Document Type

Presentation

Publication Date

2022

Keywords

covenant; texas; lubbock; covid-19

Abstract

Background: The COVID-19 pandemic globally impacted healthcare due to surges in infected patients and respiratory failure. The pandemic escalated nursing burnout syndrome (NBS) across the workforce, especially in critical care environments, potentially leading to long-term negative impact on nurse retention and patient care.

Objectives: To compare self-reported burnout scores of frontline nurses caring for COVID-19 infected patients with burnout scores captured before the pandemic and in non-COVID-19 units from two prior studies.

Methods: A study was conducted using frontline nurses working in eight critical care units based on exposure to COVID-19 infected patients. Nurses were surveyed in 2019 and in 2020 using Maslach Burnout Inventory (MBI), Well Being Instrument (WBI), and Stress-Arousal Adjective Checklist (SACL) instruments. Researchers explored relationships between survey scores and working in COVID-19 units.

Results: Nurses working in COVID-19 units experienced more emotional exhaustion (EE) and depersonalization (DP) than nurses working in non-COVID units (p = .0001). Pre-COVID nurse burnout scores across six critical care units (EE mean = 15.41; p = .59) were lower than burnout scores in the COVID-19 intensive care units (EE mean = 10.29; p = .74). Clinical significance (p = .08) was noted by an EE sub-scale increase from low pre-pandemic to moderate during the pandemic.

Conclusion: Pinpointing associations between COVID-19 infection and nurse burnout may lead to innovative strategies to mitigate burnout in those caring for the most critically ill individuals during future pandemics. Further research is required to establish causal relationships between socio-demographic and work-related psychological predictors of NBS.

