1
|
Valdes-Elizondo GD, Álvarez-Maldonado P, Ocampo-Ocampo MA, Hernández-Ríos G, Réding-Bernal A, Hernández-Solís A. Burnout symptoms among physicians and nurses before, during and after COVID-19 care. Rev Lat Am Enfermagem 2023; 31:e4046. [PMID: 37937599 PMCID: PMC10631294 DOI: 10.1590/1518-8345.6820.4046] [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: 04/25/2023] [Accepted: 08/13/2023] [Indexed: 11/09/2023] Open
Abstract
OBJECTIVE this study evaluated burnout symptoms among physicians and nurses before, during and after COVID-19 care. METHOD a cross-sectional comparative study in the Pulmonary Care unit of a tertiary-level public hospital. The Maslach Burnout Inventory was used. RESULTS 280 surveys were distributed across three periods: before (n=80), during (n=105) and after (n=95) COVID-19 care; 172 surveys were returned. The response rates were 57.5%, 64.8% and 61.1%, respectively. The prevalence of severe burnout was 30.4%, 63.2% and 34.5% before, during and after COVID-19 care (p<0.001). Emotional exhaustion (p<0.001) and depersonalization (p=0.002) symptoms were more prevalent among nurses than among physicians. Severe burnout was more prevalent in women, nurses and night shift staff. CONCLUSION the high prevalence of burnout doubled in the first peak of hospital admissions and returned to pre-pandemic levels one month after COVID-19 care ended. Burnout varied by gender, shift and occupation, with nurses among the most vulnerable groups. Focus on early assessment and mitigation strategies are required to support nurses not only during crisis but permanently.
Collapse
Affiliation(s)
| | - Pablo Álvarez-Maldonado
- Hospital General de México, Servicio de Neumología, Ciudad de México, México
- Becario del Sistema Nacional de Investigadores, CONACYT, México
| | | | | | - Arturo Réding-Bernal
- Hospital General de México, Servicio de Neumología, Ciudad de México, México
- Becario del Sistema Nacional de Investigadores, CONACYT, México
| | - Alejandro Hernández-Solís
- Hospital General de México, Servicio de Neumología, Ciudad de México, México
- Becario del Sistema Nacional de Investigadores, CONACYT, México
| |
Collapse
|
2
|
Cobo-Cuenca AI, Fernández-Fernández B, Carmona-Torres JM, Pozuelo-Carrascosa DP, Laredo-Aguilera JA, Romero-Gómez B, Rodríguez-Cañamero S, Barroso-Corroto E, Santacruz-Salas E. Longitudinal Study of the Mental Health, Resilience, and Post-Traumatic Stress of Senior Nursing Students to Nursing Graduates during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph192013100. [PMID: 36293681 PMCID: PMC9602859 DOI: 10.3390/ijerph192013100] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/10/2022] [Revised: 10/01/2022] [Accepted: 10/09/2022] [Indexed: 05/20/2023]
Abstract
This study analyzed changes in the psychological health of students who were in the final year of their nursing degree during the COVID-19 pandemic and later served as nursing professionals in hospitals. Methods: A prospective longitudinal study was conducted over two periods of time (the first in April 2020 and the second 6 months later, in December 2020) with 296 students for a T0 baseline (rate response 68.83%) and 92 students for a T1 post-test sample (response rate 31.08%). The data were electronically collected using the Hospital Anxiety and Depression Scale, the Life Satisfaction Questionnaire, the Resilience Scale, and a post-traumatic stress questionnaire. The mean age of the sample participants was 24.17 years (SD = 5.51), and 89.11% were female. During the pandemic, 14.11% of students showed scores that indicated depression, and 32.61% showed scores that indicated anxiety. In December 2020, 86.5% of the participants were working as nurses, and the percentages of those with anxiety (12%) and depression (4.3%) were significantly lower than in the first sample period. A total of 20.7% of the participants had post-traumatic stress. High scores for resilience were significantly associated with better quality of life and lower levels of anxiety, depression, and post-traumatic stress. Conclusions: Although the percentages of participants with anxiety and depression decreased, they still presented with mental health problems.
