Did the COVID-19 pandemic affect levels of burnout, anxiety and depression among doctors and nurses in Bangladesh? A cross-sectional survey study
Introduction COVID-19 has caused severe disruption to clinical services in Bangladesh but the extent of this, and the impact on healthcare professionals is unclear. We aimed to assess the perceived levels of anxiety, depression and burnout among doctors and nurses during COVID-19 pandemic.Methods We...
| Main Authors: | , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-03-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/3/e079350.full |
| _version_ | 1797269581208748032 |
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| author | Ann John Greg Fegan M Masudur Rahman John G Williams Mesbah Rahman Neil Hawkes Stephen Roberts Saiful Islam Hayley Anne Hutchings Md Mujibur Rahman Md Golam Kibria Mahfuza Akhter Mahmud Hasan Faruque Ahmed Claire O'Neill Kymberley Carter Umakant Dave Abul Kalam Azad Titu Mia |
| author_facet | Ann John Greg Fegan M Masudur Rahman John G Williams Mesbah Rahman Neil Hawkes Stephen Roberts Saiful Islam Hayley Anne Hutchings Md Mujibur Rahman Md Golam Kibria Mahfuza Akhter Mahmud Hasan Faruque Ahmed Claire O'Neill Kymberley Carter Umakant Dave Abul Kalam Azad Titu Mia |
| author_sort | Ann John |
| collection | DOAJ |
| description | Introduction COVID-19 has caused severe disruption to clinical services in Bangladesh but the extent of this, and the impact on healthcare professionals is unclear. We aimed to assess the perceived levels of anxiety, depression and burnout among doctors and nurses during COVID-19 pandemic.Methods We undertook an online survey using RedCap, directed at doctors and nurses across four institutions in Bangladesh (The Sheikh Russel Gastro Liver Institute & Hospital (SRNGIH), Dhaka Medical College Hospital (DMCH), Mugda Medical College Hospital (MMCH) and M Abdur Rahim Medical College (MARMC) Hospital). We collected information on demographics, awareness of well-being services, COVID-19-related workload, as well as anxiety, depression and burnout using two validated questionnaires: the Hospital Anxiety and Depression Scale (HADS) and the Maslach Burnout Inventory (MBI).Results Of the 3000 participants approached, we received responses from 2705 (90.2%). There was a statistically significant difference in anxiety, depression and burnout scores across institutions (p<0.01). Anxiety, depression and burnout scores were statistically worse in COVID-19 active staff compared with those not working on COVID-19 activities (p<0.01 for HADS anxiety and depression and MBI emotional exhaustion (EE), depersonalisation (DP) and personal accomplishment (PA)). Over half of the participants exhibited some level of anxiety (SRNGIH: 52.2%; DMCH: 53.9%; MMCH: 61.3%; MARMC: 68%) with a high proportion experiencing depression (SRNGIH: 39.5%; DMCH: 38.7%; MMCH: 53.7%; MARMC: 41.1%). Although mean burnout scores were within the normal range for each institution, a high proportion of staff (almost 20% in some instances) were shown to be classified as experiencing burnout by their EE, DP and PA scores.Conclusion We identified a high prevalence of perceived anxiety, depression and burnout among doctors and nurses during the COVID-19 pandemic. This was worse in staff engaged in COVID-19-related activities. These findings could help healthcare organisations to plan for future similar events. |
| first_indexed | 2024-04-25T01:50:39Z |
| format | Article |
| id | doaj.art-28ca0bb324b34dc1ac41ee298744f5d9 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-25T01:50:39Z |
| publishDate | 2024-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-28ca0bb324b34dc1ac41ee298744f5d92024-03-07T18:30:08ZengBMJ Publishing GroupBMJ Open2044-60552024-03-0114310.1136/bmjopen-2023-079350Did the COVID-19 pandemic affect levels of burnout, anxiety and depression among doctors and nurses in Bangladesh? A cross-sectional survey studyAnn John0Greg Fegan1M Masudur Rahman2John G Williams3Mesbah Rahman4Neil Hawkes5Stephen Roberts6Saiful Islam7Hayley Anne Hutchings8Md Mujibur Rahman9Md Golam Kibria10Mahfuza Akhter11Mahmud Hasan12Faruque Ahmed13Claire O'Neill14Kymberley Carter15Umakant Dave16Abul Kalam Azad17Titu Mia18Swansea University, Swansea, UK2 Swansea University Medical School, Swansea University, Swansea, UK12 Department of Gastroenterology, Sheikh Russel National Gastroliver Institute and Hospital, Dhaka, BangladeshUniversity Department of Obstetrics and Gynaecology, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP research registrar lecturer in clinical science professor of reproductive physiology Natural Environmental Research Council ICP-MS Facility, Imperial College at Silwood