Department

Infectious Diseases

Department

Nursing

Comments

References

  1. González-Gil MT, González-Blázquez C, Parro-Moreno AI, et al. Nurses’ perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services. Intensive & Critical Care Nursing. 2021;62. doi:10.1016/j.iccn.2020.102966
  2. Hu D, Kong Y, Li W, et al. Frontline nurses’ burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: A large-scale cross-sectional study. EClinicalMedicine. 2020;24. doi:10.1016/j.eclinm.2020.100424
  3. Kok N, van Gurp J, Teerenstra S, et al. Coronavirus Disease 2019 Immediately Increases Burnout Symptoms in ICU Professionals: A Longitudinal Cohort Study. Critical Care Medicine. 2021;49(3):419-427. doi:10.1097/CCM.0000000000004865
  4. Morgantini LA, Naha U, Wang H, et al. Factors contributing to healthcare professional burnout during the COVID-19 pandemic: A rapid turnaround global survey. PloS one. 2020;15(9):e0238217. doi:10.1371/journal.pone.0238217
  5. Moss M, Good VS, Gozal D, Kleinpell R, Sessler CN. An Official Critical Care Societies Collaborative Statement: Burnout Syndrome in Critical Care Health Care Professionals: A Call for Action. American journal of critical care : An official publication, American Association of Critical-Care Nurses. 2016;25(4):368-376. doi:10.4037/ajcc2016133
  6. Murat M, Köse S, Savaşer S. Determination of stress, depression and burnout levels of front-line nurses during the COVID-19 pandemic. International Journal of Mental Health Nursing. 2021;30(2):533-543. doi:10.1111/inm.12818
  7. Salazar de Pablo G, Vaquerizo-Serrano J, Catalan A, et al. Impact of coronavirus syndromes on physical and mental health of health care workers: Systematic review and meta-analysis. Journal of Affective Disorders. 2020;275:48-57. doi:10.1016/j.jad.2020.06.022
  8. Sharma M, Creutzfeldt CJ, Lewis A, et al. Health-care Professionals’ Perceptions of Critical Care Resource Availability and Factors Associated With Mental Well-being During Coronavirus Disease 2019 (COVID-19): Results from a US Survey. Clinical Infectious Diseases. 2021;72(10):e566-e576. doi:10.1093/cid/ciaa1311
  9. Al Maqbali M, Al Sinani M, Al-Lenjawi B. Prevalence of stress, depression, anxiety and sleep disturbance among nurses during the COVID-19 pandemic: A systematic review and meta-analysis. Journal of Psychosomatic Research. 2021;141:N.PAG. doi:10.1016/j.jpsychores.2020.110343
  10. Aydin Sayilan A, Kulakaç N, Uzun S. Burnout levels and sleep quality of COVID-19 heroes. Perspectives in psychiatric care. 2021;57(3):1231-1236. doi:10.1111/ppc.12678
  11. Emanuele Maria Giusti, Elisa Pedroli, Guido E. D’Aniello, et al. The Psychological Impact of the COVID-19 Outbreak on Health Professionals: A Cross-Sectional Study. Frontiers in Psychology. 2020;11. doi:10.3389/fpsyg.2020.01684
  12. Meltzer LS, Huckabay LM. Critical care nurses’ perceptions of futile care and its effect on burnout. American Journal of Critical Care. 2004;13(3):202-208. doi:10.4037/ajcc2004.13.3.202
  13. Sanghera J, Pattani N, Hashmi Y, et al. The impact of SARS-CoV-2 on the mental health of healthcare workers in a hospital setting-A Systematic Review. Journal of occupational health. 2020;62(1):e12175. doi:10.1002/1348-9585.12175
  14. Xinghuang Liu, Jie Chen, Dongke Wang, et al. COVID-19 Outbreak Can Change the Job Burnout in Health Care Professionals. Frontiers in Psychiatry. 2020;11. doi:10.3389/fpsyt.2020.563781
  15. Poncet MC, Toullic P, Papazian L, Kentish-Barnes N, Timsit J, Pochard F, Chevret S, Schlemmer B, & Azoulay E. (2007). Burnout syndrome in critical care nursing staff. American Journal of Respiratory & Critical Care Medicine, 175(7), 698–704. https://doi.org/10.1164/rccm.200606-806oc
  16. Aiken LH, Clarke SP, Sloane DM, et al. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA: Journal of the American Medical Association. 2002;288(16):1987-1993. doi:10.1001/jama.288.16.1987
  17. Lasater KB, Aiken LH, Sloane DM, et al. Chronic hospital nurse understaffing meets COVID-19: An observational study. BMJ quality & safety. 2021;30(8):639-647. doi:10.1136/bmjqs-2020-011512
  18. Mohr DC, Swamy L, Wong ES, Mealer M, Moss M, Rinne ST. Critical Care Nurse Burnout in Veterans Health Administration: Relation to Clinician and Patient Outcomes. American Journal of Critical Care. 2021;30(6):435-442. doi:10.4037/ajcc2021187
  19. Tawfik DS, Scheid A, Profit J, et al. Evidence Relating Health Care Provider Burnout and Quality of Care: A Systematic Review and Meta-analysis. Annals of Internal Medicine. 2019;171(8):555-567. doi:10.7326/M19-1152
  20. Maslach C, Jackson SE, Leiter M P, et al. Maslach burnout inventory. Consulting Psychologists Press;1986;21.
  21. Kang HS, Son YD, Chae S, Corte C. Working experiences of nurses during the Middle East respiratory syndrome outbreak. International Journal of Nursing Practice (John Wiley & Sons, Inc). 2018;24(5):1-8. doi:10.1111/ijn.12664
  22. Mihandoust S, Pati D, Lee J, Roney J. Exploring the Relationship Between Perceived Visual Access to Nature and Nurse Burnout. Health Environments Research & Design Journal (HERD) (Sage Publications, Ltd). 2021;14(3):258-273. doi:10.1177/1937586721996302
  23. Maslach C, Jackson SE, Leiter, M P. Maslach burnout inventory. Scarecrow Education; 1997.
  24. Schaufeli WB, Bakker AB, Hoogduin K, Schaap C, Kladler A. On the clinical validity of the Maslach Burnout Inventory and the Burnout Measure. Psychology & Health. 2001;16(5):565-582.
  25. Schutte N, Toppinen S, Kalimo R, Schaufeli W. The factorial validity of the Maslach Burnout Inventory‐General Survey (MBI‐GS) across occupational groups and nations. Journal of Occupational and Organizational psychology. 2000;73(1), 53-66.
  26. King MG, Burrows GD, Stanley GV. Measurement of stress and arousal: validation of the stress/arousal adjective checklist. British journal of psychology (London, England : 1953). 1983;74 (Pt 4):473-479. doi:10.1111/j.2044-8295.1983.tb01880.x
  27. Baddeley AD. Selective attention and performance in dangerous environments. British journal of psychology (London, England : 1953). 1972;63(4):537-546. doi:10.1111/j.2044-8295.1972.tb01304.x


Share

COinS