Evaluation of Stress and Burnout Levels of Healthcare Professionals Working in COVID-19 Services

Abstract

Objective: The COVID-19 pandemic started in Wuhan Province of China in December 2019 and has affected the whole world in a short time. During the pandemic period, healthcare professionals have to work at a very busy pace both with increased workload and at a risk of contamination. This study was conducted to evaluate the stress and burnout levels of healthcare professionals working in COVID-19 services.
Method: Maslach Burnout Inventory and Perceived Stress Scale were used as the data collection tools. The scores obtained from the scales were compared according to demographic characteristics such as gender, profession, marital status, having children, people lived together and presence of a chronic disease. SPSS packaged software was used for the analysis of data.
Results: It was found that while emotional burnout levels of the nurses were higher, the depersonalization levels of health technicians were lower. Emotional burnout and stress levels of the women were higher than those of men. It was seen that stress levels of those with a chronic disease were higher. Emotional burnout, depersonalization and stress levels of healthcare professionals who were tested for COVID-19 disease were higher. Personal accomplishment scores of those who were working voluntarily in COVID-19 services were higher.
Conclusion: It was concluded that the healthcare professionals with high stress and burnout levels had high levels of stress and burnout levels during COVID-19 Pandemic due to reasons such as the disease transmission risk and increased workload.

Keywords

• COVİD-19
• Healthcare Professionals
• Stress

COVID-19 Servislerinde Görev Yapan Sağlık Çalışanlarının Stres ve Tükenmişlik Düzeylerinin Değerlendirilmesi

Abstract

Amaç: COVID-19 pandemisi, Aralık 2019'da Çin’in Wuhan eyaletinde başlayarak kısa sürede tüm dünyayı etkisi altına almıştır. Pandemi süresince sağlık çalışanları, hem bulaş riski altında hem de artan iş yükü ile oldukça yoğun bir tempoda çalışmışlardır. Bu araştırma COVID-19 servislerinde görev yapan sağlık çalışanlarının stres ve tükenmişlik düzeylerini değerlendirmek amacıyla yapılmıştır.
Yöntem: Veri toplama araçları olarak Maslach Tükenmişlik Ölçeği ve Algılanan Stres Ölçeği kullanılmıştır. Ölçeklerden alınan puanlar cinsiyet, meslek, medeni durum, çocuk sahibi olma, birlikte yaşanılan kişiler ve kronik hastalık varlığı gibi demografik özelliklere göre karşılaştırılmıştır. Verilerin analizi için SPSS paket programı kullanılmıştır.
Bulgular: Hemşirelerin duygusal tükenme düzeyleri daha yüksek bulunurken, sağlık teknikerlerinin duyarsızlaşma düzeyleri daha düşük bulunmuştur. Kadınların duygusal tükenme ve stres düzeyleri erkeklere göre daha yüksek bulunmuştur. Kronik hastalığı olanların stres düzeylerinin daha yüksek olduğu görülmüştür. COVID-19 yönelik test yaptıran sağlık çalışanlarının duygusal tükenme, duyarsızlaşma ve stres düzeylerinin daha yüksek olduğu tespit edilmiştir. COVID-19 servislerinde kendi isteği ile çalışanların kişisel başarı puanları daha yüksek bulunmuştur.
Sonuç: Stres ve tükenmişlik düzeyleri yüksek olan sağlık çalışanlarının, hastalık bulaş riski ve artan iş yükü gibi sebeplerden dolayı COVİD pandemisi süresince de stres ve tükenmişlik düzeylerinin yüksek olduğu sonucuna varılmıştır.

Keywords

• COVİD-19
• , Sağlık çalışanı
• stres

References

1. 1. Zheng Z, et al. Risk factors of critical & mortal COVID-19 cases: A systematic literature review and meta-analysis. Journal of Infection 2020;81(2): 16-25.
2. 2. Chan JF, et al. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet 2020;395: 514-523.
3. 3. Andersen KG, et al. The proximal origin of SARS-CoV-2. Nat Med 2020;26(4): 450–452.
4. 4. Lu R, et al. Genomic characterisation and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding. The Lancet 2020; 395: 565-574.
5. 5. Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. JAMA 2020;323(13):1239–1242.
6. 6. Assessment of risk factors for coronavirus disease 2019 (COVID-19) in health workers: protocol for a case-control study. [accessed 5 June 2020]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus- 2019?gclid=CjwKCAjwsO_4BRBBEiwAyagRTUDY5etw3tkiULst6EERH0M-5Ih62rTBnh1eMH-R_tdPk4aEYwy_1hoCxDQQAvD_BwE.
7. 7. TC. Sağlık Bakanlığı, Covid-19 Rehberi. 2020. [accessed 5 June 2020]. Available from: https://covid19bilgi.saglik.gov.tr/depo/rehberler/COVID-19_Rehberi.pdf?type=file
8. 8. Tekir Ö, et al. Examining Health Workers' Burnout, Job Satisfaction Levels and Life Satisfaction. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 2016; 18(2): 51-63.

