Sociaux de Chaudière-Appalaches, Lévis, Québec, Canada
| | - Teresa M Chan
- Division of Emergency Medicine, Department of Medicine, McMaster University, Hamilton, Ontario, Canada; Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada; McMaster Education Research, Innovation, and Theory (MERIT) program, McMaster University, Hamilton, Ontario, Canada; Dean of the School of Medicine, Toronto Metropolitan University, Toronto, Ontario, Canada
| | - Louise C F Rang
- Department of Emergency Medicine, Queen's University, Kingston, Ontario, Canada
| | - Sara Gray
- Division of Emergency Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Kerri Ritchie
- People Health and Wellness and the Ottawa Hospital Research Institute, the Ottawa Hospital, Ottawa, Ontario, Canada
| | | | - Mathew Mercuri
- Department of Emergency Medicine, Queen's University, Kingston, Ontario, Canada; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada; Institute for the Future of Knowledge, University of Johannesburg, Auckland Park, South Africa
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Somville F, Van Bogaert P, Wellens B, De Cauwer H, Franck E. Work stress and burnout among emergency physicians: a systematic review of last 10 years of research. Acta Clin Belg 2024; 79:52-61. [PMID: 37889050 DOI: 10.1080/17843286.2023.2273611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2023] [Accepted: 10/17/2023] [Indexed: 10/28/2023]
Abstract
AIM OF THE STUDY First, to provide a synthesis and analysis of available scientific literature regarding the level of work stress and burnout among emergency physicians. Second, to identify the effect of the specific work situation-related factors. METHODS A systematic search was performed in NCBI PubMed and Embase. Comparative primary studies, both systematic review and cross-sectional, quantifying burnout in emergency physicians were included. Only studies published between 2011 and 2022 were retained. Synonym sets were compiled for the search key for 'burnout & stress', 'emergency', 'physician' and 'burnout & posttraumatic stress disorder'. RESULTS Thirty-five papers were retained for further research. Emergency physicians scored significantly higher for all dimensions of burnout compared to other healthcare professions. Significant correlations for burnout were found with work characteristic and organizational factors. Critical incidents and aggression were identified as the most important acute work characteristics and organizational factors impacting emergency physician's mental wellbeing including the development of posttraumatic stress disorder. Moreover, personal factors such as age, personality, and coping strategies also play an important role in the development of burnout as well as work-related trauma. CONCLUSION Available studies show that emergency physicians report higher scores of emotional exhaustion and depersonalization when compared to other healthcare professionals. Work characteristics contribute to this, but work-related traumatic incidents and aggression are important determinants. Personal characteristics such as age, personality type D, previous experiences and coping strategies seem to be determining factors likewise. Emergency physicians showed a high risk for developing burnout and work stress-related problems.
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Affiliation(s)
- F Somville
- Department of Emergency Medicine, University of Antwerp, Edegem, Belgium
- Department of Emergency and Traumatology, AZ St Dimpna, Geel, Belgium
- Department of Nursing and Midwifery Sciences, Centre for Research and Innovation in Care (CRIC), Wilrijk, Belgium
- Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium
| | - P Van Bogaert
- Department of Nursing and Midwifery Sciences, Centre for Research and Innovation in Care (CRIC), Wilrijk, Belgium
| | - B Wellens
- Department of Emergency and Traumatology, AZ St Dimpna, Geel, Belgium
| | - H De Cauwer
- Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium
- Department of Neurology, AZ St Dimpna, Geel, Belgium
| | - E Franck
- Department of Nursing and Midwifery Sciences, Centre for Research and Innovation in Care (CRIC), Wilrijk, Belgium
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8
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Wekenborg MK, von Dawans B, Gienger NT, Wierick A, Weitz J, Dobroschke JC. Beliefs about stress moderate the association between COVID-19-related work demands and burnout symptoms in physicians. Stress Health 2024; 40:e3278. [PMID: 37246721 DOI: 10.1002/smi.3278] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/18/2022] [Revised: 03/15/2023] [Accepted: 05/14/2023] [Indexed: 05/30/2023]
Abstract
The present study set out to investigate the role of different stress beliefs (positive and negative beliefs about stress, as well as perceived control) on the association between central COVID-19-related work demands and burnout symptoms in physicians during the second lockdown of the SARS-CoV-2 pandemic. N = 154 practicing physicians (mean [SD] age = 37.21 [9.43] years]; 57.14% female) participated in our cross-sectional German-wide online survey and answered questions about sociodemographic factors, their current work situation, their stress beliefs, and their current burnout symptoms. Moderation analyses revealed significant interaction effects between stress beliefs and specific COVID-19-related work demands on the prediction of burnout symptoms, most consistent with respect to perceived control. Positive believes about stress and its controllability were cross-sectional associated with reduced, negative believes about stress however with enhanced associations between COVID-19-related work demands and burnout symptoms. This finding indicates, if confirmed by longitudinal research, the potential of the usage of stress beliefs in prevention programs for physicians in order to mitigating negative effects of chronic stress.
