Determinants of burnout in Canadian health care workers during the COVID-19 pandemic.

IF 4.2 2区 医学 Q1 PSYCHIATRY
Nancy Liu, Rachel A Plouffe, Jenny J W Liu, Maede S Nouri, Priyonto Saha, Dominic Gargala, Brent D Davis, Anthony Nazarov, J Don Richardson
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引用次数: 0

Abstract

Background: Health care workers (HCWs) are among the most vulnerable groups to experience burnout during the coronavirus (COVID-19) pandemic. Understanding the risk and protective factors of burnout is crucial in guiding the development of interventions; however, the understanding of burnout determinants in the Canadian HCW population remains limited.Objective: Identify risk and protective factors associated with burnout in Canadian HCWs during the COVID-19 pandemic and evaluate organizational factors as moderators in the relationship between COVID-19 contact and burnout.Methods: Data were drawn from an online longitudinal survey of Canadian HCWs collected between 26 June 2020 and 31 December 2020. Participants completed questions pertaining to their well-being, burnout, workplace support and concerns relating to the COVID-19 pandemic. Baseline data from 1029 HCWs were included in the analysis. Independent samples t-tests and multiple linear regression were used to evaluate factors associated with burnout scores.Results: HCWs in contact with COVID-19 patients showed significantly higher likelihood of probable burnout than HCWs not directly providing care to COVID-19 patients. Fewer years of work experience was associated with a higher likelihood of probable burnout, whereas stronger workplace support, organizational leadership, supervisory leadership, and a favourable ethical climate were associated with a decreased likelihood of probable burnout. Workplace support, organizational leadership, supervisory leadership, and ethical climate did not moderate the associations between contact with COVID-19 patients and burnout.Conclusions: Our findings suggest that HCWs who worked directly with COVID-19 patients, had fewer years of work experience, and perceived poor workplace support, organizational leadership, supervisory leadership and ethical climate were at higher risk of burnout. Ensuring reasonable work hours, adequate support from management, and fostering an ethical work environment are potential organizational-level strategies to maintain HCWs' well-being.

COVID-19 大流行期间加拿大医护人员职业倦怠的决定因素。
背景:在冠状病毒(COVID-19)大流行期间,医护人员(HCW)是最容易出现职业倦怠的群体之一。了解职业倦怠的风险和保护因素对于指导干预措施的制定至关重要;然而,对加拿大医护人员职业倦怠决定因素的了解仍然有限:目的:确定在 COVID-19 大流行期间加拿大高危职业工作者中与职业倦怠相关的风险和保护因素,并评估组织因素在 COVID-19 接触与职业倦怠之间的调节作用:数据来自于 2020 年 6 月 26 日至 2020 年 12 月 31 日期间对加拿大高危护理人员进行的在线纵向调查。参与者填写了与他们的幸福感、职业倦怠、工作场所支持以及对 COVID-19 大流行的担忧有关的问题。来自 1029 名高危职业工作者的基线数据被纳入分析。独立样本 t 检验和多元线性回归用于评估与职业倦怠得分相关的因素:结果:与 COVID-19 患者有接触的医护人员出现职业倦怠的可能性明显高于不直接为 COVID-19 患者提供护理的医护人员。工作年限越短,可能出现职业倦怠的可能性越高,而工作场所支持、组织领导力、上级领导力和良好的道德氛围越强,可能出现职业倦怠的可能性越低。工作场所支持、组织领导力、督导领导力和道德氛围并不能调节与 COVID-19 患者接触与职业倦怠之间的关联:我们的研究结果表明,直接接触 COVID-19 患者、工作年限较短、认为工作场所支持、组织领导力、督导领导力和道德氛围较差的医护人员出现职业倦怠的风险较高。确保合理的工作时间、管理层的充分支持以及营造道德的工作环境是保持高危护理人员健康的潜在组织层面策略。
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来源期刊
CiteScore
7.60
自引率
12.00%
发文量
153
审稿时长
18 weeks
期刊介绍: The European Journal of Psychotraumatology (EJPT) is a peer-reviewed open access interdisciplinary journal owned by the European Society of Traumatic Stress Studies (ESTSS). The European Journal of Psychotraumatology (EJPT) aims to engage scholars, clinicians and researchers in the vital issues of how to understand, prevent and treat the consequences of stress and trauma, including but not limited to, posttraumatic stress disorder (PTSD), depressive disorders, substance abuse, burnout, and neurobiological or physical consequences, using the latest research or clinical experience in these areas. The journal shares ESTSS’ mission to advance and disseminate scientific knowledge about traumatic stress. Papers may address individual events, repeated or chronic (complex) trauma, large scale disasters, or violence. Being open access, the European Journal of Psychotraumatology is also evidence of ESTSS’ stand on free accessibility of research publications to a wider community via the web. The European Journal of Psychotraumatology seeks to attract contributions from academics and practitioners from diverse professional backgrounds, including, but not restricted to, those in mental health, social sciences, and health and welfare services. Contributions from outside Europe are welcome. The journal welcomes original basic and clinical research articles that consolidate and expand the theoretical and professional basis of the field of traumatic stress; Review articles including meta-analyses; short communications presenting new ideas or early-stage promising research; study protocols that describe proposed or ongoing research; case reports examining a single individual or event in a real‑life context; clinical practice papers sharing experience from the clinic; letters to the Editor debating articles already published in the Journal; inaugural Lectures; conference abstracts and book reviews. Both quantitative and qualitative research is welcome.
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