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Covid-19 Pandemisi Döneminde Sağlık Çalışanlarının Tükenmişlik Düzeyleri: Karma Model Bir Araştırma

Year 2024, Volume: 15 Issue: 44, 1152 - 1164, 30.11.2024
https://doi.org/10.21076/vizyoner.1445757

Abstract

COVID-19 pandemisi, sağlık çalışanları arasında tükenmişlik olasılığını ve tükenmişlikle ilgili riskleri de artırdı. Bu çalışmada sağlık profesyonellerinde tükenmişliği ve salgının getirdiği özel değişiklikler ile zorlukları araştırmak amaçlandı. Tükenmişlik düzeyini ölçmek amacıyla Maslach Tükenmişlik Ölçeği Kısa Formu ve nitel analiz amacıyla dört açık uçlu soru katılımcılara Google Forms üzerinden iletildi. Mesleğin tükenmişlik üzerindeki etkisi minimal olup, doktorlar, hemşireler ve diğer sağlık çalışanları arasında yalnızca küçük farklılıklar gözlemlendi. Çalışma saatlerindeki değişiklik, değişmeyen çalışma saatlerine kıyasla daha yüksek tükenmişlik seviyeleri ile ilişkili bulundu. Düşük ve çok düşük tükenmişlik seviyelerine sahip katılımcılar daha fazla mesleki değişiklik bildirirken, yüksek ve çok yüksek tükenmişlik seviyelerine sahip olanlar daha fazla psikolojik zorluk bildirdi. Yüksek tükenmişlik seviyeleri, çalışma koşullarındaki zorluklar, maske-ekipman kullanımı ve psikolojik iyi olma hali ile ilişkiliydi. Bu bulgular, COVID-19 pandemisi sırasında artan iş yükü, iş ortamındaki değişiklikler ve psikolojik zorlukların tükenmişlikle ilişkilendirildiği önceki araştırmalarla tutarlıdır. Genel olarak, bulgular iş ortamındaki değişiklikler, artan iş yükü ve psikolojik faktörlerin tükenmişlik üzerindeki etkisini vurgulayan önceki çalışmalarla uyum gösterdi.

Ethical Statement

Bu çalışma için Balıkesir Üniversitesi Etik Kurulu’ndan 01.07.2020 tarih ve B2020-07-05 sayılı etik kurul onayı alınmıştır.

