Center for Health Services Management and Evaluation, Department of Nursing, School of Health Sciences, National and Kapodistrian University of Athens, Athens, Greece.
Department of Radiology, P & A Kyriakou Children's Hospital, Athens, Greece.
J Adv Nurs. 2021 Aug;77(8):3286-3302. doi: 10.1111/jan.14839. Epub 2021 Mar 25.
AIMS: To examine the nurses' burnout and associated risk factors during the COVID-19 pandemic. DESIGN: We followed the Cochrane criteria and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines for this systematic review and meta-analysis. DATA SOURCES: PubMed, Scopus, ProQuest, Cochrane COVID-19 registry, CINAHL and pre-print services (medRχiv and PsyArXiv) were searched from January 1 to November 15, 2020 and we removed duplicates. REVIEW METHODS: We applied a random effect model to estimate pooled effects since the heterogeneity between results was very high. RESULTS: Sixteen studies, including 18,935 nurses met the inclusion criteria. The overall prevalence of emotional exhaustion was 34.1%, of depersonalization was 12.6% and of lack of personal accomplishment was 15.2%. The main risk factors that increased nurses' burnout were the following: younger age, decreased social support, low family and colleagues readiness to cope with COVID-19 outbreak, increased perceived threat of Covid-19, longer working time in quarantine areas, working in a high-risk environment, working in hospitals with inadequate and insufficient material and human resources, increased workload and lower level of specialized training regarding COVID-19. CONCLUSION: Nurses experience high levels of burnout during the COVID-19 pandemic, while several sociodemographic, social and occupational factors affect this burnout. IMPACT: We found that burnout among nurses is a crucial issue during the COVID-19 pandemic. There is an urgent need to prepare nurses to cope better with COVID-19 pandemic. Identification of risk factors for burnout could be a significant weapon giving nurses and health care systems the ability to response in a better way against the following COVID-19 waves in the near future.
目的:调查 COVID-19 大流行期间护士的倦怠及其相关危险因素。
设计:本系统评价和荟萃分析遵循 Cochrane 标准和系统评价与荟萃分析的首选报告项目指南。
数据来源:从 2020 年 1 月 1 日至 11 月 15 日,我们在 PubMed、Scopus、ProQuest、Cochrane COVID-19 注册中心、CINAHL 和预印本服务(medRχiv 和 PsyArXiv)上搜索了文献并排除了重复项。
综述方法:由于结果之间的异质性非常高,我们应用随机效应模型来估计合并效应。
结果:符合纳入标准的研究有 16 项,共纳入 18935 名护士。情感耗竭的总体患病率为 34.1%,去人格化的患病率为 12.6%,个人成就感降低的患病率为 15.2%。增加护士倦怠的主要危险因素包括:年龄较小、社会支持减少、家庭和同事应对 COVID-19 爆发的准备不足、对新冠病毒威胁的感知增加、在隔离区工作时间延长、在高危环境中工作、在资源不足和人力不足的医院工作、工作量增加以及针对 COVID-19 的专门培训水平较低。
结论:护士在 COVID-19 大流行期间经历了高度的倦怠,而一些社会人口学、社会和职业因素会影响这种倦怠。
影响:我们发现,倦怠是 COVID-19 大流行期间护士面临的一个关键问题。迫切需要为护士做好应对 COVID-19 大流行的准备。识别倦怠的危险因素可能是一个重要的手段,使护士和卫生保健系统有能力在不久的将来更好地应对未来的 COVID-19 浪潮。
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