Yıl: 2022 Cilt: 47 Sayı: 3 Sayfa Aralığı: 1227 - 1238 Metin Dili: İngilizce DOI: 10.17826/cumj.1133107 İndeks Tarihi: 20-09-2022

Burnout among healthcare workers at the first wave of the COVID-19: meta analysis

Öz:
Purpose: Increased workload and inadequate working conditions during the COVID-19 pandemic, threaten the lives and physical well-being of healthcare workers (HCWs), and also their mental health, such as burnout, etc. which is often neglected. The aim of this review is to analyze published studies on the proportion of burnout among HCWs during the first wave of the COVID-19. Materials and Methods: We conducted a systematic review of studies that reported burnout (measured by Maslach Burnout Inventory) among HCWs during the COVID-19 pandemic and searched PubMed, PsycINFO, and WOS of relevant articles up to Feb 25th, 2021. Out of 145 non-duplicate studies, 10 were included in the meta- analysis. Results: The overall estimated pooled proportion for emotional exhaustion (EE) was 31% (95% CI: 24%-40%), for depersonalization (DP) was 28% (95% CI: 23%-38%) and 22% (95% CI: 13%-34%) for personal accomplishment (PA). The results show that in countries where the number of cases is high and the number of beds and doctors is low, the level of EE appears to be slightly lower and PA is slightly higher. However, there were no significant differences according to subgroup analyses. Conclusion: Evidence from early studies highlight the fact that a significant proportion of HCWs suffers from burnout during this pandemic. It will be necessary to pay close attention to HCWs' mental health and identify ways to reduce risks and prepare a rehabilitation program for the HCWs during and after the pandemic.
Anahtar Kelime: Coronavirus COVID-19 Healthcare workers Burnout Systematic Review-Meta Analysis.

COVID-19 pandemisinin ilk dalgasında sağlık çalışanlarının tükenmişliği: meta analiz

Öz:
koşulları, sağlık çalışanlarının yaşamlarını, fiziksel iyiliklerini ve mental sağlıklarını (tükenmişlik gibi) tehdit etmektedir. Bu çalışmada, COVID-19 pandemisinin ilk dalgasında sağlık çalışanlarının tükenmişlik oranını inceleyen çalışma bulgularının meta-analiz yöntemi kullanılarak analizi amaçlanmıştır. Gereç ve Yöntem: PubMed, PsycINFO ve WOS kullanılarak COVID-19 pandemisinin sağlık çalışanları arasındaki tükenmişliğini (Maslach Tükenmişlik Ölçeği ile) 25 Şubat 2021'e kadar inceleyen çalışmalar tarandı ve 145 çalışmadan 10'u meta-analize dahil edildi. Bulgular: Sağlık çalışanlarında duygusal tükenme oranı %31 (%95 GA: %24-%40), duyarsızlaşma oranı %28 (%95 GA: %23-%38) ve kişisel başarısızlık oranı %22 (%95 GA: %13-%34) olarak elde edilmiştir. Vaka sayısının yüksek, yatak ve doktor sayısının düşük olduğu ülkelerde, duygusal tükenme düzeyinin daha düşük, kişisel başarısızlığın daha yüksek olduğu saptanmıştır. Alt grup analizlerinde ise anlamlı bir farklılık bulunmamıştır. Sonuç: Erken dönem çalışmalarından elde edilen kanıtlar, COVID-19 pandemisi sırasında sağlık çalışanlarının önemli bir bölümünde tükenmişliğin olduğunu göstermiştir. Sağlık çalışanlarının mental sağlığına dikkat etmenin, olası riskleri azaltmanın yollarını belirlemenin ve salgın sırası ile sonrasında sağlık çalışanları için rehabilitasyon programı hazırlamanın gerekli olduğu sonucuna ulaşılmıştır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Maslach C, Goldberg J. Prevention of burnout: New perspectives. Appl Prev Psychol. 1998;7:63–74.
  • 2. Bianchi R. Do burnout and depressive symptoms form a single syndrome ? Confirmatory factor analysis and exploratory structural equation modeling bifactor analysis. J Psychosom Res. 2020;131:109954.
  • 3. Engebretsen KM, Bjorbækmo WS. Burned out or “just” depressed ? An existential phenomenological exploration of burnout. J Eval Clin Pract. 2020;26:439–46.
  • 4. Koutsimani P, Montgomery A, Georganta K. The relationship between burnout, depression, and anxiety: A systematic review and meta-analysis. Front Psychol. 2019;10:284.
  • 5. Fischer R, Mattos P, Teixeira C, Ganzerla DS, Rosa RG, Bozza FA. Association of burnout with depression and anxiety in critical care clinicians in Brazil. JAMA Netw Open. 2021;3:e2030898..
