Prevalence of burnout among healthcare workers in six public referral hospitals in northeastern Brazil during the COVID-19 pandemic: a cross-sectional study

ABSTRACT BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has placed considerable psychological stress on frontline healthcare workers (HCWs). OBJECTIVE: To evaluate the prevalence of burnout syndrome among HCWs facing the COVID-19 outbreak. DESIGN AND SETTING: Cross-sectional study c...

Full description

Bibliographic Details
Main Authors: Ana Irene Carlos de Medeiros, Rafael Barreto de Mesquita, Felipe de Souza Macêdo, Antonio George de Calvacante Matos, Eanes Delgado Pereira
Format: Article
Language:English
Published: Associação Paulista de Medicina 2022-06-01
Series:São Paulo Medical Journal
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022005013201&lng=en&tlng=en
_version_ 1818468778011262976
author Ana Irene Carlos de Medeiros
Rafael Barreto de Mesquita
Felipe de Souza Macêdo
Antonio George de Calvacante Matos
Eanes Delgado Pereira
author_facet Ana Irene Carlos de Medeiros
Rafael Barreto de Mesquita
Felipe de Souza Macêdo
Antonio George de Calvacante Matos
Eanes Delgado Pereira
author_sort Ana Irene Carlos de Medeiros
collection DOAJ
description ABSTRACT BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has placed considerable psychological stress on frontline healthcare workers (HCWs). OBJECTIVE: To evaluate the prevalence of burnout syndrome among HCWs facing the COVID-19 outbreak. DESIGN AND SETTING: Cross-sectional study conducted in six public intensive care units (ICUs) in the city of Fortaleza, Brazil. METHODS: An online survey was conducted among HCWs to measure the three dimensions of burnout. RESULTS: A total of 62 physicians (23.4%), 65 nurses (24.5%), 58 nurse technologists (21.9%) and 80 physiotherapists (30.2%) completed the questionnaire. Nearly half of the participants (48.6%) had high levels of emotional exhaustion, and almost one-third of them (29.4%) had high levels of depersonalization. Low levels of professional efficacy were observed in 18.1% of the sample. The independent determinants of depersonalization burnout were age < 33 years (odds ratio, OR 2.03; 95% confidence interval, CI 1.15-3.56; P = 0.01) and female gender (OR 0.33; 95% CI 0.18-0.62; P = 0.01). Increased workload was associated with both depersonalization (OR 2.37; 95% CI 2.02-5.50; P = 0.04) and emotional exhaustion (OR 1.89; 95% CI 1.04-3.58; P = 0.030). CONCLUSION: The COVID-19 pandemic has had a great impact on the dimensions of depersonalization and emotional exhaustion. Consideration of these dimensions is important when designing future burnout prevention programs for frontline personnel.
first_indexed 2024-04-13T21:15:44Z
format Article
id doaj.art-348e748591ca4c7abdb83ff93d749c53
institution Directory Open Access Journal
issn 1806-9460
language English
last_indexed 2024-04-13T21:15:44Z
publishDate 2022-06-01
publisher Associação Paulista de Medicina
record_format Article
series São Paulo Medical Journal
spelling doaj.art-348e748591ca4c7abdb83ff93d749c532022-12-22T02:29:41ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-94602022-06-0110.1590/1516-3180.2021.0287.r1.291021Prevalence of burnout among healthcare workers in six public referral hospitals in northeastern Brazil during the COVID-19 pandemic: a cross-sectional studyAna Irene Carlos de Medeiroshttps://orcid.org/0000-0003-2958-6079Rafael Barreto de Mesquitahttps://orcid.org/0000-0002-8048-3393Felipe de Souza Macêdohttps://orcid.org/0000-0001-6592-0789Antonio George de Calvacante Matoshttps://orcid.org/0000-0001-6981-3462Eanes Delgado Pereirahttps://orcid.org/0000-0002-4414-3164ABSTRACT BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has placed considerable psychological stress on frontline healthcare workers (HCWs). OBJECTIVE: To evaluate the prevalence of burnout syndrome among