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Affiliation(s)
- Magdalena Katharina Wekenborg
- Chair of Biopsychology, Faculty of Psychology, TU Dresden, Dresden, Germany
- Else Kröner Fresenius Center for Digital Health, Faculty of Medicine and University Hospital Carl Gustav Carus, TU Dresden, Dresden, Germany
| | - Bernadette von Dawans
- Department of Biological and Clinical Psychology, University of Trier, Trier, Germany
| | | | - Ann Wierick
- Department of Visceral, Thoracic and Vascular Surgery, Faculty of Medicine and University Hospital Carl Gustav Carus, TU Dresden, Dresden, Germany
| | - Jürgen Weitz
- Department of Visceral, Thoracic and Vascular Surgery, Faculty of Medicine and University Hospital Carl Gustav Carus, TU Dresden, Dresden, Germany
| | - Jakob Christian Dobroschke
- Department of Visceral, Thoracic and Vascular Surgery, Faculty of Medicine and University Hospital Carl Gustav Carus, TU Dresden, Dresden, Germany
- Department of General, Visceral and Thoracic Surgery, Proctology, Helios Klinikum Pirna, Dresden, Germany
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Williams MF, Yank V, O'Sullivan P, Alldredge B, Feldman MD. Faculty knowledge, actions, and perceptions of sponsorship: an institutional survey study. MEDICAL EDUCATION ONLINE 2023; 28:2218665. [PMID: 37335821 DOI: 10.1080/10872981.2023.2218665] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Revised: 05/09/2023] [Accepted: 05/23/2023] [Indexed: 06/21/2023]
Abstract
BACKGROUND Women and underrepresented in medicine and the health sciences (URiM) faculty face inequities in advancement. Career sponsorship may be a remedy. Few studies have described sponsorship in academic medicine and none across an institution. OBJECTIVE To examine faculty awareness, experiences, and perceptions of sponsorship at a large academic health center. DESIGN Anonymous online survey. PARTICIPANTS Faculty with a ≥50% appointment. MAIN MEASURES The survey contained 31 Likert, multiple-choice, yes/no, and open-ended questions about familiarity with the concept of sponsorship; experience of having or being a sponsor; receipt of specific sponsorship activities; sponsorship impact and satisfaction; mentorship and sponsorship co-occurrence; and perception of inequities. Open-ended questions were analyzed using content analysis. KEY RESULTS Thirty-one percent of the surveyed faculty (903/2900) responded of whom 53% (477/903) were women and 10% (95/903) were URiM. Familiarity with sponsorship was higher among assistant (91%, 269/894) and associate (182/894; 64%) professors versus full professors (38%, 329/894); women (67%, 319/488) versus men (62%, 169/488); and URiM (77%, 66/517) versus non-URiM faculty (55%, 451/517). A majority had a personal sponsor (528/691; 76%) during their career and were satisfied with their sponsorship (64%, 532/828). However, when responses from faculty of different professorial ranks were stratified by gender and URiM identity, we observed possible cohort effects. Furthermore, 55% (398/718) of respondents perceived that women received less sponsorship than men and 46% (312/672) that URiM faculty received less than their peers. We identified seven qualitative themes: sponsorship importance, growing awareness and change, institutional biases and deficiencies, groups getting less sponsorship, people with sponsorship power, conflation with mentorship, and potential for negative impact. CONCLUSIONS A majority of respondents at a large academic health center reported sponsorship familiarity, receipt, and satisfaction. Yet many perceived persistent institutional biases and the need for systematic change to improve sponsorship transparency, equity, and impact.
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Affiliation(s)
| | - Veronica Yank
- Medicine, University of California, San Francisco, USA
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10
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Martin SR, Heyming T, Morphew T, Sayrs L, Fortier MA, Sanger T, Kain ZN. Impact of COVID-19 pandemic on pediatric healthcare burnout in acute care: a longitudinal study. Pediatr Res 2023; 94:1771-1778. [PMID: 37301924 PMCID: PMC10257162 DOI: 10.1038/s41390-023-02674-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Revised: 04/12/2023] [Accepted: 05/08/2023] [Indexed: 06/12/2023]
Abstract
BACKGROUND COVID-19 pandemic introduced significant challenges that may have exacerbated healthcare worker (HCW) burnout. To date, assessments of burnout during COVID-19 pandemic have been cross-sectional, limiting our understanding of changes in burnout. This longitudinal study assessed change across time in pediatric HCW burnout during the COVID-19 pandemic and whether demographic and psychological factors were associated with changes in burnout. METHODS This longitudinal study included 162 physicians, physician assistants, nurses, and medical technicians within the emergency department (ED), intensive care, perioperative, and inter-hospital transport services in a children's hospital. HCW demographics, anxiety and personality traits were reported via validated measures. HCWs completed the Maslach Burnout Inventory in April 2020 and March 2021. Data were analyzed using generalized estimating equations. RESULTS The percentage of HCWs reporting high emotional exhaustion and/or depersonalization burnout increased significantly across time (18.5% to 28.4%, P = 0.010). Factors associated with increased emotional exhaustion included working in the ED (P = 0.011) or perioperative department (P < 0.001), being a nurse or medical technician (P's < 0.001), not having children (P < 0.001), and low conscientiousness (P < 0.001). CONCLUSIONS Pediatric HCW burnout significantly increased over 11-months of the COVID-19 pandemic. Results suggest that certain demographic and psychological factors may represent potential area to target for intervention for future pandemics. IMPACT This longitudinal study revealed that the COVID-19 pandemic has had a significant impact on pediatric healthcare worker burnout. The percentage of healthcare workers reporting high levels of emotional exhaustion and depersonalization burnout increased significantly over 11-months of the COVID-19 pandemic. Results suggest that certain demographic and psychological factors may represent potential targets for future interventions.
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Affiliation(s)
- Sarah R Martin
- Department of Anesthesiology and Perioperative Care, University of California, Irvine, Irvine, CA, USA
- Center on Stress & Health, University of California, Irvine, Irvine, CA, USA
- Children's Hospital of Orange County, Orange, CA, USA
| | - Theodore Heyming
- Children's Hospital of Orange County, Orange, CA, USA
- Emergency Medicine, University of California, Irvine, Irvine, CA, USA
| | - Tricia Morphew
- Morphew Consulting, LLC, Bothell, WA, USA
- Research Institute, Children's Hospital of Orange County, Orange, CA, USA
| | - Lois Sayrs
- Children's Hospital of Orange County, Orange, CA, USA
- University of Arizona College of Medicine, Phoenix, AZ, USA
| | - Michelle A Fortier
- Department of Anesthesiology and Perioperative Care, University of California, Irvine, Irvine, CA, USA
- Center on Stress & Health, University of California, Irvine, Irvine, CA, USA
- Children's Hospital of Orange County, Orange, CA, USA
- Sue & Bill Gross School of Nursing, University of California, Irvine, Irvine, CA, USA
| | | | - Zeev N Kain
- Department of Anesthesiology and Perioperative Care, University of California, Irvine, Irvine, CA, USA.
- Center on Stress & Health, University of California, Irvine, Irvine, CA, USA.
- Children's Hospital of Orange County, Orange, CA, USA.
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11
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Phuspa SM, Alim S, Dharmastuti A, Saefudin MA, Lutfiyah NU, Sutomo AH. Instruments for assessing health workers' burnout during the COVID-19 pandemic: a scoping review. J Ment Health 2023; 32:935-950. [PMID: 36068961 DOI: 10.1080/09638237.2022.2118689] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Revised: 05/16/2022] [Accepted: 07/21/2022] [Indexed: 10/14/2022]
Abstract
BACKGROUND During the COVID-19 pandemic, health workers' workload is increasing, with the risk of burnout. Several instruments for assessing burnout have been developed since the concept was coined in the 1970s. It is important to map and describe the application of burnout instruments for health workers in the current COVID-19 pandemic situation. AIMS This article aimed to map and describe what instruments are used and variations of their application to research burnout in health workers during the COVID-19 pandemic. METHODS This scoping review searched articles systematically through 7 databases (PubMed, Clinical Key, Scopus, EBSCOhost, APA PsycINFO, Science Direct, and Wiley Online Library). Articles were screened and analyzed following the Arksey and O'Malley framework. RESULTS From 507 results, 31 peer-reviewed articles were selected. These studies involved 33,879 participants from various health professions. Generally, the research instrument is still dominated by Maslach Burnout Inventory. Applications of burnout measurements vary widely because there is no consensus on the concept of burnout assessment. CONCLUSION Inconsistency in burnout-measuring tools can be seen as providing flexibility and alternatives, but at the same time, it is a gap that challenges researchers to develop more comprehensive instruments, especially for the burnout phenomenon in health workers during the COVID-19 pandemic.
