Canadian emergency physician psychological distress and burnout during the first 10 weeks of COVID-19: A mixed-methods study
Canadian emergency physician psychological distress and burnout during the first 10 weeks of COVID-19: A mixed-methods study
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DOI：
10.1002/emp2.12225
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发表时间：
2020-10-01
影响因子：
2.3
通讯作者：
Chan, Teresa
中科院分区：
文献类型：
--
作者：
de Wit, Kerstin;Mercuri, Mathew;Chan, Teresa
本研究的目的是报告职业倦怠时间趋势，并描述在2019年冠状病毒病(新冠肺炎)大流行的第一周，作为加拿大急诊医生工作的心理影响。急诊医生完成了每周一次的在线调查。主要结果是通过Maslach职业倦怠量表中的情绪衰竭和去人格化项目来衡量医生的职业倦怠。我们收集了新冠肺炎的工作模式、雾化程序、测试和诊断数据。参与者每周输入免费文本，解释他们的经历和幸福状况。结果共有468名参与者，他们在143家加拿大医院工作。职业倦怠水平随时间变化不显著(情绪衰竭P=0.632，去人格化P=0.155)。三名参与者被诊断出患有新冠肺炎。接受新冠肺炎测试(优势比[OR]11.5，95%可信区间[CI]3.1~42.5)和工作班次(OR 1.3，每增加一班95%CI 1.1~1.5)与高度情绪衰竭有关。接受过新冠肺炎测试(OR 4.3，95%CI 1.1-17.8)也与高度去人格化有关。个人安全、学术和教育工作、个人防护设备、劳动力、病人数量、工作模式和工作环境对医生的幸福感有影响。新的经济现实和不同的消极和积极经历影响了参与者的心理健康。结论急诊医生的职业倦怠水平在疫情的最初10周内保持稳定。新冠肺炎对工作环境的影响以及个人对影响生活方式的看法和担忧影响了医生的幸福感。
ObjectivesThe aim of this study was to report burnout time trends and describe the psychological effects of working as a Canadian emergency physician during the first weeks of the coronavirus disease 2019 (COVID-19) pandemic.MethodsThis was a mixed-methods study. Emergency physicians completed a weekly online survey. The primary outcome was physician burnout as measured by the emotional exhaustion and depersonalization items, from the Maslach Burnout Inventory. We captured data on work patterns, aerosolizing procedures, testing and diagnosis of COVID-19. Each week participants entered free text explaining their experiences and well-being.ResultsThere were 468 participants who worked in 143 Canadian hospitals. Burnout levels did not significantly change over time (emotional exhaustion P = 0.632, depersonalization P = 0.155). Three participants were diagnosed with COVID-19. Being tested for COVID-19 (odds ratio [OR] 11.5, 95% confidence interval [CI] 3.1-42.5) and the number of shifts worked (OR 1.3, 95% CI 1.1-1.5 per additional shift) were associated with high emotional exhaustion. Having been tested for COVID-19 (OR 4.3, 95% CI 1.1-17.8) was also associated with high depersonalization. Personal safety, academic and educational work, personal protective equipment, the workforce, patient volumes, work patterns, and work environment had an impact on physician well-being. A new financial reality and contrasting negative and positive experiences affected participants' psychological health.ConclusionEmergency physician burnout levels remained stable during the initial 10 weeks of this pandemic. The impact of COVID-19 on the work environment and personal perceptions and fears about the impact on lifestyle have affected physician well-being.