Department of Social Work, National Taiwan University, Taipei, 106, Taiwan.
School of Nursing, University of California, Los Angeles, CA, USA.
J Formos Med Assoc. 2022 Aug;121(8):1384-1391. doi: 10.1016/j.jfma.2021.09.022. Epub 2021 Oct 9.
BACKGROUND/PURPOSE: During pandemics like SARS-CoV-2, healthcare providers' well-being and morale are in particular at stake. Burnout may substantially hinder the well-being and morale of healthcare providers, challenging our efforts at disease containment. This study investigated the relationship between perceived COVID-19 stigma and burnout symptoms among physicians and nurses. We further aimed to identify potential factors that may moderate this relationship, including profession, clinical contact with COVID-19 patients, and prior experience with 2003 SARS-CoV-1.
We used a web-based, structured survey from March 12th to 29th, 2020 to collect cross-sectional, self-reported data. Participants were provided with a link to the survey which took them on average 5-8 minutes. Survey consisted of demographic characteristics, clinical experiences, perceived COVID-19 related stigma, and burnout symptoms. Linear regression with bootstrapping techniques was adopted to test the relations between stigma and burnout, as well as other potential moderators, while adjusting for demographic and clinical factors.
Of the 1421 consented respondents, 357 identified as physicians while 1064 identified as nurses. Participants reported some levels of stigma, and noticeable burnout symptoms. Burnout symptoms were positively correlated with COVID-19 stigma, profession, and currently care for confirmed/suspected COVID-19 patients. The interaction between stigma and profession (Stigma × Nurses) but no other interaction terms reached the significance level, suggesting that the slope for nurses was flatter than the slope for physicians.
The study results suggest that COVID-19 stigma may contribute to burnout among physicians and nurses, and this relation may not vary across clinical roles and experiences but profession.
背景/目的：在 SARS-CoV-2 等大流行期间，医疗保健提供者的福祉和士气尤其受到影响。倦怠可能会严重影响医疗保健提供者的福祉和士气，从而影响我们控制疾病的努力。本研究调查了医生和护士中感知到的 COVID-19 耻辱感与倦怠症状之间的关系。我们还旨在确定可能调节这种关系的潜在因素，包括专业、与 COVID-19 患者的临床接触以及对 2003 年 SARS-CoV-1 的先前经验。
我们使用了一种基于网络的结构化调查，于 2020 年 3 月 12 日至 29 日收集横断面、自我报告数据。参与者收到了调查链接，平均需要 5-8 分钟完成。调查包括人口统计学特征、临床经验、感知到的 COVID-19 相关耻辱感和倦怠症状。采用带有自举技术的线性回归来检验耻辱感与倦怠之间的关系，以及其他潜在的调节因素，同时调整人口统计学和临床因素。
在 1421 名同意参与的受访者中，有 357 人自认为是医生，1064 人自认为是护士。参与者报告了一些程度的耻辱感和明显的倦怠症状。倦怠症状与 COVID-19 耻辱感、专业和当前照顾确诊/疑似 COVID-19 患者呈正相关。耻辱感与专业之间的相互作用（耻辱感×护士）但没有其他相互作用项达到显著性水平，这表明护士的斜率比医生的斜率更平缓。
研究结果表明，COVID-19 耻辱感可能导致医生和护士倦怠，而且这种关系可能不会因临床角色和经验而异，而是因专业而异。