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Affiliation(s)
- Sisca Mayang Phuspa
- Faculty of Medicine, Public Health, and Nursing at Universitas Gadjah Mada, Yogyakarta, Indonesia
- Faculty of Health Science at Universitas Darussalam Gontor, Ponorogo, Indonesia
| | - Syahirul Alim
- Faculty of Medicine, Public Health, and Nursing at Universitas Gadjah Mada, Yogyakarta, Indonesia
| | | | | | | | - Adi Heru Sutomo
- Faculty of Medicine, Public Health, and Nursing at Universitas Gadjah Mada, Yogyakarta, Indonesia
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Aloriney A, Almudawi NA, Almudairs FK, Aldehailan KS, AlAnazi MH, Almohaish RF, Badger-Emeka L. Comparing Job Satisfaction Among Healthcare Workers at Emergency Departments and Primary Healthcare Units During the COVID-19 Pandemic. Cureus 2023; 15:e44974. [PMID: 37829971 PMCID: PMC10566225 DOI: 10.7759/cureus.44974] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/08/2023] [Indexed: 10/14/2023] Open
Abstract
Background The primary healthcare professionals' work description changed during the COVID-19 pandemic, as was the case of all other healthcare departmental operation systems. Objectives This investigation compares job satisfaction between emergency department (ED) and primary healthcare professionals during the COVID-19 pandemic to ascertain the possible effect of the pandemic on healthcare providers. Methods A cross-sectional online self-assessment questionnaire consisting of 36 questions was distributed using available social media to target all frontline healthcare workers (HCWs) in emergency departments and primary healthcare centres in Riyadh. The inclusive criterion was that the respondents should have been frontline HCWs during the pandemic era. The questionnaire was validated by a pre-test of responses of 10 frontline HCWs. This was to ensure the comprehensibility and validity of the questions. Thereafter, necessary corrections were made to the final questionnaire. Responses were collected with an Excel sheet (Microsoft Corp., Redmond, WA), while data were analysed with SPSS version 23 (IBM Corp., Armonk, NY) and GraphPad Prism version 9.2.0 (GraphPad Software, San Diego, CA). Results The targeted sample size was 400; however, 159 HCWs responded to the questionnaire and were thus included in the investigation. There were more male (60.4%) than female (39.6%) respondents, the majority of whom were Saudi nationals (86.6%) while the remaining were non-Saudi nationals working in the Kingdom. Also, 67% of the respondents were emergency medical service professionals while the remaining (23%) were primary healthcare professionals. Significantly, 71.8% of the respondents (p < 0.05) disagreed with adequate enumeration, rewards, and chances of promotion compared to those who agreed (28.2%) during the COVID-19 pandemic. Job satisfaction was not significantly correlated to gender or the work departments (p > 0.05). Respondents significantly (p < 0.05) agreed to the competence of their supervisors, and liked their colleagues and work environment. Conclusion The study has shown that although supervision during the pandemic era was with competence; however, hours of work put in by these frontline emergency professionals were not adequately remunerated. Also, the services they provide seemed not to have been appreciated and hence did not lead to promotion either. Therefore, there was job satisfaction. As expected, the workload was huge while chances of promotion were lacking. These observations could lead to a substandard service should there be another pandemic. There is a need for all stakeholders to look into this more cautiously should there be another pandemic.
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Affiliation(s)
- Abdulmalik Aloriney
- Department of Family Medicine/Diabetology, College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, SAU
| | - Norah A Almudawi
- Department of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, SAU
| | - Fay K Almudairs
- Department of Medicine, King Faisal University, Al-Ahsa, SAU
| | | | - Murdhi H AlAnazi
- Emergency Medical Services, Prince Mohammed Bin Abdulaziz Hospital, Riyadh, SAU
| | | | - Lorina Badger-Emeka
- Medical Microbiology Division, Department of Biomedical Sciences, College of Medicine, King Faisal University, Al-Ahsa, SAU
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Anil J, Cunningham P, Dine CJ, Swain A, DeLisser HM. The medical humanities at United States medical schools: a mixed method analysis of publicly assessable information on 31 schools. BMC MEDICAL EDUCATION 2023; 23:620. [PMID: 37658394 PMCID: PMC10472551 DOI: 10.1186/s12909-023-04564-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/07/2023] [Accepted: 08/01/2023] [Indexed: 09/03/2023]
Abstract
INTRODUCTION There have been increasing efforts to integrate the arts and humanities into medical education, particularly during undergraduate medical education (UME). Previous studies, however, have focused on courses and curricular programming without rigorous characterization of the associated paracurricular environment or infrastructure enabling or facilitating these offerings. METHODS To assess opportunities for students to engage the arts and humanities during their medical education as well as the institutional resources to support those opportunities, we developed the Humanities and Arts Programming Scale (HARPS): an 18-point scale involving eight sub-domains (Infrastructure, Curricular Opportunities, Extracurricular Engagement, Opportunities for Immersion, Faculty Engagement, Staff Support, Student Groups, and Scholarship). This scale was used to evaluate the top-31 ranked United States medical schools as determined by US News and World Report's (USWNR) Medical School Research Rankings using information derived from public-facing, online information. RESULTS Mean cumulative HARPS score was 11.26, with a median score of 12, a standard deviation of 4.32 and a score range of 3-17. Neither USWNR ranking nor private/public institution status were associated with the cumulative score (p = 0.121, p = 0.739). 52% of institutions surveyed had a humanities-focused center/division with more than 70% of the schools having significant (> 5) faculty engaged in the medical humanities. 65% of schools offered 10 or more paracurricular medical humanities events annually, while 68% of the institutions had more than 5 medical humanities student organizations. While elective, non-credit courses are available, only 3 schools required instruction in the arts and humanities, and comprehensive immersive experiences in the medical humanities were present in only 29% of the schools. CONCLUSIONS Although there is a significant presence of the medical humanities in UME, there is a need for integration of the arts and humanities into required UME curricula and into immersive pathways for engaging the medical humanities.