Collapse
Affiliation(s)
- Ana Isabel Cobo-Cuenca
- Facultad de Fisioterapia y Enfermería, Grupo IMCU, Departamento de Enfermería, Fisioterapia y Terapia Ocupacional, Universidad de Castilla-La Mancha, Campus de Fábrica de Armas, Av de Carlos III s/n, 45071 Toledo, Spain
| | - Beatriz Fernández-Fernández
- Hospital General Nuestra Sra. Del Prado, Servicio de Salud de Castilla-La Mancha (SESCAM), Av. Extremadura KM 114, 45600 Talavera de la Reina, Spain
| | - Juan Manuel Carmona-Torres
- Facultad de Fisioterapia y Enfermería, Grupo IMCU, Departamento de Enfermería, Fisioterapia y Terapia Ocupacional, Universidad de Castilla-La Mancha, Campus de Fábrica de Armas, Av de Carlos III s/n, 45071 Toledo, Spain
- Correspondence:
| | - Diana P. Pozuelo-Carrascosa
- Facultad de Enfermería, Grupo IMCU, Universidad de Castilla-La Mancha, Santa Teresa Jornet s/n., 16071 Cuenca, Spain
| | - José Alberto Laredo-Aguilera
- Facultad de Fisioterapia y Enfermería, Grupo IMCU, Departamento de Enfermería, Fisioterapia y Terapia Ocupacional, Universidad de Castilla-La Mancha, Campus de Fábrica de Armas, Av de Carlos III s/n, 45071 Toledo, Spain
| | - Benjamín Romero-Gómez
- Hospital El Tomillar de Sevilla, Servicio Andaluz de Salud (SAS), 41500 Alcalá de Guadaira, Spain
| | | | - Esperanza Barroso-Corroto
- Facultad de Fisioterapia y Enfermería, Grupo IMCU, Departamento de Enfermería, Fisioterapia y Terapia Ocupacional, Universidad de Castilla-La Mancha, Campus de Fábrica de Armas, Av de Carlos III s/n, 45071 Toledo, Spain
| | - Esmeralda Santacruz-Salas
- Facultad de Fisioterapia y Enfermería, Grupo IMCU, Departamento de Enfermería, Fisioterapia y Terapia Ocupacional, Universidad de Castilla-La Mancha, Campus de Fábrica de Armas, Av de Carlos III s/n, 45071 Toledo, Spain
| |
Collapse
|
3
|
Li N, Zhang L, Li X, Lu Q. Moderated Role of Social Support in the Relationship between Job Strain, Burnout, and Organizational Commitment among Operating Room Nurses: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:10813. [PMID: 36078526 PMCID: PMC9518378 DOI: 10.3390/ijerph191710813] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Revised: 08/25/2022] [Accepted: 08/27/2022] [Indexed: 06/15/2023]
Abstract
Unique environment, coupled with overload, low job control, and high risk might put operating room (OR) nurses in a state of high job strain, which might have negative influences on burnout and organizational commitment. Based on the Job Demand-Control-Support model and previous studies, we hypothesized that the relationship between job strain (determined by job demand and control) and organizational commitment could be mediated by burnout (emotional exhaustion and depersonalization), the effect of job strain on burnout and organizational commitment could be moderated by social support. To verify the hypothesis, a quantitative cross-sectional survey was conducted, 509 OR nurses from 30 tertiary hospitals in Beijing were recruited. Multiple-group path analysis was used to test the moderated role of social support. Propensity score matching was applied to match job strain in different groups. Our research found that in the low social support group, job strain was not related to organizational commitment, while in the high social support group, depersonalization was not related to organizational commitment. Furthermore, nurses in the low social support group were more likely to have depersonalization under job strain compared to the high social support group. Social support should be provided to alleviate the negative impact of job strain.
Collapse
Affiliation(s)
- Na Li
- School of Nursing, Shandong University of Traditional Chinese Medicine, Jinan 250355, China
| | - Lichuan Zhang
- School of Nursing, Peking University, Beijing 100191, China
| | - Xuejing Li
- Division of Operating Center, Peking University People’s Hospital, Beijing 100044, China
| | - Qian Lu
- School of Nursing, Peking University, Beijing 100191, China
| |
Collapse
|