Influencing factors of burnout and its dimensions among mental health workers during the COVID‐19 pandemic

Zhu, Hongjin; Xie, Shiqi; Liu, Xiaolin; Yang, Xiaoguang; Zhou, Jianrong

doi:10.1002/nop2.1211

Cited by 14 publications

(18 citation statements)

References 61 publications

(70 reference statements)

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“…STS and PTSD are highly overlapping syndromes since STS in MHWs is characterized by symptoms of reliving, avoidance, and hyperarousal in response to the traumatized patients with whom they are empathically engaged [ 30 ]. According to our findings, traumatic impact when dealing with secondary exposure to stressful events is aggravated due to FCV-19 in both MHWs and HCWs [ 17 , 21 , 25 , 32 , 56 , 57 ]. However, we found that FCV-19 explained a significant yet relatively low percentage of STS variation.…”

Section: Discussionmentioning

confidence: 77%

Fear of COVID-19 Impact on Professional Quality of Life among Mental Health Workers

Stefanatou

Xenaki

Karagiorgas

et al. 2022

IJERPH

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Several studies have examined the impact of the COVID-19 pandemic on healthcare workers’ mental health, but only a few have investigated its detrimental effect on the mental well-being of mental health workers (MHWs). Background: The current study aimed to explore the effect of the fear of COVID-19 (FSV-19) on professional quality of life dimensions, namely compassion satisfaction (CS), burnout (BO), and secondary traumatic stress (STS) in MHWs above and beyond sociodemographic and professional factors. Methods: Hierarchical linear regression models were employed to examine the relationship of extreme FSV-19 with CS, BO, and STS in MHWs (n = 224), after considering sociodemographic variables as potential confounding factors. Extreme FSV-19 was operationalized as a binary variable with a cut-off score of ≥16.5 considered as extreme fear. Results: We found that extreme FSV-19 in MHWs is linked with increased compassion fatigue (BO and STS), and this relationship is exacerbated by younger age in regard to BO and by female gender concerning STS. CS remains unaffected by severe FCV-19, and it is higher in older participants. Conclusion: Organizational support is required to protect MHWs’ mental well-being and ensure the quality of care they provide during prolonged crises, such as the COVID-19 pandemic. Measures that intensify a sense of safety, protection, and control against COVID-19 infections in mental health services should be included in the recommendations that may reduce BO and STS among MHWs.

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Section: Discussionmentioning

confidence: 77%

Fear of COVID-19 Impact on Professional Quality of Life among Mental Health Workers

Stefanatou

Xenaki

Karagiorgas

et al. 2022

IJERPH

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“… 2021 ) or only experienced mild burnout (Zhu et al . 2022 ). An additional five studies found that MHWs who worked remotely and conducted online therapy experienced increased fatigue during online therapy, also referred to as ‘zoom fatigue’ (Aafjes‐van Doorn et al .…”

Section: Resultsmentioning

confidence: 99%

“…Occupational well-beingOutcomes related to occupational well-being of MHWs were reported across 30 studies. There were numerous reports of moderate-to-high levels of burnout, exhaustion, and fatigue amongst One study found that burnout was highest when work changes were most profound(Sklar et al 2021), another reported no demonstrable change in burnout levels in majority of MHWs(Steidtmann et al 2021) or only experienced mild burnout(Zhu et al 2022). An additional…”

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confidence: 99%

The impact of COVID‐19 on the mental health workforce: A rapid review

Crocker

Gnatt

Haywood

et al. 2022

Int J Mental Health Nurs

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The COVID‐19 pandemic led to significant adaptations to healthcare. Provision of mental healthcare in a changing environment presented healthcare workers with unique challenges and demands, including changes in workload and expectations. To inform current and future healthcare service responses, and adaptations, the current review aimed to collate and examine the impact of the pandemic on mental healthcare workers (MHWs). We conducted a rapid systematic review to examine the overall impact of the COVID‐19 pandemic on MHWs. Searches were conducted in Ovid Medline and PsycInfo and restricted to articles published from 2020. Inclusion criteria specified articles written in English, published in peer‐reviewed journals, and that examined any outcome of the impact of COVID‐19 on MHWs; 55 articles fulfilled these criteria. Outcomes were categorized into ‘work‐related outcomes’ and ‘personal outcomes’. Mental healthcare workers worldwide experienced a range of work‐related and personal adversities during the pandemic. Key work‐related outcomes included increased workload, changed roles, burnout, decreased job satisfaction, telehealth challenges, difficulties with work‐life balance, altered job performance, vicarious trauma and increased workplace violence. Personal outcomes included decreased well‐being, increased psychological distress and psychosocial difficulties. These outcomes differed between inpatient, outpatient and remote settings. The COVID‐19 pandemic significantly altered the delivery of mental healthcare and MHWs experienced both work‐related and personal adversities during the COVID‐19 pandemic. With the continuation of changes introduced to healthcare in the initial stages of the pandemic, it will be important to maintain efforts to monitor negative outcomes and ensure supports for MHWs, going forward.

