Evaluation of the Burnout Levels of Health Care Workers During the Pandemic in Pediatric and Adult Emergency Services
Yıl: 2023 Cilt: 10 Sayı: 2 Sayfa Aralığı: 97 - 103 Metin Dili: İngilizce DOI: 10.4274/cayd.galenos.2022.43255 İndeks Tarihi: 17-06-2023
Evaluation of the Burnout Levels of Health Care Workers During the Pandemic in Pediatric and Adult Emergency Services
Öz: Introduction: During the Coronavirus disease-2019 (COVID-19) pandemic, the emergency services provide seven days/24-hour regular health care, while the risk of burnout is gradually increasing among healthcare workers struggling with the increasing workload. Few studies monitored the mental health of doctors, nurses, and allied health personnel working in emergency departments to support frontline health workers and more data is needed. Methods: The Maslach burnout scale (MBI) was administered voluntarily to doctors, nurses, and allied health personnel in the pediatric emergency and adult emergency services in May 2020 and December 2020. A socio-demographic information form containing questions about the institution, profession, and working conditions was distributed. The socio-demographic data of the same participants on both dates were compared with the effects of the pandemic on their daily lives, working conditions, and subscales of MBI (emotional exhaustion, depersonalization, and personal achievement scores) with an interval of six months (May 2020-December 2020). Results: One hundred seventeen health personnel participated in our study in May 2020 and 122 in December 2020. 95.7% of respondents (112/117) in May 2020; in December 2020, 69.9% (84/122) of them met the criteria in two or more of the subscales of MBI (high emotional exhaustion and depersonalization scores, low personal achievement scores) and were found to be exhausted. In a six-month comparison, it was found that physicians, among physicians, pediatric assistants working in the pediatric emergency department, and healthcare workers aged 29 and younger were better able to cope with burnout. Conclusion: Considering the known harmful effects of burnout on patient care and the well-being of healthcare workers, frontline personnel in emergency services may need more mental support during and after the COVID-19 pandemic. There is a need for more preventive, descriptive, protective, and remedial studies on frontline health workers’ physical and mental health.
Anahtar Kelime: Çocuk ve Yetişkin Acil Servislerinde Pandemi Süresince Sağlık Çalışanlarının Tükenmişlik Düzeylerinin Değerlendirilmesi
Öz: Giriş: Koronavirüs hastalığı-2019 (COVID-19) pandemisinde acil servisler limitsiz, 7 gün/24 saat düzenli sağlık hizmeti verirken, artan iş yükü ile ön saflarda mücadele eden sağlık çalışanları üzerinde tükenmişlik riski giderek artmaktadır. Acil servislerde çalışan doktor, hemşire ve yardımcı sağlık personelinin ruhsal sağlığını gözlemleyerek ve ön saflardaki sağlık çalışanlarını desteklemek için yapılan çok az çalışma vardır ve daha fazla veri ihtiyacı vardır. Yöntemler: Çocuk acil servisi ve erişkin acil servisinde çalışan doktor, hemşire ve yardımcı sağlık personeline Mayıs 2020 ve Aralık 2020 tarihinde gönüllülük esasına dayalı bir şekilde Maslach tükenmişlik ölçeği (MTÖ) uygulandı. Kurum, meslek ve çalışma koşulları ile ilgili soruları içeren sosyo-demografik bilgiler formu ile dağıtıldı. Her iki tarihte aynı katılımcıların sosyo-demografik verileri ile, pandeminin günlük yaşamları, çalışma koşulları ve MTÖ’nün alt ölçekleri üzerindeki (duygusal tükenme, duyarsızlaşma ve kişisel başarı puanları) üzerindeki etkileri altı ay (Mayıs 2020-Aralık 2020) ara ile karşılaştırıldı. Bulgular: Mayıs 2020’de toplam 117, Aralık 2020’de 122 sağlık personeli çalışmamıza katıldı. Mayıs 2020’de katılımcıların %95,7’si (112/117); Aralık 2020’de ise %69,9’u (84/122) MTÖ’nün alt ölçeklerinden iki veya daha fazlasında (duygusal tükenme ve duyarsızlaşma puanlarının yüksek, kişisel başarı puanı düşük) ölçütleri karşılamış ve tükenmiş olarak bulundu. Altı ay ara ile yapılan karşılaştırmada, doktorların, doktorlar içinde ise çocuk acil servisinde çalışan pediyatri asistanlarının, 29 yaş ve altındaki sağlık çalışanlarının tükenme ile daha iyi başa çıkabildiği saptandı. Sonuç: Tükenmişliğin hasta bakımı ve sağlık çalışanlarının refahı üzerindeki bilinen zararlı etkileri düşünüldüğünde, acil servislerde ön saflarda çalışan personelin COVID-19 pandemi döneminde ve sonrasında daha fazla ruhsal desteğe ihtiyacı olabileceğini düşünmekteyiz. Ön saflarda görev alan sağlık çalışanlarının hem fiziksel hem de ruhsal sağlığı konusunda daha fazla önleyici, tanımlayıcı, koruyucu ve iyileştirici çalışmalara ihtiyaç vardır.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Moukarzel A, Michelet P, Durand AC, Sebbane M, Bourgeois S, et al. Burnout Syndrome among Emergency Department Staff: Prevalence and Associated Factors. Biomed Res Int. 2019;2019:6462472.