References

  • Barello, S., Palamenghi, L., & Graffigna, G. (2020). Stressors and resources for healthcare professionals during the COVID-19 pandemic: Lesson learned from Italy. Frontiers in Psychology, 11.
  • Bastian, N.D., Munoz, D., & Ventura, M. (2016). A mixed-methods research framework for healthcare process improvement. Journal of Pediatric Nursing, 31, e39–e51.
  • Buselli, R., Corsi, M., Baldanzi, S., Chiumiento, M., Del Lupo, E., Dell'Oste, V., ... & Carmassi, C. (2020). Professional quality of life and mental health outcomes among healthcare workers exposed to Sars-Cov-2 (Covid-19). International Journal of Environmental Research and Public Health, 17(17), 6180.
  • Chen, Q., Liang, M., Li, Y., Guo, J., Fei, D., Wang, L., He, L., Sheng, C., Cai, Y., Li, X., Wang, J., & Zhang, Z. (2020). Mental health care for medical staff in China during the COVID-19 outbreak. The Lancet Psychiatry, 7(4), e15–e16.
  • Creswell, J. W., & Plano-Clark, V. L. (2007). Designing and conducting mixed methods research. Thousand Oaks, Calif: SAGE Publications.
  • Çapri, B. (2006). Tükenmişlik ölçeğinin türkçe uyarlaması: geçerlik ve güvenirlik çalışması. [Turkish adaptation of burnout scale: validity and reliability study]. Mersin Üniversitesi Eğitim Fakültesi Dergisi, 2(1), 62-77.
  • Daly, M., Sutin, A., & Robinson, E. (2022). Longitudinal changes in mental health and the COVID-19 pandemic: Evidence from the UK Household Longitudinal Study. Psychological Medicine, 52, 2549-2558.
  • Di Monte, C., Monaco, S., Mariani, R., & Di Trani, M. (2020). From resilience to burnout: psychological features of Italian general practitioners during COVID-19 emergency. Frontiers in Psychology, 11, 2476.
  • El Haj, M., Allain, P., Annweiler, C., Boutoleau-Bretonnière, C., Chapelet, G., Gallouj, K., ... & Boudoukha, A. H. (2020). Burnout of healthcare workers in acute care geriatric facilities during the COVID-19 crisis: An online-based study. Journal of Alzheimer's Disease, (Preprint), 1-6.
  • Evanoff, B. A., Strickland, J. R., Dale, A. M., Hayibor, L., Page, E., Duncan, J. G., ... & Gray, D. L. (2020). Work-related and personal factors associated with mental well-being during the COVID-19 response: survey of health care and other workers. Journal of Medical Internet Research, 22(8), e21366.
  • Goldberg, R., Boss, R.W., Chan, L., Goldberg, J., Mallon, W. K., Moradzadeh, D., Goodman, E. A., & McConkie, M. L. (1996). Burnout and its correlates in emergency physicians: four years' experience with a wellness booth. Acad Emerg Med, 3(12), 1156-64.
  • Giusti, E. M., Pedroli, E., D'Aniello, G. E., Badiale, C. S., Pietrabissa, G., Manna, C., ... & Molinari, E. (2020). The psychological impact of the COVID-19 outbreak on health professionals: a cross-sectional study. Frontiers in Psychology, 11.
  • Hu, S. X., Luk, A. L., & Smith, G. D. (2015). The effects of hazardous working conditions on burnout in Macau nurses. International Journal of Nursing Sciences, 2(1), 86-92.
  • Kamali, M., Sadati, A. K., Khademi, M. R., Ghahramani, S., Zarei, L., Ghaemi, S. Z., ... & Lankarani, K. B. (2020). Burnout among nurses during the coronavirus disease 2019 outbreak in Shiraz. Galen Medical Journal, 9, e1956.
  • Khasne, R. W., Dhakulkar, B. S., Mahajan, H. C., & Kulkarni, A. P. (2020). Burnout among healthcare workers during COVID-19 pandemic in India: Results of a questionnaire-based survey. Indian Journal of Critical Care Medicine, 24(8), 664.
  • Kocabaş, D. & Şenyurt, A. Y. (2022). A qualitative research on the challenges faced by healthcare professionals during the COVID-19 pandemic. Abant Sosyal Bilimler Dergisi, 22(1), 97-106.
  • Lange, M., Joo, S., Couette, P. A., de JAEGHER, S., Joly, F., & Humbert, X. (2020). Impact on mental health of the COVID-19 outbreak among community pharmacists during the sanitary lockdown period. In Annales Pharmaceutiques Francaises, 78(6), 459-463.
  • Lluch, C., Galiana, L., Doménech, P., & Sansó, N. (2022). The Impact of the COVID-19 pandemic on burnout, compassion fatigue, and compassion satisfaction in healthcare personnel: A systematic review of the literature published during the first year of the pandemic. Healthcare (Basel, Switzerland), 10(2), 364.