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Affiliation(s)
- Joshua Anil
- Academic Programs Office, Perelman School of Medicine, Jordan Medical Education Center, University of Pennsylvania, 6th Floor, Building 421 3400 Civic Center Blvd, Philadelphia, PA, 19104-5162, USA
| | - Phoebe Cunningham
- Academic Programs Office, Perelman School of Medicine, Jordan Medical Education Center, University of Pennsylvania, 6th Floor, Building 421 3400 Civic Center Blvd, Philadelphia, PA, 19104-5162, USA
| | - C Jessica Dine
- Academic Programs Office, Perelman School of Medicine, Jordan Medical Education Center, University of Pennsylvania, 6th Floor, Building 421 3400 Civic Center Blvd, Philadelphia, PA, 19104-5162, USA
| | - Amanda Swain
- Academic Programs Office, Perelman School of Medicine, Jordan Medical Education Center, University of Pennsylvania, 6th Floor, Building 421 3400 Civic Center Blvd, Philadelphia, PA, 19104-5162, USA
| | - Horace M DeLisser
- Academic Programs Office, Perelman School of Medicine, Jordan Medical Education Center, University of Pennsylvania, 6th Floor, Building 421 3400 Civic Center Blvd, Philadelphia, PA, 19104-5162, USA.
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Alanazy ARM, Alruwaili A. The Global Prevalence and Associated Factors of Burnout among Emergency Department Healthcare Workers and the Impact of the COVID-19 Pandemic: A Systematic Review and Meta-Analysis. Healthcare (Basel) 2023; 11:2220. [PMID: 37570460 PMCID: PMC10418606 DOI: 10.3390/healthcare11152220] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2023] [Revised: 08/03/2023] [Accepted: 08/04/2023] [Indexed: 08/13/2023] Open
Abstract
BACKGROUND/AIM Emergency medicine (EM) settings are very stressful, given the high workload, intense working environment, and prolonged working time. In turn, the rate of burnout and its three domains have been increasingly reported among healthcare workers (HCWs). Therefore, we conducted this meta-analysis to determine the prevalence and risk factors of burnout among EM HCWs. METHODS Six databases were searched in February 2023, yielding 29 articles (16,619 EM HCWs) reporting burnout or its three domains (emotional exhaustion "EE", depersonalization "DP", and personal accomplishment "PA"). The primary outcome was the prevalence of burnout and its domains, while secondary outcomes included the risk factors of high burnout, EE, DP, or low PA. Burnout rates were pooled across studies using STATA software. The prevalence was measured using the pooled effect size (ES), and the random-effects model was used when heterogeneity was encountered; otherwise, the fixed-effects model was used. RESULTS The prevalence of overall burnout was high (43%), with 35% of EM HCWs having a high risk of burnout. Meanwhile, 39%, 43%, and 36% of EM workers reported having high levels of EE and DP and low levels of PA, respectively. Country-specific changes in the rate of burnout were observed. The rate of high burnout, high EE, high DP, and low PA was higher during the COVID-19 pandemic as compared to the pre-pandemic period. The type of profession (nurses, physicians, residents, etc.) played a significant role in modifying the rate of burnout and its domains. However, gender was not a significant determinant of high burnout or its domains among EM workers. CONCLUSIONS Burnout is a prevalent problem in emergency medicine practice, affecting all workers. As residents progress through their training years, their likelihood of experiencing burnout intensifies. Nurses are most affected by this problem, followed by physicians. Country-associated differences in burnout and its domains are evident.
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Affiliation(s)
- Ahmed Ramdan M. Alanazy
- Emergency Medical Services Department, College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Al Ahsa 36428, Saudi Arabia;
- King Abdullah International Medical Research Center, Al Ahsa 11481, Saudi Arabia
- Ministry of National Guard—Health Affairs, Al Ahsa 11426, Saudi Arabia
| | - Abdullah Alruwaili
- Emergency Medical Services Department, College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Al Ahsa 36428, Saudi Arabia;
- King Abdullah International Medical Research Center, Al Ahsa 11481, Saudi Arabia
- Ministry of National Guard—Health Affairs, Al Ahsa 11426, Saudi Arabia
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15
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Alfadul ESA, Idrees Abdalmotalib MM, Alrawa SSK, Osman ROA, Hassan HMA, Albasheir AT, Hasabo EA, Mohamed SOO, Shaaban KMA. Burnout and its associated factors among healthcare workers in COVID-19 isolation centres in Khartoum, Sudan: A cross-sectional study. PLoS One 2023; 18:e0288638. [PMID: 37478101 PMCID: PMC10361487 DOI: 10.1371/journal.pone.0288638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Accepted: 06/30/2023] [Indexed: 07/23/2023] Open
Abstract
BACKGROUND Burnout prevalence and its consequences on healthcare workers during the Omicron wave are not well investigated in Sudan. This study aims to assess the prevalence of burnout and its associated factors among doctors and nurses during the omicron wave in COVID-19 isolation centres in Khartoum, Sudan. METHOD This cross-sectional survey study was conducted at multiple COVID-19 isolation centres in Khartoum state during the omicron wave of Coronavirus Disease 2019 between 20th February 2022 and 10th April 2022. A total of 306 doctors and nurses filled out the questionnaire, with a response rate of 64.8℅. They were recruited from 5 isolation centers scattered in the three cities of Khartoum Metropolis. The level of burnout was assessed using an online semi-structured questionnaire based on the Oldenburg Burnout Inventory questionnaire. Descriptive statistics were used for continuous variables and frequencies with percentages for categorical variables. The Chi-square test and Fisher exact test were used to identify variables associated with burnout. Logistic regression was used to determine the factors associated with burnout, and the p-value of ≤ .05 is considered statistically significant. RESULTS The prevalence of burnout was 45.7%. Doctors were more likely to have burnout than nurses (OR: 2.01, CI 95% 1.24-3.27; p = 0.005). Also, married healthcare workers were more likely to suffer burnout than single healthcare workers (OR: 3.89, CI 95% 1.41-12.5; P = 0.013). The number of household members (p = 0.035) was associated with burnout among participants. CONCLUSION There is a high prevalence of burnout among healthcare workers in Khartoum Isolation Centers, which is more apparent among doctors.
