Prevalence and correlates of stress and burnout among U.S. healthcare workers during the COVID-19 pandemic: A national cross-sectional survey study.
Prevalence and correlates of stress and burnout among U.S. healthcare workers during the COVID-19 pandemic: A national cross-sectional survey study.
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DOI：
10.1016/j.eclinm.2021.100879
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发表时间：
2021-05
影响因子：
15.1
通讯作者：
Sinsky CA
中科院分区：
文献类型：
--
作者：
Prasad K;McLoughlin C;Stillman M;Poplau S;Goelz E;Taylor S;Nankivil N;Brown R;Linzer M;Cappelucci K;Barbouche M;Sinsky CA
COVID-19给医护人员带来了巨大的压力。很少有研究通过工人角色来评估压力，或者关注女性和有色人种的经历。“应对新冠肺炎”调查评估了美国医护人员的压力。压力总分（SSS）包括压力、暴露恐惧、焦虑/抑郁和工作量（Omega 0.78）。与平均值的差异表示为科恩d效应大小（ES）。回归分析测试与压力和倦怠的关联。在2020年5月28日至10月1日期间，来自42个组织的20，947名医疗工作者做出了回应（中位数回应率为20%，四分位数范围为7%至35%）。61%的人报告害怕暴露或传播，38%的人报告焦虑/抑郁，43%的人遭受工作超负荷，49%的人感到倦怠。护士助理、医务助理和社会工作者的压力得分最高（小到中度ES，p < 0.001），住院与门诊工作者的压力得分最高（小ES，p <0.001），女性与男性的压力得分最高（小ES，p < 0.001），黑人和拉丁裔工作者与白人的压力得分最高（小ES，p < 0.001）。暴露的恐惧是普遍的护理助理和黑人和拉丁裔工人，而管家和黑人和拉丁裔工人最经常经历增强的意义和目的。在多水平模型中，那些感觉受到组织重视的人的倦怠几率低40%（比值比0.60，95% CI [0.58，0.63]，p< 0.001）。护士助理、医疗助理、社会工作者、住院工作者、妇女和有色人种的压力更高，与工作量和心理健康有关，当感觉受到重视时压力更低。
COVID-19 has put extraordinary stress on healthcare workers. Few studies have evaluated stress by worker role, or focused on experiences of women and people of color. The “Coping with COVID” survey assessed US healthcare worker stress. A stress summary score (SSS) incorporated stress, fear of exposure, anxiety/depression and workload (Omega 0.78). Differences from mean were expressed as Cohen's d Effect Sizes (ESs). Regression analyses tested associations with stress and burnout. Between May 28 and October 1, 2020, 20,947 healthcare workers responded from 42 organizations (median response rate 20%, Interquartile range 7% to 35%). Sixty one percent reported fear of exposure or transmission, 38% reported anxiety/depression, 43% suffered work overload, and 49% had burnout. Stress scores were highest among nursing assistants, medical assistants, and social workers (small to moderate ESs, p < 0.001), inpatient vs outpatient workers (small ES, p < 0.001), women vs men (small ES, p < 0.001), and in Black and Latinx workers vs Whites (small ESs, p < 0.001). Fear of exposure was prevalent among nursing assistants and Black and Latinx workers, while housekeepers and Black and Latinx workers most often experienced enhanced meaning and purpose. In multilevel models, odds of burnout were 40% lower in those feeling valued by their organizations (odds ratio 0.60, 95% CIs [0.58, 0.63], p< 0.001). Stress is higher among nursing assistants, medical assistants, social workers, inpatient workers, women and persons of color, is related to workload and mental health, and is lower when feeling valued.
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影响因子：
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作者：
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通讯作者：
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作者：
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影响因子：
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作者：
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HOCHBERG, Y
影响因子：
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