9. 9. Helvaci I, Turhan M. The Examination of Burnout Levels: A Study on Healthcare Staff Working in Silifke. İşletme ve İktisat Çalışmaları Dergisi 2013; 1(4): 58-68.
10. 10. Kaya M, et al. The Burnout Condition of Primary Health Care Personnel. TSK Koruyucu Hekimlik Bülteni 2007; 6(5): 357-363.
11. 11. Taycan O, et al. Relation between sociodemographic characteristics depression and burnout levels of nurse working in university hospital. Anadolu Psikiyatri Dergisi 2006; 7(2): 100-108.
12. 12. Çimen M, Ergin C. A. Survey on burnoutlevels of Turkısh armed forces health personnel. Gülhane Tıp Dergisi 2001; 43(2): 169-176.
13. 13. Alacacioglu A, et al. Burnout in nurses and physicians working at an oncology department. Psycho‐Oncology: Journal of the Psychological, Social and Behavioral Dimensions of Cancer 2009; 18(5): 543-548.
14. 14. Ergin, C. Doktor ve hemşirelerde tükenmişlik ve Maslach Tükenmişlik Ölçeğinin uyarlanması. VII. Ulusal Psikoloji Kongresi; 1992; Sep 22;Türkiye. Ankara, 1992.
15. 15. Eskin M, et al. Algılanan Stres Ölçeğinin Türkçeye uyarlanması: Güvenirlik ve geçerlik analizi. New/Yeni Symposium Journal 2013; 51(3): 132-140.
16. 16. Ersoy F, Yıldırım C, Edirne T. Tükenmişlik (staff burnout) sendromu. Sürekli Tıp Eğitimi Dergisi 2001; 10(2): 46-47.
17. 17. Pedrozo-Pupo J. et al. Perceived stress associated with COVID-19 epidemic in Colombia: an online survey. Cadernos de saude publica 2020; 36(5): e00090520.
18. 18. Besirli A. et al. The Relationship between Anxiety and Depression Levels with Perceived Stress and Coping Strategies in Health Care Workers during the COVID-19 Pandemic. The Medical Bulletin of Sisli Etfal Hospital 2021; 55 (1): 1-11.
19. 19. Du J. et al. Psychological symptoms among frontline healthcare workers during COVID-19 outbreak in Wuhan. General hospital psychiatry 2020; 67:144-145.
20. 20. Abbas S. et al. Encountering Covid-19 and perceived stress and the role of a health climate among medical workers. Current Psychology 2021;23: 1-14.
21. 21. Chekole YA. et al. Perceived Stress and Its Associated Factors during COVID-19 among Healthcare Providers in Ethiopia: A Cross-Sectional Study. Advances in Public Health 2020: 5036861. Doi: 10.1155/2020/5036861
22. 22. Maslach C, Jackson SE, Leiter MP, Schaufeli WB, Schwab RL. Maslach burnout inventory. 3rd ed. California:Palo Alto; 1986. pp:3463-3464.
23. 23. Altuntaş S, Altun ÖŞ. The relationship between emotional labor behaviors and burnout levels of nurses. Journal of Health and Nursing Management 2015; 2(1): 37-43.
24. 24. Schaufeli WB, Keijsers GJ, Miranda DR. Burnout, technology use, and ICU performance. In Sauter SL, Murphy LR, editors. Organizational risk factors for job stress. Washington; 1995.pp:259-271.
25. 25. Wu S, et al. Relationship between burnout and occupational stress among nurses in China. Journal of Advanced Nursing 2007; 59(3): 233-239.
26. 26. Lewis D, Robinson J. ICU nurses' coping measures: response to work-related stressors. Critical Care Nurse 1992; 12(2): 18..
27. 27. Rotenstein LS, et al. Prevalence of burnout among physicians: a systematic review. JAMA 2018; 320: 1131-1150.
28. 28. Bakker AB, Demerouti E, Schaufeli WB. Validation of the Maslach burnout inventory-general survey: an internet study. Anxiety, Stress & Coping 2002; 15: 245-260.
29. 29. Hu Q, Schaufeli WB. The factorial validity of the Maslach burnout inventory–student survey in China. Psychological Reports 2009; 105: 394-408.
30. 30. Guan WJ, et al. Comorbidity and its impact on 1590 patients with Covid-19 in China: A Nationwide Analysis. European Respiratory Journal 2020; 55(5):1-14.
31. 31. Lippi G, Wong J, Henry BM. Hypertension and its severity or mortality in Coronavirus Disease 2019 (COVID-19): a pooled analysis. Pol Arch Intern Med 2020; 130: 304-309.
32. 32. Stubbs B, et al. Multimorbidity and perceived stress: a population-based cross-sectional study among older adults across six low-and middle-income countries. Maturitas 2018; 107: 84-91.
33. 33. Prior A, et al. The association between perceived stress and mortality among people with multimorbidity: a prospective population-based cohort study. American Journal of Epidemiology 2016; 184: 199-210.
34. 34. Oktay JS. Burnout in hospital social workers who work with AIDS patients. Social Work 1992; 37: 432-439.
35. 35. Bennett L, Kelaher M, Ross M. Quality of life in health care professionals: Burnout and its associated factors in HIV/AIDS related care. Psychology & Health 1994; 9: 273-283.
36. 36. Peiró JM, et al. Does role stress predict burnout over time among health care professionals? Psychology & Health 2001; 16: 511-525.
37. 37. Schaufeli WB, Greenglass ER. Introduction to special issue on burnout and health. Psychology & Health 2001; 16: 501-510.
38. 38. Dorz S, et al. Predicting burnout among HIV/AIDS and oncology health care workers. Psychology and health 2003; 18: 677-684.