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Raposa ME, Mullin G, Murray RM, Shepler LJ, Castro KC, Fisher AB, Gallogly VH, Davis AL, Resick CJ, Lee J, Allen JA, Taylor JA. Assessing the Mental Health Impact of the COVID-19 Pandemic on US Fire-Based Emergency Medical Services Responders: A Tale of Two Samples (The RAPID Study I). J Occup Environ Med 2023; 65:e184-e194. [PMID: 36730580 PMCID: PMC10090321 DOI: 10.1097/jom.0000000000002745] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
OBJECTIVE This study aimed to examine the COVID-19 pandemic's impact on fire service safety culture, behavior and morale, levers of well-being, and well-being outcomes. METHODS Two samples (Stress and Violence against fire-based EMS Responders [SAVER], consisting of 3 metropolitan departments, and Fire service Organizational Culture of Safety [FOCUS], a geographically stratified random sample of 17 departments) were assessed monthly from May to October 2020. Fire department-specific and pooled scores were calculated. Linear regression was used to model trends. RESULTS We observed concerningly low and decreasing scores on management commitment to safety, leadership communication, supervisor sensegiving, and decision-making. We observed increasing and concerning scores for burnout, intent to leave the profession, and percentage at high risk for anxiety and depression. CONCLUSIONS Our findings suggest that organizational attributes remained generally stable but low during the pandemic and impacted well-being outcomes, job satisfaction, and engagement. Improving safety culture can address the mental health burden of this work.
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17
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Yau SY, Lee CY, Lai HY, Lee CH. COVID-19-related stress among emergency physicians: a scoping review protocol on the stressors and coping strategies. BMJ Open 2023; 13:e068085. [PMID: 36868596 PMCID: PMC9990160 DOI: 10.1136/bmjopen-2022-068085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/05/2023] Open
Abstract
OBJECTIVE This scoping review aims to identify the COVID-19-related stressors and the corresponding coping strategies among emergency physicians during and following the pandemic. INTRODUCTION In the midst of an unprecedented COVID-19 crisis, healthcare professionals confront a diverse set of difficulties. Emergency physicians are under immense pressure. They must provide frontline care and make quick decisions in a high-pressure environment. This can lead to a variety of physical and psychological stressors, including extended working hours, increased workload, personal risk of infection and the emotional toll of caring for infected patients. It is critical that they be informed of the numerous stressors they face, as well as the various coping methods accessible to them, in order to deal with these pressures. INCLUSION CRITERIA This paper will summarise the findings of primary or secondary investigations on emergency physicians' stressors and coping strategies during and following the COVID-19 epidemic. All journals and grey literature in English and Mandarin published after January 2020 are eligible. METHODS The Joanna Briggs Institute (JBI) method will be used to conduct the scoping review. A thorough literature search will be performed on OVID Medline, Scopus and Web of Science to find eligible studies, using the keywords related to emergency physicians, stress and coping strategies. Two reviewers will independently revise all of the full-text articles, extract data and evaluate the study quality. A narrative overview of the findings from included studies will be given. ETHICS AND DISSEMINATION This review will involve secondary analysis of published literature, and therefore ethics approval is not required. The Preferred Reporting Items for Systematic reviews and Meta-Analyses checklist will be used to guide translation of findings. Results will be disseminated through peer-reviewed journals and presented in conferences via abstract and presentation.
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Affiliation(s)
- Sze-Yuen Yau
- (CG-MERC), Chang Gung Medical Education Research Centre, Linkou, Taiwan
| | - Ching-Yi Lee
- Department of Neurosurgery, Chang Gung Memorial Hospital Linkou Main Branch, Taoyuan, Taiwan
- School of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan
| | - Hung-Yi Lai
- Department of Neurosurgery, Chang Gung Memorial Hospital Linkou Main Branch, Taoyuan, Taiwan
- School of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan
| | - Ching-Hsin Lee
- Department of Radiation Oncology, Proton and radiation therapy center, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan
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Monseau AJ, Balcik BJ, Negaard M, Lilly C, Hogrefe CP, Gould S, Odom MJ, Guyer C, Davenport M, Chow Y, Feden JP, Waterbrook AL. Training and Practice Settings of Physicians Dual-Certified in Emergency and Sports Medicine. Curr Sports Med Rep 2023; 22:29-35. [PMID: 36606634 PMCID: PMC9830565 DOI: 10.1249/jsr.0000000000001029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
ABSTRACT Survey study of training and practice paradigms and job satisfaction of dual-boarded emergency medicine (EM) and sports medicine (SM) physicians. The REDCap survey was sent to 193 American Board of EM members who hold a Certificate of Added Qualification in SM. A total of 124 EM/SM physicians responded (67.5% male). More than 70% completed three-year residencies while only 28.5% had an EM/SM residency faculty. One-quarter delayed fellowship after residency 6.45 years on average. Regarding their first job after fellowship, 27.6% practiced only EM, 54.5% practiced both EM and SM, and 12.2% practiced only SM. Regarding their current job, 29.1% practice only EM. 47.3% practice both EM and SM, and 20.9% practice only SM. Only 13.9% and 9.9% indicated they are unhappy with their first job and current job, respectively. There is significant variability in practice settings for EM/SM physicians with the overwhelming majority being happy with their career choices.
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Affiliation(s)
- Aaron J. Monseau
- 1 Medical Center Drive, RCB HSC, PO Box 9149, West Virginia University, Morgantown, West Virginia, 26506
| | | | - Matthew Negaard
- Forte Sports Medicine and Orthopedics, Indianapolis, Indiana; University of Iowa, Iowa City, Iowa
| | | | | | - Sara Gould
- University of Alabama at Birmingham, Birmingham, Alabama
| | | | | | - Moira Davenport
- Allegheny General Hospital/Drexel College of Medicine, Pittsburgh, Pennsylvania
| | | | - Jeffrey P. Feden
- Alpert Medical School of Brown University, Providence, Rhode Island
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Abu Ras IAA. The Effect of the Corona Virus on the Mental State Among Emergency Room Nurses: A Systematic Review. SAGE Open Nurs 2023; 9:23779608231220254. [PMID: 38130468 PMCID: PMC10734351 DOI: 10.1177/23779608231220254] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Revised: 11/04/2023] [Accepted: 11/24/2023] [Indexed: 12/23/2023] Open
Abstract
Background The COVID-19 pandemic has had a considerable influence on the medical field, especially for emergency room nurses who confront particular difficulties in responding to the crisis in Israel, including possible mental health effects. However, the exact effects of the present epidemic on the mental health of emergency room nurses in Israel remain largely unclear. Aim This study aimed to fill up this knowledge vacuum and advance our understanding of the pandemic's consequences on the mental health of emergency room nurses in Israel. Methods This study employed the systematic review approach. Only studies published between January 2020 and the time of the search. The studies were searched from various databases such as PubMed, Scopus, CINAHL, Web of Science, and PsycINFO. A thematic analysis technique was used to find common themes among the chosen articles as the systematic review concentrates on the impact of the COVID-19 epidemic on the mental health of emergency room nurses in Israel. A total of 12 studies met the eligibility criteria. Results The main findings are oriented toward the effect of COVID-19 on the mental state of emergency room nurses in Israel. The 12 articles included for this study had various characteristics with majority being cross-sectional studies. Others included multicenter study, questionnaire-based study, and qualitative descriptive study. Using thematic analysis, four dominant themes, such as fear of infection and transmission, increased workload, inadequate support and resources, and coping strategies, emerged from the reviewed literature. Conclusion This systematic analysis emphasizes how crucial it is to consider emergency room nurses' particular mental health demands during the COVID-19 epidemic.
