Burnout among intensive care nurses, physicians and leaders during the COVID-19 pandemic: A national longitudinal study.

IF 1.9 4区 医学 Q2 ANESTHESIOLOGY
Acta Anaesthesiologica Scandinavica Pub Date : 2024-11-01 Epub Date: 2024-07-26 DOI:10.1111/aas.14504
Ingvild Strand Hovland, Laila Skogstad, Lien My Diep, Øivind Ekeberg, Johan Ræder, Siv Karlsson Stafseth, Erlend Hem, Karin Isaksson Rø, Irene Lie
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引用次数: 0

Abstract

Background: Burnout is frequent among intensive care unit (ICU) healthcare professionals and may result in medical errors and absenteeism. The COVID-19 pandemic caused additional strain during working hours and also affected off-duty life. The aims of this study were to survey burnout levels among ICU healthcare professionals during the first year of COVID-19, describe those who reported burnout, and analyse demographic and work-related factors associated with burnout.

Methods: This was a national prospective longitudinal cohort study of 484 nurses, physicians and leaders working in intensive care units with COVID-19 patients in Norway. Burnout was measured at 6- and 12-month follow-up, after a registration of baseline data during the first months of the COVID epidemic. The Copenhagen Burnout Inventory (CBI), was used (range 0-100), burnout caseness defined as CBI ≥50. Bi- and multivariable logistic regression analyses were performed to examine baseline demographic variables and work-related factors associated with burnout caseness at 12 months.

Results: At 6 months, the median CBI score was 17, increasing to 21 at 12 months (p = .037), with nurses accounting for most of the increase. Thirty-two per cent had an increase in score of more than 5, whereas 25% had a decrease of more than 5. Ten per cent reported caseness of burnout at 6 months and 14% at 12 months (n.s.). The participants with burnout caseness were of significantly lower age, had fewer years of experience, reported more previous anxiety and/or depression, more moral distress, less perceived hospital recognition, and more fear of infection in the bivariate analyses. Burnout was the single standing most reported type of psychological distress, and 24 out of 41 (59%) with burnout caseness also reported caseness of anxiety, depression and/or post-traumatic stress disorder (PTSD) symptoms. Multivariate analysis showed statistically significant associations of burnout caseness with fewer years of professional experience (p = .041) and borderline significance of perceived support by leader (p = .049).

Conclusion: In Norway, a minority of ICU nurses, physicians and leaders reported burnout 1 year into the pandemic. A majority of those with burnout reported anxiety, depression and/or PTSD symptoms combined. Burnout was associated with less years of professional experience.

COVID-19 大流行期间重症监护护士、医生和领导的职业倦怠:全国纵向研究。
背景:重症监护室(ICU)医护人员经常出现职业倦怠,可能导致医疗事故和缺勤。COVID-19 大流行不仅增加了工作时间的压力,还影响了下班后的生活。本研究的目的是在 COVID-19 的第一年调查 ICU 医护人员的职业倦怠水平,描述那些报告了职业倦怠的人员,并分析与职业倦怠相关的人口统计学和工作相关因素:这是一项全国性的前瞻性纵向队列研究,研究对象是在挪威重症监护病房工作、收治 COVID-19 患者的 484 名护士、医生和领导。在 COVID 流行的头几个月对基线数据进行登记后,在 6 个月和 12 个月的随访中对职业倦怠进行了测量。采用哥本哈根职业倦怠量表(CBI)(范围为 0-100),CBI ≥50为职业倦怠病例。通过双变量和多变量逻辑回归分析,研究基线人口统计学变量和工作相关因素与12个月时的职业倦怠相关性:6 个月时,CBI 的中位数为 17 分,12 个月时增加到 21 分(p = .037),其中护士占增加的大部分。32%的护士得分增加了 5 分以上,25%的护士得分减少了 5 分以上。10%的人在 6 个月时报告有职业倦怠,14%的人在 12 个月时报告有职业倦怠(未统计)。在双变量分析中,出现职业倦怠的参与者年龄明显较小、工作年限较短、焦虑和/或抑郁程度较高、精神压力较大、医院认可度较低以及对感染的恐惧感较强。职业倦怠是报告最多的心理困扰类型,41 名职业倦怠患者中有 24 人(59%)还报告了焦虑、抑郁和/或创伤后应激障碍(PTSD)症状。多变量分析表明,职业倦怠与较少的专业经验年限(p = 041)和领导支持感知(p = 049)有显著的统计学关联:结论:在挪威,少数重症监护病房护士、医生和领导在大流行发生一年后报告出现职业倦怠。大多数有职业倦怠的人合并有焦虑、抑郁和/或创伤后应激障碍症状。职业倦怠与专业经验年限较短有关。
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来源期刊
CiteScore
4.30
自引率
9.50%
发文量
157
审稿时长
3-8 weeks
期刊介绍: Acta Anaesthesiologica Scandinavica publishes papers on original work in the fields of anaesthesiology, intensive care, pain, emergency medicine, and subjects related to their basic sciences, on condition that they are contributed exclusively to this Journal. Case reports and short communications may be considered for publication if of particular interest; also letters to the Editor, especially if related to already published material. The editorial board is free to discuss the publication of reviews on current topics, the choice of which, however, is the prerogative of the board. Every effort will be made by the Editors and selected experts to expedite a critical review of manuscripts in order to ensure rapid publication of papers of a high scientific standard.
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