- 2. Freudenberger HJ. Staff burn-out. Journal of social issues. 1974;30:159-65.
- 3. Wallace JE, Lemaire JB, Ghali WA. Physician wellness: a missing quality indicator. Lancet. 2009;374:1714-21.
- 4. Spurgeon, A. Evaluating Stress: A Book of Resources. İn: Zalaquett CP, Wood RJ. Scarecrow Press: New York. 1997;28:1245-52.
- 5. Piko BF. Burnout, role conflict, job satisfaction and psychosocial health among Hungarian health care staff: a questionnaire survey. Int J Nurs Stud. 2006;43:311-8.
- 6. Wu PE, Styra R, Gold WL. Mitigating the psychological effects of COVID-19 on health care workers. CMAJ. 2020;192:E459-60.
- 7. Lai J, Ma S, Wang Y, Cai Z, Hu J, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020;3:e203976.
- 8. Ergin C. Turkish health personnel norms for Maslach Burnout Inventory. 3P Journal. 1996;4:28-33.
- 9. Lim R, Aarsen KV, Gray S, Rang L, Fitzpatrick J, et al. Emergency medicine physician burnout and wellness in Canada before COVID19: A national survey. CJEM. 2020;22:603-7.
- 10. Baer TE, Feraco AM, Tuysuzoglu Sagalowsky S, Williams D, Litman HJ, et al. Pediatric Resident Burnout and Attitudes Toward Patients. Pediatrics. 2017;139:e20162163.
- 11. Kuhn G, Goldberg R, Compton S. Tolerance for uncertainty, burnout, and satisfaction with the career of emergency medicine. Ann Emerg Med. 2009;54:106-13.
- 12. Kimo Takayesu J, Ramoska EA, Clark TR, Hansoti B, Dougherty J, et al. Factors associated with burnout during emergency medicine residency. Acad Emerg Med. 2014;21:1031-5.
- 13. Lu DW, Dresden S, McCloskey C, Branzetti J, Gisondi MA. Impact of Burnout on Self-Reported Patient Care Among Emergency Physicians. West J Emerg Med. 2015;16:996-1001.
- 14. Shanafelt TD, Boone S, Tan L, Dyrbye LN, Sotile W, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med. 2012;172:1377-85.
- 15. Rotenstein LS, Torre M, Ramos MA, Rosales RC, Guille C, et al. Prevalence of Burnout Among Physicians: A Systematic Review. JAMA. 2018;320:1131-50.
- 16. Mehta S, Machado F, Kwizera A, Papazian L, Moss M, et al. COVID-19: a heavy toll on health-care workers. Lancet Respir Med. 2021;9:226-8.
- 17. Maunder R, Hunter J, Vincent L, Bennett J, Peladeau N, et al. The immediate psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital. CMAJ. 2003;168:1245-51.