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Hinzmann D, Haneveld J, Heininger SK, Spitznagel N. Is it time to rethink education and training? Learning how to perform under pressure: An observational study. Medicine (Baltimore) 2022; 101:e32302. [PMID: 36596063 PMCID: PMC9803486 DOI: 10.1097/md.0000000000032302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Emergency medicine workers are exposed daily to various stressors, especially work-related stress, which have been aggravated by the current SARS-CoV 2 pandemic and impact their physical and mental wellbeing. Nonetheless, although the efficacy of programs and strategies to improving the health of medical staff and patient care has been demonstrated, such programs and strategies are scarce. To assess the prevalence, types and consequences of stress in emergency medical workers in healthcare institutions and explore tools to cope with stressful situations at workplace. Two surveys were conducted. Survey 1 assessed the subjective stress levels and stressors of 21 emergency medicine professionals. Survey 2 was conducted amongst 103 healthcare workers at 3 hospitals in Germany. It comprised selected aspects of the German Mental Risk Assessment and a validated workload scale. None. The answer frequencies on Likert scales were descriptively evaluated. Survey 1: Emergency medical professionals experienced and reported the following high stress levels in acute situations: multitasking during a complex situation; factors associated with the work environment; fear of not appropriately controlling the situation; and lack of sleep. Survey 2: The highest stress levels were experienced in the areas "work environment" and "work organization." The highest scores on the workload scale were obtained for statements on work division, exhaustion, insufficient patient care due to time constraints, regulations, and lack of information. Approximately 80% of healthcare workers had experienced emotionally stressful situations at the workplace, and > 30% had lost a colleague to suicide. There are effective and proven methods to learn how to deal with stress that can easily be established in everyday clinical practice. Healthcare workers are subjected to numerous stressors in their work environment and observe the consequences of these stressors on their own and their colleagues' wellbeing. Coping strategies for high-pressure reduces and resists the job- immanent pressure and stress in healthcare workers.
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Affiliation(s)
- Dominik Hinzmann
- Department of Anesthesiology and Intensive Care, University Hospital Klinikum Rechts Der Isar, Technical University of Munich (TUM), Munich, Germany
- Association for Psychosocial Competence and Support in Acute Care - PSU-Akut, Munich, Germany
- * Correspondence: Dominik Hinzmann, Department of Anesthesiology and Intensive Care, University Hospital Klinikum rechts der Isar, Technical University of Munich (TUM), Munich 81675, Germany (e-mail: )
| | - Julia Haneveld
- Psychotherapeutic Outpatient Clinic, Catholic University of Eichstätt-Ingolstadt (KU), Ingolstadt, Germany
| | | | - Nadja Spitznagel
- Department of Anesthesiology and Intensive Care, Munich Municipal Hospital Group Klinik Harlaching, Munich, Germany
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21
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Smith NJ, Bausano BJ, Zachrison KS, Jamtgaard L, Heidt J, Palmer C. Emergency Medicine Telehealth: A Pandemic Becomes a Gateway for Virtual Care in Missouri. MISSOURI MEDICINE 2022; 119:452-459. [PMID: 36337995 PMCID: PMC9616448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
Telehealth provides a novel bridge between patient needs and available resources. On-demand telehealth visits provide urgent medical services in a virtual setting. Telehealth can be used to provide care for patients despite geographical distance. Emergency Medicine quickly adapted in response to the COVID-19 pandemic through utilization of telehealth to solve various problems. Tele-triage was used to coordinate COVID-19 testing and treatment. Greater utilization of all current and emerging telehealth modalities could increase access and quality of care for all Missourians.
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Affiliation(s)
- Nathanael J Smith
- Assistant Professor, Department of Emergency Medicine, Boston University School of Medicine and Global Health Equity Fellow at Boston Medical Center, Boston, Massachusetts
| | - Brian J Bausano
- Director of Recruitment and Associate Professor, Department of Emergency Medicine, Washington University School of Medicine, St. Louis, Missouri
| | - Kori S Zachrison
- Associate Professor of Emergency Medicine at Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts
| | - Louis Jamtgaard
- Practices in the Emergency Department, Mosaic Life Care, St. Joseph, Missouri
| | - Jonathan Heidt
- Department of Emergency Medicine at University of Missouri - Columbia Health Care, Columbia, Missouri
| | - Christopher Palmer
- Associate Professor of Anesthesiology and Emergency Medicine, Department of Anesthesiology, Division of Critical Care, Department of Emergency Medicine, Washington University School of Medicine, St. Louis, Missouri
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22
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Barton MA, Lall MD, Johnston MM, Lu DW, Nelson LS, Bilimoria KY, Reisdorff EJ. Reliability and validity support for an abbreviated Copenhagen burnout inventory using exploratory and confirmatory factor analysis. J Am Coll Emerg Physicians Open 2022; 3:e12797. [PMID: 35949274 PMCID: PMC9358756 DOI: 10.1002/emp2.12797] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Revised: 07/07/2022] [Accepted: 07/14/2022] [Indexed: 11/06/2022] Open
Abstract
Objective The Copenhagen Burnout Inventory (CBI) is an open-access, valid, and reliable instrument measuring burnout that includes 19 items distributed across the following 3 domains (factors): personal burnout, work burnout, and patient burnout. The primary objective of this study was to determine the validity and reliability of an abbreviated CBI to assess burnout in emergency medicine residents. Methods This cross-sectional study used data from the CBI that followed the 2021 American Board of Emergency Medicine In-training Examination. Exploratory factor analysis (EFA) was followed by confirmatory factor analysis (CFA). Results Of the 8491 eligible residents, 7225 (85.1%) completed the survey; the EFA cohort included 3613 residents and the CFA cohort included 3612 residents. EFA showed 2 eigenvalues ≥1, an internal factor and an external factor. There were 6 CBI items that contributed to the 2 factors. The first factor was related to personal burnout and work-related burnout and the second factor was related to working with patients. There were 4 CBI items that contributed to the internal factor and 2 CBI items that contributed to the external factor. Using the abbreviated CBI, the incidence of a resident having 1 or both types of burnout was 34.1%. Conclusions This study provides validity evidence and reliability support for the use of a 6-item, 2-factor abbreviated CBI. A shorter, reliable, valid, and publicly accessible burnout inventory provides numerous advantages for burnout research in emergency medicine.
