Psychiatry, Lucena Clinic Services, Dublin, Ireland
Medicine, Mental Health Services Sligo/Leitrim and West Cavan, Sligo, Ireland.
BMJ Paediatr Open. 2022 Mar;6(1). doi: 10.1136/bmjpo-2021-001308.
The COVID-19 pandemic has resulted in major strains for healthcare staff.
This study aims to assess prevalence of occupational burnout (BO) during COVID-19 in staff working in an acute paediatric hospital setting.
One hundred and thirty-three staff, out of 1900 eligible staff (9.6% response rate), completed an online or paper and pencil survey.
The Copenhagen Burnout Inventory was used as the main outcome measure. Additional questions examined the impact of COVID-19 and restrictions on work setting and personal health.
The majority of respondents reported moderate or higher levels of BO for personal (n=93; 70%) and work domains (n=83; 62%). Rates of patient-related BO were lower (n=18; 13%). Higher rates of BO were found in staff with self-rated COVID-19 adverse effects on physical (n=50, 38%) and mental health (n=88, 66%) (F (2, 13.019)=16.019, p<0.001). The majority of staff had no stress reduction training at any stage in their career, either professional (60%), on the job (62%) or postpandemic (59%) work. Although most (82%) were aware of occupational health supports, few (30%) reported an intention to access these if needed; 65% (n=86) of the respondents seriously considered changing jobs in the last 6-12 months.
High level of occupational stress among hospital staff during COVID-19, in the absence of stress reduction training is a risk factor for BO. Interventions, acceptable to the employee, are urgently needed given the likelihood of additional work demands as COVID-19 continues.
COVID-19 大流行给医护人员带来了巨大压力。
本研究旨在评估在 COVID-19 期间,在一家急性儿科医院工作的员工中职业倦怠(BO)的患病率。
1900 名符合条件的员工中有 133 名(9.6%的回复率)完成了在线或纸质问卷。
使用哥本哈根倦怠量表作为主要的结果测量工具。附加问题调查了 COVID-19 及其对工作环境和个人健康的限制的影响。
大多数受访者报告说,个人(n=93;70%)和工作领域(n=83;62%)的 BO 程度为中度或更高。与患者相关的 BO 发生率较低(n=18;13%)。自我报告 COVID-19 对身体(n=50,38%)和心理健康(n=88,66%)有不良影响的员工(n=50,38%)BO 发生率更高(F(2,13.019)=16.019,p<0.001)。大多数员工在职业生涯的任何阶段都没有接受过压力减轻培训,无论是专业(60%)、在职(62%)还是大流行后(59%)的工作。尽管大多数人(82%)都知道职业健康支持,但很少有人(30%)表示如果需要,他们打算利用这些支持;65%(n=86)的受访者在过去 6-12 个月内认真考虑过换工作。
在 COVID-19 期间,医院工作人员的职业压力水平较高,而没有减轻压力的培训是 BO 的一个危险因素。鉴于 COVID-19 持续存在,可能会有额外的工作需求,因此急需采取员工可接受的干预措施。