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“…It reported age, family income, daily working hours, workload, insufficient protection working in a high-quality hospital, having more years of work experience, having more night shifts and fewer paid vacation days, etc. were associated with burnout among HPs during the pandemic in China ( 14 – 16 ). Although studies observed a positive association between workplace violence and burnout ( 17 , 18 ), no study reported whether workplace violence affected burnout differently during COVID-19 in China.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and correlators of burnout among health professionals during different stages of the COVID-19 pandemic in China

Qin

Yang

et al. 2023

Front. Psychiatry

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BackgroundPersistently increased workload and stress occurred in health professionals (HPs) during the past 3 years as the COVID-19 pandemic continued. The current study seeks to explore the prevalence of and correlators of HPs' burnout during different stages of the pandemic.MethodsThree repeated online studies were conducted in different stages of the COVID-19 pandemic: wave 1: after the first peak of the pandemic, wave 2: the early period of the zero-COVID policy, and wave 3: the second peak of the pandemic in China. Two dimensions of burnout, emotional exhaustion (EE) and declined personal accomplishment (DPA), were assessed using Human Services Survey for Medical Personnel (MBI-HSMP), a 9-item Patient Health Questionnaire (PHQ-9), and a 7-item Generalized Anxiety Disorder (GAD-7) to assess mental health conditions. An unconditional logistic regression model was employed to discern the correlators.ResultsThere was an overall prevalence of depression (34.9%), anxiety (22.5%), EE (44.6%), and DPA (36.5%) in the participants; the highest prevalence of EE and DPA was discovered in the first wave (47.4% and 36.5%, respectively), then the second wave (44.9% and 34.0%), and the third wave had the lowest prevalence of 42.3% and 32.2%. Depressive symptoms and anxiety were persistently correlated with a higher prevalence risk of both EE and DPA. Workplace violence led to a higher prevalence risk of EE (wave 1: OR = 1.37, 95% CI: 1.16–1.63), and women (wave 1: OR = 1.19, 95% CI: 1.00–1.42; wave 3: OR =1.20, 95% CI:1.01–1.44) and those living in a central area (wave 2: OR = 1.66, 95% CI: 1.20–2.31) or west area (wave 2: OR = 1.54, 95% CI: 1.26–1.87) also had a higher prevalence risk of EE. In contrast, those over 50 years of age (wave 1: OR = 0.61, 95% CI: 0.39–0.96; wave 3: OR = 0.60, 95% CI: 0.38–0.95) and who provided care to patients with COVID-19 (wave 2: OR = 0.73, 95% CI: 0.57–0.92) had a lower risk of EE. Working in the psychiatry section (wave 1: OR = 1.38, 95% CI: 1.01–1.89) and being minorities (wave 2: OR = 1.28, 95% CI: 1.04–1.58) had a higher risk of DPA, while those over 50 years of age had a lower risk of DPA (wave 3: OR = 0.56, 95% CI: 0.36–0.88).ConclusionThis three-wave cross-sectional study revealed that the prevalence of burnout among health professionals was at a high level persistently during the different stages of the pandemic. The results suggest that functional impairment prevention resources and programs may be inadequate and, as such, continuous monitoring of these variables could provide evidence for developing optimal strategies for saving human resources in the coming post-pandemic era.

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Influencing factors of burnout and its dimensions among mental health workers during the COVID‐19 pandemic

Cited by 14 publications

References 61 publications

Fear of COVID-19 Impact on Professional Quality of Life among Mental Health Workers

Fear of COVID-19 Impact on Professional Quality of Life among Mental Health Workers

The impact of COVID‐19 on the mental health workforce: A rapid review

Prevalence and correlators of burnout among health professionals during different stages of the COVID-19 pandemic in China

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