Department of Anesthesiology and Perioperative Care, University of California, Irvine, Irvine, CA, USA.
Center on Stress & Health, University of California, Irvine, Irvine, CA, USA.
Pediatr Res. 2023 Nov;94(5):1771-1778. doi: 10.1038/s41390-023-02674-3. Epub 2023 Jun 10.
COVID-19 pandemic introduced significant challenges that may have exacerbated healthcare worker (HCW) burnout. To date, assessments of burnout during COVID-19 pandemic have been cross-sectional, limiting our understanding of changes in burnout. This longitudinal study assessed change across time in pediatric HCW burnout during the COVID-19 pandemic and whether demographic and psychological factors were associated with changes in burnout.
This longitudinal study included 162 physicians, physician assistants, nurses, and medical technicians within the emergency department (ED), intensive care, perioperative, and inter-hospital transport services in a children's hospital. HCW demographics, anxiety and personality traits were reported via validated measures. HCWs completed the Maslach Burnout Inventory in April 2020 and March 2021. Data were analyzed using generalized estimating equations.
The percentage of HCWs reporting high emotional exhaustion and/or depersonalization burnout increased significantly across time (18.5% to 28.4%, P = 0.010). Factors associated with increased emotional exhaustion included working in the ED (P = 0.011) or perioperative department (P < 0.001), being a nurse or medical technician (P's < 0.001), not having children (P < 0.001), and low conscientiousness (P < 0.001).
Pediatric HCW burnout significantly increased over 11-months of the COVID-19 pandemic. Results suggest that certain demographic and psychological factors may represent potential area to target for intervention for future pandemics.
This longitudinal study revealed that the COVID-19 pandemic has had a significant impact on pediatric healthcare worker burnout. The percentage of healthcare workers reporting high levels of emotional exhaustion and depersonalization burnout increased significantly over 11-months of the COVID-19 pandemic. Results suggest that certain demographic and psychological factors may represent potential targets for future interventions.
COVID-19 大流行带来了重大挑战，可能加剧了医护人员（HCW）的倦怠。迄今为止，对 COVID-19 大流行期间倦怠的评估都是横断面的，这限制了我们对倦怠变化的理解。这项纵向研究评估了 COVID-19 大流行期间儿科 HCW 倦怠随时间的变化，以及人口统计学和心理因素是否与倦怠变化相关。
这项纵向研究包括一家儿童医院急诊部（ED）、重症监护室、围手术期和院内转运服务中的 162 名医生、医师助理、护士和医疗技师。HCW 的人口统计学、焦虑和人格特质通过经过验证的测量方法报告。HCW 于 2020 年 4 月和 2021 年 3 月完成了 Maslach 倦怠量表。使用广义估计方程分析数据。
报告情绪耗竭和/或去人格化倦怠较高的 HCW 百分比随时间显著增加（18.5%至 28.4%，P=0.010）。与情绪耗竭增加相关的因素包括在 ED（P=0.011）或围手术期部门（P<0.001）工作、护士或医疗技师（P<0.001）、没有孩子（P<0.001）和低尽责性（P<0.001）。
在 COVID-19 大流行的 11 个月中，儿科 HCW 的倦怠明显增加。结果表明，某些人口统计学和心理因素可能代表未来大流行干预的潜在目标。
这项纵向研究表明，COVID-19 大流行对儿科医护人员的倦怠产生了重大影响。在 COVID-19 大流行的 11 个月中，报告情绪耗竭和去人格化倦怠程度较高的医护人员百分比显著增加。结果表明，某些人口统计学和心理因素可能是未来干预的潜在目标。
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