  • 6. Massaro G, Monteiro C, Lucia F, Baeza C, Hauck S. Work environment evaluation instrument (WEEI): development, validation, and association with burnout. Trends Psychiatry Psychother. 2020;42:185– 9.
  • 7. West CP, Dyrbye LN, Erwin PJ, Shanafelt TD. Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. The Lancet. 2016;388: 2272–81.
  • 8. Joanna Briggs Institute. 2017; https://jbi.global/critical-appraisal-tools (Accessed Jan 2022).
  • 9. Maslach C, Leiter MP. Understanding the burnout experience: recent research and its implications for psychiatry. World Psychiatry. 2016;15:103–11.
  • 10. Schwarzer G. meta: An R package for meta-analysis. R news. 2007;7:40-5.
  • 11. Viechtbauer W, Viechtbauer MW. Package ‘metafor’. The Comprehensive R Archive Network. Package ‘metafor’. 2015; http://cran. r-project. org/web/packages/metafor/metafor. pdf. (Accessed Jan 2020).
  • 12. Hedges LV, Pigott TD. The power of statistical tests in meta-analysis. Psychol Methods. 2001;6:203–17.
  • 13. Sayilan AA. Burnout levels and sleep quality of COVID 19 heroes. Perspect Psychiatr Care. 2020;57:1231–6.
  • 14. Lasalvia A, Amaddeo F, Porru S, Carta A, Tardivo S, Bovo C et al. Levels of burn-out among healthcare workers during the COVID-19 pandemic and their associated factors: a cross-sectional study in a tertiary hospital of a highly burdened area of north-east Italy. BMJ Open. 2021;11:1–12.
  • 15. Barello S, Palamenghi L, Graffigna G. Stressors and resources for healthcare professionals during the covid-19 pandemic: Lesson Learned from Italy. Front Psychol. 2020;11:1–5.
  • 16. Barello S, Palamenghi L, Graffigna G. Burnout and somatic symptoms among frontline healthcare professionals at the peak of the Italian COVID-19 pandemic. Psychiatry Res. 2020;290:113129..
  • 17. Lange M, Joo D, Couette PA, Jaegher S, Joly F, Humbert X. Impact on mental health of the COVID- 19 outbreak among community pharmacists during the sanitary lockdown period. Ann Pharm Fr. 2020;78:459–63.
  • 18. Luceño-moreno L, Talavera-velasco B, Garc Y. Symptoms of posttraumatic stress, anxiety, depression, levels of resilience and burnout in spanish health personnel during the covid-19 pandemic. Int J Environ Res Public Health. 2020;15:5514.
  • 19. Martínez-López J, Lázaro-Pérez C, Gómez-Galán J, Fernández-Martínez M. Psychological impact of covid-19 emergency on health professionals: burnout incidence at the most critical period in Spain. J Clin Med. 2020;9:3029.
  • 20. Monte CDi, Monaco S, Mariani R, Trani MDi. From resilience to burnout : psychological features of Italian general practitioners during covid-19 emergency. Front Psychol. 2020;11:2476.
  • 21. Naldi A, Vallelonga F, Liberto ADi, Cavallo R, Agnesone M, Gonella M et al. COVID-19 pandemic- related anxiety, distress and burnout: prevalence and associated factors in healthcare workers of North- West Italy. BJPsych Open. 2021;7:e27.
  • 22. Treluyer L, Tourneux P. Burnout among paediatric residents during the COVID-19 outbreak in France. Eur J Pediatr. 2021;180:627–33.
  • 23. Varani S, Ostan R, Franchini L, Ercolani G, Pannuti R, Biasco G et al. Caring advanced cancer patients at home during covid-19 outbreak : burnout and psychological morbidity among palliative care professionals in Italy. J Pain Symptom Manage. 2021;61:e4–12.
  • 24. Lu W, Wang H, Lin Y, Li L. Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study. Psychiatry Res. 2020;288:112936.
  • 25. Wurm W, Vogel K, Holl A, Ebner C, Bayer D. Depression-Burnout overlap in physicians. PloS One. 2016;11:e0149913.
  • 26. Connor KO, Pitman S, Muller D, Pitman S. Burnout in mental helath professionals : A systematic review and meta- anaysis of prevalence and determinants Burnout in mental health professionals : A systematic review and meta-analysis of prevalence and determinants. Eur Psychiatry. 2018;53:74–99.
  • 27. Kesarwani V, Husaain ZG, George J. Prevalence and factors associated with burnout among healthcare professionals in India: a systematic review and meta- analysis. Indian J Psychol Med. 2020;42:108–115.
  • 28. la Fuente-Solana D, Inmaculada E, Pradas-Hernández L, Ramiro-Salmerón A, Suleiman-Martos N, Gómez- Urquiza J et al. Burnout syndrome in paediatric oncology nurses: a systematic review and meta- analysis. Healthcare (Basel). 2020;8:309.