HCWs facing the COVID-19 outbreak. DESIGN AND SETTING: Cross-sectional study conducted in six public intensive care units (ICUs) in the city of Fortaleza, Brazil. METHODS: An online survey was conducted among HCWs to measure the three dimensions of burnout. RESULTS: A total of 62 physicians (23.4%), 65 nurses (24.5%), 58 nurse technologists (21.9%) and 80 physiotherapists (30.2%) completed the questionnaire. Nearly half of the participants (48.6%) had high levels of emotional exhaustion, and almost one-third of them (29.4%) had high levels of depersonalization. Low levels of professional efficacy were observed in 18.1% of the sample. The independent determinants of depersonalization burnout were age < 33 years (odds ratio, OR 2.03; 95% confidence interval, CI 1.15-3.56; P = 0.01) and female gender (OR 0.33; 95% CI 0.18-0.62; P = 0.01). Increased workload was associated with both depersonalization (OR 2.37; 95% CI 2.02-5.50; P = 0.04) and emotional exhaustion (OR 1.89; 95% CI 1.04-3.58; P = 0.030). CONCLUSION: The COVID-19 pandemic has had a great impact on the dimensions of depersonalization and emotional exhaustion. Consideration of these dimensions is important when designing future burnout prevention programs for frontline personnel.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022005013201&lng=en&tlng=enBurnout, professionalIntensive care unitsCovid-19Burnout syndromePrevalenceHealthcare workers
spellingShingle Ana Irene Carlos de Medeiros
Rafael Barreto de Mesquita
Felipe de Souza Macêdo
Antonio George de Calvacante Matos
Eanes Delgado Pereira
Prevalence of burnout among healthcare workers in six public referral hospitals in northeastern Brazil during the COVID-19 pandemic: a cross-sectional study
São Paulo Medical Journal
Burnout, professional
Intensive care units
Covid-19
Burnout syndrome
Prevalence
Healthcare workers
title Prevalence of burnout among healthcare workers in six public referral hospitals in northeastern Brazil during the COVID-19 pandemic: a cross-sectional study
title_full Prevalence of burnout among healthcare workers in six public referral hospitals in northeastern Brazil during the COVID-19 pandemic: a cross-sectional study
title_fullStr Prevalence of burnout among healthcare workers in six public referral hospitals in northeastern Brazil during the COVID-19 pandemic: a cross-sectional study
title_full_unstemmed Prevalence of burnout among healthcare workers in six public referral hospitals in northeastern Brazil during the COVID-19 pandemic: a cross-sectional study
title_short Prevalence of burnout among healthcare workers in six public referral hospitals in northeastern Brazil during the COVID-19 pandemic: a cross-sectional study
title_sort prevalence of burnout among healthcare workers in six public referral hospitals in northeastern brazil during the covid 19 pandemic a cross sectional study
topic Burnout, professional
Intensive care units
Covid-19
Burnout syndrome
Prevalence
Healthcare workers
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022005013201&lng=en&tlng=en
work_keys_str_mv AT anairenecarlosdemedeiros prevalenceofburnoutamonghealthcareworkersinsixpublicreferralhospitalsinnortheasternbrazilduringthecovid19pandemicacrosssectionalstudy
AT rafaelbarretodemesquita prevalenceofburnoutamonghealthcareworkersinsixpublicreferralhospitalsinnortheasternbrazilduringthecovid19pandemicacrosssectionalstudy
AT felipedesouzamacedo prevalenceofburnoutamonghealthcareworkersinsixpublicreferralhospitalsinnortheasternbrazilduringthecovid19pandemicacrosssectionalstudy
AT antoniogeorgedecalvacantematos prevalenceofburnoutamonghealthcareworkersinsixpublicreferralhospitalsinnortheasternbrazilduringthecovid19pandemicacrosssectionalstudy
AT eanesdelgadopereira prevalenceofburnoutamonghealthcareworkersinsixpublicreferralhospitalsinnortheasternbrazilduringthecovid19pandemicacrosssectionalstudy