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Affiliation(s)
| | - Michelle D. Lall
- Department of Emergency MedicineEmory UniversityAtlantaGeorgiaUSA
| | | | - Dave W. Lu
- Department of Emergency MedicineUniversity of WashingtonSeattleWashingtonUSA
| | - Lewis S. Nelson
- Department of Emergency MedicineRutgers New Jersey Medical SchoolNewarkNew JerseyUSA
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23
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Govindasamy LS. Supporting each other: Pacific emergency care clinicians navigate COVID-19 pandemic challenges through collaboration. THE LANCET REGIONAL HEALTH. WESTERN PACIFIC 2022; 25:100535. [PMID: 35815239 PMCID: PMC9253852 DOI: 10.1016/j.lanwpc.2022.100535] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Affiliation(s)
- Laksmi Sakura Govindasamy
- Swinburne University of Technology, John St, Hawthorne, Victoria 3122, Australia
- Austin Health, 145 Studley Rd, Heidelberg, Victoria 3084, Australia
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24
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Lee H, Kim KY, Kim JY, Kam S, Lee KS, Lee JJ, Hong NS, Hwang TY. Public Health Emergency Response and Evaluation During the COVID-19 Epidemic in Daegu in the First Half of 2020. J Prev Med Public Health 2022; 55:360-370. [PMID: 35940191 PMCID: PMC9371785 DOI: 10.3961/jpmph.22.068] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Accepted: 05/23/2022] [Indexed: 11/27/2022] Open
Abstract
Objectives This study evaluated the response in Daegu, Korea to the first wave of the coronavirus disease 2019 (COVID-19) pandemic according to a public health emergency response model. Methods After an examination of the official data reported by the city of Daegu and the Korea Centers for Disease Control and Prevention, as well as a literature review and advisory meetings, we chose a response model. Daegu’s responses were organized into 4 phases and evaluated by applying the response model. Results In phase 1, efforts were made to block further transmission of the virus through preemptive testing of a religious group. In phase 2, efforts were concentrated on responding to mass infections in high-risk facilities. Phase 3 involved a transition from a high-intensity social distancing campaign to a citizen participation–based quarantine system. The evaluation using the response model revealed insufficient systematic preparation for a medical surge. In addition, an incorporated health-related management system and protection measures for responders were absent. Nevertheless, the city encouraged the participation of private hospitals and developed a severity classification system. Citizens also played active roles in the pandemic response by practicing social distancing. Conclusions This study employed the response model to evaluate the early response in Daegu to the COVID-19 pandemic and revealed areas in need of improvement or maintenance. Based on the study results, creation of a systematic model is necessary to prepare for and respond to future public health emergencies like the COVID-19 pandemic.
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Affiliation(s)
- Hwajin Lee
- Department of Preventive Medicine, Kyungpook National University School of Medicine, Daegu,
Korea
| | - Keon-Yeop Kim
- Department of Preventive Medicine, Kyungpook National University School of Medicine, Daegu,
Korea
| | - Jong-Yeon Kim
- Department of Public Health, Kyungpook National University Hospital, Daegu,
Korea
| | - Sin Kam
- Department of Preventive Medicine, Kyungpook National University School of Medicine, Daegu,
Korea
| | - Kyeong Soo Lee
- Department of Preventive Medicine and Public Health, Yeungnam University College of Medicine, Daegu,
Korea
| | - Jung Jeung Lee
- Department of Preventive Medicine, Keimyung University College of Medicine, Daegu,
Korea
| | - Nam Soo Hong
- Department of Preventive Medicine, Kyungpook National University School of Medicine, Daegu,
Korea
| | - Tae-Yoon Hwang
- Department of Preventive Medicine and Public Health, Yeungnam University College of Medicine, Daegu,
Korea
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Symptoms of Burnout Syndrome among Physicians during the Outbreak of COVID-19 Pandemic—A Systematic Literature Review. Healthcare (Basel) 2022; 10:healthcare10060979. [PMID: 35742031 PMCID: PMC9223230 DOI: 10.3390/healthcare10060979] [Citation(s) in RCA: 25] [Impact Index Per Article: 12.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Revised: 05/20/2022] [Accepted: 05/21/2022] [Indexed: 02/04/2023] Open
Abstract
Background: Studies in the recent decades show that the medical profession has a high risk to develop burnout due to constant exposure to mental and physical suffering or death. The pandemic period induced additional stress for healthcare professionals due to the likelihood of a high rate of infection, long working shifts, using protective equipment, staying away from family, implementing new medical procedures. The present study is focusing on assessing the prevalence of burnout among physicians working in the healthcare system during the COVID-19 pandemic, and discovering the main factors associated with burnout syndrome among the population of physicians. Material and methods: A systematic review was conducted by searching PubMed, Wiley, and Google Scholar in November 2021. A total of 35 studies were eligible for the evaluation. Results: The samples ranged from 39 to 3071 physicians, and the overall burnout ranged from 14.7% to 90.4%. Sociodemographic characteristics associated with a high prevalence of burnout were the female gender, less experienced, not having children, and single marital status, associated with high levels of anxiety, depression, and stress in the female gender. The highest level of burnout among all the studies was 90.4% on a sample of physicians from the Republic of Korea, 80.2% among psychiatrists in Saudi Arabia, followed by a study in Ireland with a 77% level of burnout among senior and specialist physicians, and 74.7% prevalence of burnout for emergency physicians in USA. Conclusions: During the pandemic, the factors that contribute to burnout are the lack of personal protective equipment and the violence of issues related to organizational health; the high prevalence of burnout symptoms is associated with anxiety, depression, and stress.