- 18. Bai Y, Lin CC, Lin CY, Chen JY, Chue CM, et al. Survey of stress reactions among health care workers involved with the SARS outbreak. Psychiatr Serv. 2004;55:1055-7.
| APA | Güngör E, Aydin O, metin aksu n, TEKSAM O (2023). Evaluation of the Burnout Levels of Health Care Workers During the Pandemic in Pediatric and Adult Emergency Services. , 97 - 103. 10.4274/cayd.galenos.2022.43255 |
| Chicago | Güngör Emre,Aydin Orkun,metin aksu nalan,TEKSAM OZLEM Evaluation of the Burnout Levels of Health Care Workers During the Pandemic in Pediatric and Adult Emergency Services. (2023): 97 - 103. 10.4274/cayd.galenos.2022.43255 |
| MLA | Güngör Emre,Aydin Orkun,metin aksu nalan,TEKSAM OZLEM Evaluation of the Burnout Levels of Health Care Workers During the Pandemic in Pediatric and Adult Emergency Services. , 2023, ss.97 - 103. 10.4274/cayd.galenos.2022.43255 |
| AMA | Güngör E,Aydin O,metin aksu n,TEKSAM O Evaluation of the Burnout Levels of Health Care Workers During the Pandemic in Pediatric and Adult Emergency Services. . 2023; 97 - 103. 10.4274/cayd.galenos.2022.43255 |
| Vancouver | Güngör E,Aydin O,metin aksu n,TEKSAM O Evaluation of the Burnout Levels of Health Care Workers During the Pandemic in Pediatric and Adult Emergency Services. . 2023; 97 - 103. 10.4274/cayd.galenos.2022.43255 |
| IEEE | Güngör E,Aydin O,metin aksu n,TEKSAM O "Evaluation of the Burnout Levels of Health Care Workers During the Pandemic in Pediatric and Adult Emergency Services." , ss.97 - 103, 2023. 10.4274/cayd.galenos.2022.43255 |
| ISNAD | Güngör, Emre vd. "Evaluation of the Burnout Levels of Health Care Workers During the Pandemic in Pediatric and Adult Emergency Services". (2023), 97-103. https://doi.org/10.4274/cayd.galenos.2022.43255 |
| APA | Güngör E, Aydin O, metin aksu n, TEKSAM O (2023). Evaluation of the Burnout Levels of Health Care Workers During the Pandemic in Pediatric and Adult Emergency Services. Çocuk Acil ve Yoğun Bakım Dergisi, 10(2), 97 - 103. 10.4274/cayd.galenos.2022.43255 |
| Chicago | Güngör Emre,Aydin Orkun,metin aksu nalan,TEKSAM OZLEM Evaluation of the Burnout Levels of Health Care Workers During the Pandemic in Pediatric and Adult Emergency Services. Çocuk Acil ve Yoğun Bakım Dergisi 10, no.2 (2023): 97 - 103. 10.4274/cayd.galenos.2022.43255 |
| MLA | Güngör Emre,Aydin Orkun,metin aksu nalan,TEKSAM OZLEM Evaluation of the Burnout Levels of Health Care Workers During the Pandemic in Pediatric and Adult Emergency Services. Çocuk Acil ve Yoğun Bakım Dergisi, vol.10, no.2, 2023, ss.97 - 103. 10.4274/cayd.galenos.2022.43255 |
| AMA | Güngör E,Aydin O,metin aksu n,TEKSAM O Evaluation of the Burnout Levels of Health Care Workers During the Pandemic in Pediatric and Adult Emergency Services. Çocuk Acil ve Yoğun Bakım Dergisi. 2023; 10(2): 97 - 103. 10.4274/cayd.galenos.2022.43255 |
| Vancouver | Güngör E,Aydin O,metin aksu n,TEKSAM O Evaluation of the Burnout Levels of Health Care Workers During the Pandemic in Pediatric and Adult Emergency Services. Çocuk Acil ve Yoğun Bakım Dergisi. 2023; 10(2): 97 - 103. 10.4274/cayd.galenos.2022.43255 |
| IEEE | Güngör E,Aydin O,metin aksu n,TEKSAM O "Evaluation of the Burnout Levels of Health Care Workers During the Pandemic in Pediatric and Adult Emergency Services." Çocuk Acil ve Yoğun Bakım Dergisi, 10, ss.97 - 103, 2023. 10.4274/cayd.galenos.2022.43255 |
| ISNAD | Güngör, Emre vd. "Evaluation of the Burnout Levels of Health Care Workers During the Pandemic in Pediatric and Adult Emergency Services". Çocuk Acil ve Yoğun Bakım Dergisi 10/2 (2023), 97-103. https://doi.org/10.4274/cayd.galenos.2022.43255 |
