Impact of COVID-19 pandemic on pediatric healthcare burnout in acute care: a longitudinal study.
Impact of COVID-19 pandemic on pediatric healthcare burnout in acute care: a longitudinal study.
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DOI：
10.1038/s41390-023-02674-3
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发表时间：
2023-11
影响因子：
3.6
通讯作者：
Kain, Zeev N.
中科院分区：
文献类型：
--
作者：
Martin, Sarah R.;Heyming, Theodore;Morphew, Tricia;Sayrs, Lois;Fortier, Michelle A.;Sanger, Terence;Kain, Zeev N.
COVID-19疫情带来重大挑战，可能加剧医护人员（HCW）的倦怠。到目前为止，对COVID-19大流行期间职业倦怠的评估是横向的，限制了我们对职业倦怠变化的理解。这项纵向研究评估了COVID-19大流行期间儿科HCW倦怠随时间的变化，以及人口统计学和心理因素是否与倦怠的变化相关。这项纵向研究包括162名儿童医院急诊科（艾德）、重症监护、围手术期和院间运输服务的医生、医生助理、护士和医疗技术人员。HCW的人口统计学，焦虑和人格特质，通过有效的措施。HCW于二零二零年四月及二零二一年三月完成Maslach倦怠清单。使用广义估计方程对数据进行分析。随着时间的推移，报告高情绪衰竭和/或去人格化倦怠的HCW的百分比显着增加（18.5%至28.4%，P = 0.010）。在艾德工作（P = 0.011）或在围手术期工作（P < 0.001）、护士或医疗技术人员（P <0.001）、无子女（P < 0.001）和低责任心（P <0.001）是情绪耗竭增加的相关因素。在COVID-19大流行的11个月内，儿科HCW的倦怠显著增加。研究结果表明，某些人口和心理因素可能代表未来大流行干预的潜在目标。这项纵向研究显示，COVID-19大流行对儿科医护人员的倦怠产生了重大影响。在COVID-19大流行的11个月内，报告高度情绪疲惫和人格解体倦怠的医护人员比例显著增加。结果表明，某些人口和心理因素可能是未来干预的潜在目标。
COVID-19 pandemic introduced significant challenges that may have exacerbated healthcare worker (HCW) burnout. To date, assessments of burnout during COVID-19 pandemic have been cross-sectional, limiting our understanding of changes in burnout. This longitudinal study assessed change across time in pediatric HCW burnout during the COVID-19 pandemic and whether demographic and psychological factors were associated with changes in burnout. This longitudinal study included 162 physicians, physician assistants, nurses, and medical technicians within the emergency department (ED), intensive care, perioperative, and inter-hospital transport services in a children’s hospital. HCW demographics, anxiety and personality traits were reported via validated measures. HCWs completed the Maslach Burnout Inventory in April 2020 and March 2021. Data were analyzed using generalized estimating equations. The percentage of HCWs reporting high emotional exhaustion and/or depersonalization burnout increased significantly across time (18.5% to 28.4%, P = 0.010). Factors associated with increased emotional exhaustion included working in the ED (P = 0.011) or perioperative department (P < 0.001), being a nurse or medical technician (P’s < 0.001), not having children (P < 0.001), and low conscientiousness (P < 0.001). Pediatric HCW burnout significantly increased over 11-months of the COVID-19 pandemic. Results suggest that certain demographic and psychological factors may represent potential area to target for intervention for future pandemics. This longitudinal study revealed that the COVID-19 pandemic has had a significant impact on pediatric healthcare worker burnout. The percentage of healthcare workers reporting high levels of emotional exhaustion and depersonalization burnout increased significantly over 11-months of the COVID-19 pandemic. Results suggest that certain demographic and psychological factors may represent potential targets for future interventions.
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