Gazi Medical College, Khulna, BANGLADESH.
The INCLEN Trust, New Delhi, INDIA.
Indian J Med Ethics. 2020 Oct-Dec;V(4):1-6. doi: 10.20529/IJME.2020.73.
Burnout is a major occupational problem among healthcare providers, especially during the Covid-19 pandemic. The frontline health workforce is experiencing a high workload and multiple psychosocial stressors which may affect their mental and emotional health, leading to burnout symptoms. Moreover, sleep deprivation and a critical lack of psychosocial support may aggravate such symptoms amidst Covid-19. From an ethical viewpoint, healthcare providers may experience moral distress while safeguarding patient welfare and autonomy. Moreover, social injustice and structural inequities may affect their emotional health while tackling a high volume of new cases and mortality. Global evidence indicates the need for adopting multipronged evidence-based approaches to address burnout during this pandemic, which may include increasing the awareness of work-related stress and burnout, promoting mindfulness and self-care practices for promoting mental wellbeing, ensuring optimal mental health services, using digital technologies to address workplace stress and deliver mental health interventions, and improving organisational policies and practices focusing on burnout among healthcare providers.
burnout 是医疗保健提供者中一个主要的职业问题，尤其是在 COVID-19 大流行期间。一线卫生工作者面临着高工作量和多种心理社会压力源，这可能会影响他们的心理健康，导致 burnout 症状。此外，睡眠剥夺和严重缺乏社会心理支持可能会在 COVID-19 期间加重这些症状。从伦理的角度来看，医疗保健提供者在保护患者的福利和自主权时可能会经历道德困境。此外，社会不公正和结构性不平等可能会影响他们的情绪健康，因为他们要处理大量的新病例和死亡率。全球证据表明，在这场大流行期间，需要采取多管齐下的基于证据的方法来解决 burnout 问题，这可能包括提高对与工作相关的压力和 burnout 的认识，促进正念和自我保健实践，以促进心理健康，确保最佳的心理健康服务，利用数字技术来解决工作场所压力并提供心理健康干预措施，以及改善组织政策和实践，重点关注医疗保健提供者中的 burnout 问题。
