Burnout, anxiety and depression in healthcare workers during the early COVID-19 period in Singapore

Teo, Irene; Sung, So-Young; Cheung, Yin Bun; Wong, Wai-Hoi; Aloweni, Fazila; Ang, Hui Gek; Ayre, Tracy Carol; Chai-Lim, Crystal; Chen, Robert; Heng, Ai Ling; Nadarajan, Gayathri; Ong, Marcus Eng Hock; Soh, Chai Rick; Tan, Ban Hock; Tan, Kenneth; Tan, Bien Soo; Tan, Mann Hong; Tan, Puay Hoon; Tay, Kiang-Hiong; Wijaya, Limin; Tan, Hiang Khoon

doi:10.11622/smedj.2021156

Cited by 6 publications

(5 citation statements)

References 9 publications

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“…Another local study measuring changes in healthcare worker job burnout, anxiety and depression form mid-2020 to mid-2021 during the COVID-19 pandemic reported an increase in the proportion of healthcare workers reporting burnout from 25% in 2020 to 39% in 2021. 39 This is in line with our hypothesis that burnout rates will increase as we emerge from the pandemic and unsurprising given that there has been no change in staffing ratio despite an increase in ED patient load.…”

Section: F I G U R E 3 Boxplot Of Copenhagen Burnout Inventory By Mot...supporting

confidence: 80%

Burnout in emergency department personnel—A continuing concern post pandemic

Tan,

Pek,

Wong

2024

Hong Kong j. emerg. med.

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IntroductionHigh incidences of burnout has been reported amongst emergency department (ED) personnel during the COVID‐19 pandemic. Emerging from the pandemic, organisational support for psychological health may dwindle and become secondary to economic priorities. We aimed to ascertain the level of burnout within ED staff at our hospital, identify professional groups, which were more vulnerable and domains, which contributed most towards burnout.MethodsWe conducted a cross‐sectional study approximately 8 months after major moves to remove COVID‐19 restrictions in Singapore. Data was collected via a self‐administered survey employing the Copenhagen Burnout Inventory (CBI). Demographics, occupational details, work satisfaction and motivation to stay in the job were also collected and analysed.ResultsA total of 115 ED staff participated. Overall CBI score was 62.3 ± 22.0. Scores for personal, work‐related and client burnout were 64.9 ± 23.2, 61.6 ± 23.1 and 60.4 ± 26.1, respectively. A total of 44.5% had to take medical leave because of burnout. Nurses had higher overall CBI scores than doctors (67.5 ± 20.5 vs. 54.6 ± 23.0, p = 0.01). Those who were satisfied with their present job had lower overall CBI scores compared to those not satisfied (42.7 ± 17.9 vs. 84.0 ± 14.4, p < 0.001). Overall CBI scores were also lower in those motivated compared with those not motivated to continue in their current job (50.1 ± 16.3 vs. 79.0 ± 15.1, p < 0.001).ConclusionED staff continue to record high rates of burnout as we transit out of the pandemic. Accompanying rates of medical leave and low levels of motivation to remain in the job are serious occupational health concerns. Factors contributing to burnout in at risk groups such as nurses should be further analysed. High mean CBI scores in the personal and work domains indicate that related factors contribute most towards burnout and interventions should be focused accordingly.

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Section: F I G U R E 3 Boxplot Of Copenhagen Burnout Inventory By Mot...supporting

confidence: 80%

Burnout in emergency department personnel—A continuing concern post pandemic

Tan,

Pek,

Wong

2024

Hong Kong j. emerg. med.

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“…A total of 27 ( 8 , 26 , 27 , 39 – 59 ) studies included both frontline and second-line workers in their studies, while twelve studies ( 24 , 25 , 28 , 60 – 68 ) had only frontline workers and six ( 32 , 69 – 73 ) did not delineate between frontline and second-line workers. In terms of regions, fifteen (33.3%) of studies ( 28 , 41 , 45 , 47 , 51 , 55 , 56 , 58 , 59 , 63 , 67 , 68 , 71 , 72 , 74 ) took place in Asia. Europe ( 8 , 26 , 42 , 48 , 53 , 57 , 60 , 62 , 66 , 69 , 73 ) was represented by 11 (24.4%) studies while the Middle East and North Africa (MENA) ( 25 , 32 , 39 , 44 , 46 , 49 , 50 , 64 , 65 , 70 ) were represented by ten (22.2%) studies each.…”

Section: Resultsmentioning

confidence: 99%

“…South America ( 24 , 40 , 52 , 54 , 61 , 75 ), North America ( 27 , 76 ), and Australia ( 43 ) were represented by six (13.3%), two (4.4%), and one (2.2%) study respectively. Burnout results between nurses and physicians were compared in fourteen studies ( 32 , 42 , 43 , 53 , 55 , 56 , 62 , 63 , 67 – 71 , 74 ). Twenty-eight studies ( 8 , 25 , 27 , 28 , 32 , 39 , 40 , 42 – 44 , 47 , 49 , 50 , 52 , 53 , 55 – 59 , 62 , 63 , 65 , 67 , 68 , 70 , 73 , 75 ) conducted data collection during the early stages of the COVID-19 pandemic and fifteen ( 24 , 26 , 41 , 44 – 46 , 48 , 51 , 54 , 60 , 62 , 66 , 69 , 71 , 74 , 76 ) studies were conducted during the later stages.…”