Park, Ascot, Berkshire SL5 7TEDepartments of Cardiology and Cardiac Surgery, University Hospital of Wales, Cardiff, UKDepartment of Gastroenterology, Royal Glamorgan Hospital, Llantrisant, UKInstitute for Global Health, University College London, London, UKSwansea University Medical School, Swansea University, Swansea, UKSwansea University Medical School, Swansea University, Swansea, UKMedicine, Dhaka Medical College and Hospital, Dhaka, BangladeshDepartment of Gastroenterology, Sheikh Russel National Gastroliver Institute and Hospial, Dhaka, BangladeshDepartment of Gastroenterology, Mugda Medical College and Hospital, Dhaka, BangladeshGastroliver Foundation, Dhaka, BangladeshCenters for Disease Control and Prevention, Atlanta, Georgia, USA2 Swansea University Medical School,Swansea University, Swansea, UKSwansea Trials Unit (STU), Swansea University, Swansea, West Glamorgan, UKSwansea Bay University Health Board, Port Talbot, UKDhaka Medical College and Hospital, Dhaka, BangladeshMugda Medical College and Hospital, Dhaka, BangladeshIntroduction COVID-19 has caused severe disruption to clinical services in Bangladesh but the extent of this, and the impact on healthcare professionals is unclear. We aimed to assess the perceived levels of anxiety, depression and burnout among doctors and nurses during COVID-19 pandemic.Methods We undertook an online survey using RedCap, directed at doctors and nurses across four institutions in Bangladesh (The Sheikh Russel Gastro Liver Institute & Hospital (SRNGIH), Dhaka Medical College Hospital (DMCH), Mugda Medical College Hospital (MMCH) and M Abdur Rahim Medical College (MARMC) Hospital). We collected information on demographics, awareness of well-being services, COVID-19-related workload, as well as anxiety, depression and burnout using two validated questionnaires: the Hospital Anxiety and Depression Scale (HADS) and the Maslach Burnout Inventory (MBI).Results Of the 3000 participants approached, we received responses from 2705 (90.2%). There was a statistically significant difference in anxiety, depression and burnout scores across institutions (p<0.01). Anxiety, depression and burnout scores were statistically worse in COVID-19 active staff compared with those not working on COVID-19 activities (p<0.01 for HADS anxiety and depression and MBI emotional exhaustion (EE), depersonalisation (DP) and personal accomplishment (PA)). Over half of the participants exhibited some level of anxiety (SRNGIH: 52.2%; DMCH: 53.9%; MMCH: 61.3%; MARMC: 68%) with a high proportion experiencing depression (SRNGIH: 39.5%; DMCH: 38.7%; MMCH: 53.7%; MARMC: 41.1%). Although mean burnout scores were within the normal range for each institution, a high proportion of staff (almost 20% in some instances) were shown to be classified as experiencing burnout by their EE, DP and PA scores.Conclusion We identified a high prevalence of perceived anxiety, depression and burnout among doctors and nurses during the COVID-19 pandemic. This was worse in staff engaged in COVID-19-related activities. These findings could help healthcare organisations to plan for future similar events.https://bmjopen.bmj.com/content/14/3/e079350.full |
| spellingShingle | Ann John Greg Fegan M Masudur Rahman John G Williams Mesbah Rahman Neil Hawkes Stephen Roberts Saiful Islam Hayley Anne Hutchings Md Mujibur Rahman Md Golam Kibria Mahfuza Akhter Mahmud Hasan Faruque Ahmed Claire O'Neill Kymberley Carter Umakant Dave Abul Kalam Azad Titu Mia Did the COVID-19 pandemic affect levels of burnout, anxiety and depression among doctors and nurses in Bangladesh? A cross-sectional survey study BMJ Open |
| title | Did the COVID-19 pandemic affect levels of burnout, anxiety and depression among doctors and nurses in Bangladesh? A cross-sectional survey study |
| title_full | Did the COVID-19 pandemic affect levels of burnout, anxiety and depression among doctors and nurses in Bangladesh? A cross-sectional survey study |
| title_fullStr | Did the COVID-19 pandemic affect levels of burnout, anxiety and depression among doctors and nurses in Bangladesh? A cross-sectional survey study |
| title_full_unstemmed | Did the COVID-19 pandemic affect levels of burnout, anxiety and depression among doctors and nurses in Bangladesh? A cross-sectional survey study |
| title_short | Did the COVID-19 pandemic affect levels of burnout, anxiety and depression among doctors and nurses in Bangladesh? A cross-sectional survey study |
| title_sort | did the covid 19 pandemic affect levels of burnout anxiety and depression among doctors and nurses in bangladesh a cross sectional survey study |
| url | https://bmjopen.bmj.com/content/14/3/e079350.full |
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