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The COVID-19 Pandemic: Early Ripple Effects in Pediatric Palliative Care. CHILDREN 2022; 9:children9050642. [PMID: 35626819 PMCID: PMC9139250 DOI: 10.3390/children9050642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Revised: 03/21/2022] [Accepted: 04/08/2022] [Indexed: 11/17/2022]
Abstract
Palliative care, which aims to provide comprehensive, interdisciplinary, holistic care to children, adolescents and adults with life-threatening, and ultimately life-limiting conditions, is a discipline that has emerged as an integral component of healthcare systems throughout the world. Although the value of life-affirming palliative care (PC) has been shown across many domains, funding and acceptance of palliative care teams have been variable: some hospital systems have free-standing, dedicated interdisciplinary teams while, in many instances, palliative care services are provided “pro bono” by individuals with a special interest in the discipline, who provide PC in addition to other responsibilities. In this article, we hope to highlight some of the observations on the early effects of the COVID–19 pandemic on the provision of PC in children.
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Kim C, Park KH, Eo EK, Kim YM, Eo SK, Han J. Burnout and Resilience among Emergency Physicians at Korean University Hospitals during the COVID-19 Pandemic: A Cross-Sectional Analysis. Yonsei Med J 2022; 63:372-379. [PMID: 35352889 PMCID: PMC8965432 DOI: 10.3349/ymj.2022.63.4.372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/09/2021] [Revised: 12/29/2021] [Accepted: 12/29/2021] [Indexed: 11/27/2022] Open
Abstract
PURPOSE This study aimed to investigate burnout and resilience among emergency physicians (EPs) at university teaching hospitals during the coronavirus disease (COVID-19) pandemic. MATERIALS AND METHODS In April to May 2021, a survey was administered to 331 and 309 emergency medicine specialists and residents, respectively, from 31 university teaching hospitals in Korea. Data on the respondents' age, sex, designation, working area, experience with treating COVID-19 patients, and personal experience with COVID-19 were collected. Based on the participants' characteristics, quality of life (compassion satisfaction, burnout, and secondary traumatic stress), resilience, emotional content, and self-image were analyzed. RESULTS A total of 247 responses were analyzed. Compared to specialists, compassion satisfaction and resilience in residents were not good, burnout was severe, and emotional content and self-image were less positive. Experiences with treating COVID-19 patients did not cause any difference in quality of life, resilience, emotional content, and self-image among participant subgroups. Personal COVID-19 experiences were associated with poor compassion satisfaction, resilience, less positive emotional content and self-image, and severe burnout. Compassion satisfaction, secondary traumatic stress, and resilience can definitively affect burnout. CONCLUSION The quality of life and resilience of EPs in university teaching hospitals in Korea during the COVID-19 pandemic have been low. Supportive measures to improve resilience can prevent burnout among emergency staff, particularly residents and EPs, with personal experiences related to COVID-19.
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Affiliation(s)
- Chanwoong Kim
- Department of Emergency Medicine, Chung-Ang University College of Medicine, Seoul, Korea
| | - Kyung Hye Park
- Department of Medical Education, Yonsei University Wonju College of Medicine, Wonju, Korea
- Department of Emergency Medicine, Wonju Severance Christian Hospital, Wonju, Korea.
| | - Eun Kyung Eo
- Department of Emergency Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea
| | - Young-Min Kim
- Department of Emergency Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Soo Kyung Eo
- Graduate School of Art Therapy at CHA University, Pocheon, Korea
| | - JaeHun Han
- Department of Biostatistics, Graduate School of Yonsei University, Wonju, Korea
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29
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Ross AM, Ramlawi S, Fakhraei R, Murphy MSQ, Ducharme R, Dingwall-Harvey ALJ, White RR, Ritchie K, Muldoon K, El-Chaâr D. The psychological impact of the COVID-19 pandemic and a SARS-CoV-2 testing programme on obstetric patients and healthcare workers. WOMEN'S HEALTH 2022; 18:17455057221103101. [PMID: 35686846 PMCID: PMC9189525 DOI: 10.1177/17455057221103101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Objectives: The aim of this study was to describe the psychological impact of the COVID-19 pandemic and the specific impact of a universal SARS-CoV-2 testing programme on obstetric patients and healthcare workers at The Ottawa Hospital. Methods: This was a follow-up survey study of obstetric healthcare workers and then-pregnant patients who participated in a SARS-CoV-2 testing programme conducted in The Ottawa Hospital obstetrical triage units from 19 October to 17 November 2020. Surveys explored the effects of the COVID-19 pandemic and the testing programme on participants’ psychological well-being. Responses were collected from April to September 2021. Descriptive summary statistics were calculated for both groups. Results: During hospitalization for delivery, obstetric patients (n = 143) worried about giving COVID-19 to their new baby (88.11%), catching COVID-19 (83.22%), and giving COVID-19 to their partner (76.22%). Patients felt relief at being tested for COVID-19 during the universal testing programme (24.65%) and at getting their results (28.87%). Patients also believed that universal SARS-CoV-2 testing was a good way to slow COVID-19 spread (79.72%), reduce anxiety (75.52%), and increase relief (76.22%). In addition, patients felt good about participating in research that could help others (91.61%). Among obstetric healthcare workers (n = 94), job satisfaction decreased and job stress increased during the COVID-19 pandemic. The universal testing programme led to minor increases in healthcare worker job stress and burden, particularly among nurses, but the majority (85.23%) believed it was a valuable research initiative. Conclusion: The COVID-19 pandemic has had a negative psychological impact on obstetric patients and healthcare workers. Universal SARS-CoV-2 testing was generally viewed favourably and may serve as an effective strategy for estimating COVID-19 prevalence without adding undue stress onto patients and healthcare workers during the pandemic.
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Affiliation(s)
- Abigail M Ross
- Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada
| | - Serine Ramlawi
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada
| | - Romina Fakhraei
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada
| | - Malia SQ Murphy
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada
| | - Robin Ducharme
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada
| | | | - Ruth Rennicks White
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada
- Department of Obstetrics, Gynaecology and Newborn Care, The Ottawa Hospital, Ottawa, ON, Canada
| | - Kerri Ritchie
- Ottawa Hospital Research Institute, Psychiatry, The Ottawa Hospital, Ottawa, ON, Canada
- School of Psychology, University of Ottawa, Ottawa, ON, Canada
| | - Katherine Muldoon
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada
- Department of Obstetrics and Gynecology, University of Ottawa, Ottawa, ON, Canada
| | - Darine El-Chaâr
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada
- Department of Obstetrics, Gynaecology and Newborn Care, The Ottawa Hospital, Ottawa, ON, Canada
- Department of Obstetrics and Gynecology, University of Ottawa, Ottawa, ON, Canada
- Darine El-Chaâr, Department of Obstetrics, Gynaecology and Newborn care, The Ottawa Hospital, General Campus, CPCR, Box 241, 501 Smyth Road, Ottawa, ON K1H 8L6, Canada.
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