  • 29. Rodrigues H, Id RC, Gonc AK, Medeiros L, Gurgel K. Burnout syndrome among medical residents : A systematic review and meta-analysis. PLoS One. 2018; 13:e0206840..
  • 30. Trufelli DC, Students M, Foundation ABC, Andre S, Bensi CG, Andre S et al. Burnout in cancer professionals: a systematic review and meta-analysis. Eur J Cancer Care (Engl). 2008;17:524–31.
  • 31. Kansoun Z, Boyer L, Hodgkinson M, Villes V, Lançon C, Fond G. Burnout in French physicians : A systematic review and meta-analysis. J Affect Disord. 2019;246:132–47.
  • 32. Eden AR, Jabbarpour Y, Morgan ZJ, Dai M, Coffman M, Bazemore A. Gender differences in personal and organizational mechanisms to address burnout among family physicians. J Am Board Fam Med. 2020;33:14– 17.
APA Yucel S, Seydaoglu G, Totik N, BOZ A, CANDANSAYAR S (2022). Burnout among healthcare workers at the first wave of the COVID-19: meta analysis. , 1227 - 1238. 10.17826/cumj.1133107
Chicago Yucel Sevinc Puren,Seydaoglu Gulsah,Totik Nazlı,BOZ ASLI,CANDANSAYAR SELÇUK Burnout among healthcare workers at the first wave of the COVID-19: meta analysis. (2022): 1227 - 1238. 10.17826/cumj.1133107
MLA Yucel Sevinc Puren,Seydaoglu Gulsah,Totik Nazlı,BOZ ASLI,CANDANSAYAR SELÇUK Burnout among healthcare workers at the first wave of the COVID-19: meta analysis. , 2022, ss.1227 - 1238. 10.17826/cumj.1133107
AMA Yucel S,Seydaoglu G,Totik N,BOZ A,CANDANSAYAR S Burnout among healthcare workers at the first wave of the COVID-19: meta analysis. . 2022; 1227 - 1238. 10.17826/cumj.1133107
Vancouver Yucel S,Seydaoglu G,Totik N,BOZ A,CANDANSAYAR S Burnout among healthcare workers at the first wave of the COVID-19: meta analysis. . 2022; 1227 - 1238. 10.17826/cumj.1133107
IEEE Yucel S,Seydaoglu G,Totik N,BOZ A,CANDANSAYAR S "Burnout among healthcare workers at the first wave of the COVID-19: meta analysis." , ss.1227 - 1238, 2022. 10.17826/cumj.1133107
ISNAD Yucel, Sevinc Puren vd. "Burnout among healthcare workers at the first wave of the COVID-19: meta analysis". (2022), 1227-1238. https://doi.org/10.17826/cumj.1133107
APA Yucel S, Seydaoglu G, Totik N, BOZ A, CANDANSAYAR S (2022). Burnout among healthcare workers at the first wave of the COVID-19: meta analysis. Cukurova Medical Journal, 47(3), 1227 - 1238. 10.17826/cumj.1133107
Chicago Yucel Sevinc Puren,Seydaoglu Gulsah,Totik Nazlı,BOZ ASLI,CANDANSAYAR SELÇUK Burnout among healthcare workers at the first wave of the COVID-19: meta analysis. Cukurova Medical Journal 47, no.3 (2022): 1227 - 1238. 10.17826/cumj.1133107
MLA Yucel Sevinc Puren,Seydaoglu Gulsah,Totik Nazlı,BOZ ASLI,CANDANSAYAR SELÇUK Burnout among healthcare workers at the first wave of the COVID-19: meta analysis. Cukurova Medical Journal, vol.47, no.3, 2022, ss.1227 - 1238. 10.17826/cumj.1133107
AMA Yucel S,Seydaoglu G,Totik N,BOZ A,CANDANSAYAR S Burnout among healthcare workers at the first wave of the COVID-19: meta analysis. Cukurova Medical Journal. 2022; 47(3): 1227 - 1238. 10.17826/cumj.1133107
Vancouver Yucel S,Seydaoglu G,Totik N,BOZ A,CANDANSAYAR S Burnout among healthcare workers at the first wave of the COVID-19: meta analysis. Cukurova Medical Journal. 2022; 47(3): 1227 - 1238. 10.17826/cumj.1133107
IEEE Yucel S,Seydaoglu G,Totik N,BOZ A,CANDANSAYAR S "Burnout among healthcare workers at the first wave of the COVID-19: meta analysis." Cukurova Medical Journal, 47, ss.1227 - 1238, 2022. 10.17826/cumj.1133107
ISNAD Yucel, Sevinc Puren vd. "Burnout among healthcare workers at the first wave of the COVID-19: meta analysis". Cukurova Medical Journal 47/3 (2022), 1227-1238. https://doi.org/10.17826/cumj.1133107