Department of Biomedical Aspects of Development and Sexology, Faculty of Education, Warsaw University, 00-561 Warsaw, Poland.
Department of Humanization of Health Care and Sexology, Collegium Medicum, University of Zielona Góra, 65-046 Zielona Góra, Poland.
Int J Environ Res Public Health. 2023 Jan 30;20(3):2428. doi: 10.3390/ijerph20032428.
This study explored the level and selected determinants of burnout among five groups of healthcare workers (physicians, nurses, paramedics, other medical and nonmedical staff) working during the COVID-19 pandemic in Poland. This cross-sectional study was conducted from February to April 2022, with the use of a self-administered mostly online survey. The BAT-12 scale was used to measure burnout, and the PSS-4 scale was used to measure stress. The sample was limited to 2196 individuals who worked with patients during the COVID-19 pandemic. A series of multivariate logistic regression models with three to nine predictors was estimated. The prevalence of burnout ranged from 27.7% in other nonmedical staff to 36.5% in nurses. Adjusting for age and gender, both physicians ( = 0.011) and nurses ( < 0.001) were at higher risk of burnout. In the final model, elevated stress most likely increased the risk of burnout (OR = 3.88; 95%CI <3.13-3.81>; < 0,001). Other significant predictors of burnout included traumatic work-related experience (OR =1.91, < 0.001), mobbing (OR = 1.83, < 0.001) and higher workload than before the pandemic (OR = 1.41, = 0.002). Only 7% of the respondents decided to use various forms of psychological support during the pandemic. The presented research can contribute to the effective planning and implementation of measures in the face of crisis when the workload continues to increase.
本研究探讨了在波兰 COVID-19 大流行期间工作的五组医疗保健工作者(医生、护士、医护人员、其他医疗和非医疗人员)的倦怠水平和选定的决定因素。这项横断面研究于 2022 年 2 月至 4 月进行,使用了主要在线的自我管理调查。使用 BAT-12 量表测量倦怠,使用 PSS-4 量表测量压力。样本仅限于在 COVID-19 大流行期间与患者一起工作的 2196 名个体。估计了一系列具有三到九个预测因子的多变量逻辑回归模型。倦怠的患病率从其他非医疗人员的 27.7%到护士的 36.5%不等。在调整年龄和性别后,医生( = 0.011)和护士( < 0.001)患倦怠的风险更高。在最终模型中,压力升高很可能增加倦怠的风险(OR = 3.88;95%CI <3.13-3.81>; < 0.001)。倦怠的其他显著预测因素包括创伤性工作相关经历(OR =1.91, < 0.001)、骚扰(OR = 1.83, < 0.001)和比大流行前更高的工作量(OR = 1.41, = 0.002)。只有 7%的受访者决定在大流行期间使用各种形式的心理支持。本研究结果可以为在工作量继续增加的危机中有效规划和实施措施做出贡献。