Douglas Deborah R, Choi David, Marcus Hani J, Muirhead Will, Reddy Ugan, Stewart Trudy, Luoma Astri M V
Departments of Neuroanaesthesia and Neurocritical Care.
Neurosurgery, The National Hospital for Neurology and Neurosurgery.
J Neurosurg Anesthesiol. 2022 Jul 1;34(3):333-338. doi: 10.1097/ANA.0000000000000767. Epub 2021 Mar 29.
The coronavirus disease 2019 (COVID-19) pandemic has affected people of all ages, races, and socioeconomic groups, and placed extraordinary stress on health care workers (HCWs). We measured the prevalence of burnout and assessed wellbeing and quality of life (QoL) in HCWs at a single UK neuroscience center after the first pandemic surge.
A 38-item electronic questionnaire was disseminated through local team email lists between May 22 and June 7, 2020, to HCWs in a university neurosciences center. Burnout was measured using the single-item Emotional Exhaustion and Depersonalization scales, and wellbeing and QoL assessed using the Linear Analogue Self-Assessment Scale and the EuroQol-5 Dimension instrument.
The response rate was 57.4% (n=234); 58.2% of respondents were nurses, 69.4% were women and 40.1% were aged 25 to 34 years. Overall, 21.4% of respondents reported burnout assessed by the Emotional Exhaustion scale; burnout was higher for nurses (23.5%) and allied health care professionals (22.5%) compared with doctors (16.4%). HCWs from ethnic minority groups reported a higher rate of burnout (24.5%) compared with white HCWs (15.0%). There were no differences in reported wellbeing or QoL between professional groups, or HCW age, sex, or race. Nurses (36.8%) and staff from ethnic minority groups (34.6%) were more fearful for their health than others.
Our findings highlight the prevalence of HCW burnout after the first surge of the pandemic, with an increased risk of burnout among nurses and staff from ethnic minority groups. Both nursing and staff from ethnic minority groups were also more fearful for their health. With ongoing pandemic surges, the impact on HCW wellbeing should be continuously assessed to ensure that local strategies to support staff wellbeing are diverse and inclusive.
2019年冠状病毒病（COVID-19）大流行影响了所有年龄、种族和社会经济群体的人群，并给医护人员带来了巨大压力。我们在英国一家神经科学中心首次疫情高峰过后，对医护人员职业倦怠的患病率进行了测量，并评估了他们的幸福感和生活质量。
2020年5月22日至6月7日期间，通过当地团队电子邮件列表向一家大学神经科学中心的医护人员发放了一份包含38个条目的电子问卷。使用单项情感耗竭量表和去个性化量表测量职业倦怠，使用线性模拟自我评估量表和欧洲五维健康量表评估幸福感和生活质量。
回复率为57.4%（n = 234）；58.2%的受访者为护士，69.4%为女性，40.1%年龄在25至34岁之间。总体而言，21.4%的受访者报告有情感耗竭量表评估的职业倦怠；与医生（16.4%）相比，护士（23.5%）和专职医疗人员（22.5%）的职业倦怠率更高。少数族裔医护人员的职业倦怠率（24.5%）高于白人医护人员（15.0%）。不同专业群体、医护人员年龄、性别或种族之间在报告的幸福感或生活质量方面没有差异。护士（36.8%）和少数族裔工作人员（34.6%）比其他人更担心自己的健康。
我们的研究结果凸显了疫情首次高峰过后医护人员职业倦怠的患病率，护士和少数族裔工作人员职业倦怠的风险增加。少数族裔的护士和工作人员也更担心自己的健康。随着疫情持续高峰，应持续评估对医护人员幸福感的影响，以确保支持员工幸福感的当地策略具有多样性和包容性。
