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Burnout in Healthcare Professionals During the Covid-19 Pandemic in a Tertiary Care University Hospital: Evaluation of the Need for Psychological Support

Özen ÖNEN SERTÖZ, Özlem KUMAN TUNÇEL, Nezih SERTÖZ, Cenan HEPDURGUN, Damla İŞMAN HAZNEDAROĞLU, Canan BOR
2021 32(2): 75-86
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Objective: Anxiety, stress and burnout are observed in healthcare
workers during the Covid-19 pandemic. This study aimed to determine
the levels of anxiety and burnout and related risk factors in the healthcare
workers and assistant personnel at a tertiary referral university hospital.
Method: Hospital Anxiety Depression Scale (HADS), Maslach Burnout
Inventory (MBI) and a sociodemographic questionnaire were delivered
on-line to all employees of our hospital. 683 individuals were to the
study who completed and returned the forms between April 15-30,
2020.
Results: Stress, depression and anxiety levels were significantly higher
in nurses. Emotional burnout and depersonalization symptoms were
higher and personal accomplishment scores were lower in resident
physicians and nurses in comparison to the other groups. Being single,
having a child and living away from home were factors underlying the
burnout severity. Frontline work in the Covid-19 clinics did not affect
the levels of anxiety, stress and depression. On the basis of the cut off
points of the HADS scores; anxiety disorder (OR: 7.19) and depression
(OR 3.43) were the most relevant risk factors for emotional exhaustion.
Anxiety disorder was also the main risk factor for depersonalization.
Depersonalization was 2.7-fold more among the nurses complaining of
being overworked. Social support from the work environment and the
family was protective against depersonalization.
Conclusion: Covid-19 pandemic has adversely affected the wellbeing
of healthcare workers. The presence of depression and anxiety increased
the risk of burnout. Social support can be expected to protect against
burnout. It is, therefore, of great importance to implement urgently
effective psychosocial and organizational interventions in order to
protect the mental health of healthcare workers and to prevent burnout.