Section: Resultsmentioning

confidence: 99%

A systematic review and meta analysis on burnout in physicians during the COVID-19 pandemic: A hidden healthcare crisis

et al. 2023

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ObjectiveThis systematic review and meta-analysis aims to explore overall prevalence of burnout among physicians during early and late COVID-19 pandemic and geographical differences in burnout.MethodsThis review was registered prospectively with PROSPERO (CRD42022327959). A comprehensive search of several databases, including Ovid MEDLINE(R) and Epub Ahead of Print, In-Process & Other Non-Indexed Citations and Daily, Ovid Embase, Ovid Cochrane Central Register of Controlled Trials, Ovid Cochrane Database of Systematic Reviews, PsycINFO, and Scopus, spanning from December 2019 to May 2022 was conducted. Eligible studies included physicians or medical professionals including physicians that worked directly or indirectly with COVID-19 patients, whilst reporting burnout outcomes using a validated scale. Literature that did not include physicians or did not occur in a hospital setting were excluded. Literature including medical students were also excluded.ResultsForty-five observational studies were included, all of which were cross-sectional studies. The pooled estimate of overall prevalence of burnout was 54.60% (95% CI: 46.7, 62.2). Mean emotional exhaustion, depersonalization, and personal accomplishment was found to be 22.06% (95% CI: 18.19, 25.94), 8.72 (95% CI: 6.48, 10.95) and 31.18 (95% CI: 27.33, 35.03) respectively. Frontline workers displayed higher rates of burnout than second-line healthcare workers (HCW) (OR: 1.64, 95% CI: 1.13, 2.37). Studies from the early pandemic period reported burnout prevalence of 60.7% (95% CI: 48.2, 72) compared to a prevalence of 49.3% (95% CI: 37.7, 60.9) from the late pandemic period. Geographically, burnout was highest amongst Middle East and North Africa (MENA) studies (66.6%, 95% CI: 54.7, 78.5), followed by Europe (48.8%, 95% CI: 40.3, 57.3) and then South America (42%, 95% CI: –0.4, 84.4). Lastly, burnout prevalence overall (OR = 0.77, 95% CI: 0.36, 1.67) emotional exhaustion (MD = –0.36, 95% CI: –4.64, 3.91), depersonalization (MD = –0.31, 95% CI: –1.80, 1.18), and personal accomplishment (MD = 0.55, 95% CI: –0.73, 1.83) were found comparable between physicians and nurses.ConclusionCOVID-19 has had significant consequences on HCW burnout. Further research is needed to examine early signs of burnout and to develop effective coping strategies.

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“…Um estudo internacional realizado no ano de 2020 apontou que 22,7% dos profissionais que participaram da pesquisa apresentaram um alto risco de desenvolver a SB devido à baixa realização profissional (33) . Os dados da presente investigação demonstram níveis menores de SB quando contrastados com um estudo realizado em Singapura, que apontou a enfermagem como a categoria profissional com os maiores escores de burnout (28%) (34) .…”

Section: Discussionunclassified

Organização do trabalho e burnout entre profissionais de enfermagem na pandemia: estudo de método misto

Barbosa,

Prates,

Campos

et al. 2023

Online braz j nurs

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Objetivo: avaliar as repercussões da pandemia de COVID-19 na organização do trabalho e no Burnout dos profissionais de enfermagem em um hospital da região sul do Brasil. Método: desenho misto explanatório sequencial, em cinco unidades de internação adulta, realizado de agosto a novembro de 2020. Na etapa quantitativa, numa amostra de 78 participantes, foi aplicado o Inventário de Burnout de Maslach e os dados foram analisados por meio de estatística descritiva e analítica. Na etapa qualitativa, foram realizadas entrevistas semiestruturadas online, por amostragem intencional, com nove profissionais, e os dados foram submetidos à análise de conteúdo categorial temática. Resultados: noventa e nove porcento dos profissionais atenderam pacientes suspeitos ou confirmados com a doença; 64% afastaram-se por suspeita e 35% por confirmação de COVID-19; 11,5% apresentaram a Síndrome de Burnout. O medo, o compromisso com o trabalho, as falhas nos protocolos e na comunicação institucional foram temas das categorias. Conclusão: apesar de a Síndrome de Burnout ter apresentado baixa frequência entre os trabalhadores de enfermagem, constatou-se que a pandemia de COVID-19 repercutiu sobremaneira na organização do trabalho desses profissionais.

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Burnout, anxiety and depression in healthcare workers during the early COVID-19 period in Singapore

Cited by 6 publications

References 9 publications

Burnout in emergency department personnel—A continuing concern post pandemic

Burnout in emergency department personnel—A continuing concern post pandemic

A systematic review and meta analysis on burnout in physicians during the COVID-19 pandemic: A hidden healthcare crisis

Organização do trabalho e burnout entre profissionais de enfermagem na pandemia: estudo de método misto

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