  • Maslach, C., & Leiter, M. P. (1997). The truth about burnout: How organizations cause personal stress and what to do about it. Jossey-Bass.
  • Malach-Pines, A. (2005). The burnout measure, short version. International Journal of Stress Management, 12(1), 78–88.
  • Maslach, C., & Goldberg, J. (1998). Prevention of burnout: New perspectives. Applied & Preventive Psychology, 7(1), 63–74.
  • Matsuo, T., Kobayashi, D., Taki, F., Sakamoto, F., Uehara, Y., Mori, N., & Fukui, T. (2020). Prevalence of healthcare worker burnout during the coronavirus disease 2019 (COVID-19) pandemic in Japan. JAMA Network Open, 3(8), e2017271-e2017271.
  • Mazur, P. J., & Lynch, M. D. (1989). Differential impact of administrative, organizational, and personality factors on teacher burnout. Teaching and Teacher Education, 5(4), 337–353.
  • Ng, K. Y. Y., Zhou, S., Tan, S. H., Ishak, N. D. B., Goh, Z. Z. S., Chua, Z. Y., ... & Ngeow, J. (2020). Understanding the psychological impact of the Covid-19 pandemic on patients with cancer, their caregivers, and health care workers in Singapore. JCO Global Oncology, 6, 1494–1509.
  • Shih, F.J., Gau, M.L., Kao, C.C., Yang, C.Y., Lin, Y.S., Liao, Y.C., & Sheu, S.J. (2007). Dying and caring on the edge: Taiwan’s surviving nurses’ reflections on taking care of patients with severe acute respiratory syndrome. Applied Nursing Research, 20(4), 171–180.
  • Stodolska, A., Wójcik, G., Barańska, I., Kijowska, V., & Szczerbińska, K. (2023). Prevalence of burnout among healthcare professionals during the COVID-19 pandemic and associated factors- a scoping review. International Journal of Occupational Medicine and Environmental Health, 36(1), 21–58.
  • Sunjaya, D. K., Herawati, D. M. D., & Siregar, A. Y. M. (2021). Depressive, anxiety, and burnout symptoms on health care personnel at a month after COVID-19 outbreak in Indonesia. BMC Public Health, 21, 227.
  • Ramaci, T., Barattucci, M., Ledda, C., & Rapisarda, V. (2020). Social stigma during COVID-19 and its impact on HCWs outcomes. Sustainability, 12(9), 3834.
  • Tariq, S. & Woodman, J. (2013). Using mixed methods in health research. JRSM Short Rep, 4, 1–8.
  • The Jamovi Project. (2020). Jamovi. (Version 1.2) [Computer Software]. Retrieved August 15, 2021 from https://www.jamovi.org
  • Twenge, J. M., & Joiner, T. E. (2020). U.S. Census Bureau‐assessed prevalence of anxiety and depressive symptoms in 2019 and during the 2020 COVID‐19 pandemic. Depression and Anxiety, 37(10), 954-956.
  • Weiskopf, P. E. (1980). Burnout among teachers of exceptional children. Exceptional Children, 47(1), 18–23.
  • West, C. P., Tan, A. D., Habermann, T. M., Sloan, J. A., & Shanafelt, T. D. (2009). Association of resident fatigue and distress with perceived medical errors. Journal of the American Medical Association, 302(12), 1294-300.
  • Williams, S., Dale, J., Glucksman, E., & Welesley, A. (1997). Senior house officers’ work-related stressors, psychological distress, and confidence in performing clinical tasks in accident and emergency: A questionnaire study. British Medical Journal, 314, 713–718.
  • Zhao, G. (2020). Taking preventive measures immediately: Evidence from China on COVID-19. Gaceta Sanitaria, 34(3), 217–219.

Burnout Levels of Healthcare Professionals During the Covid-19 Pandemic Period: A Mixed Model Research

Year 2024, Volume: 15 Issue: 44, 1152 - 1164, 30.11.2024
https://doi.org/10.21076/vizyoner.1445757

Abstract

The COVID-19 pandemic has increased the likelihood of burnout among healthcare workers, as well as the likelihood of burnout-related hazards. The study aims to explore burnout in healthcare professionals and the specific changes and challenges brought on by the epidemic. Participants complete the Maslach Burnout Scale Short Form and answer four open-ended questions through Google Forms. The impact of occupation on burnout is minimal, with only slight differences observed between physicians, nurses, and other healthcare workers. Change in working hours is associated with higher levels of burnout compared to unchanged working hours. Participants with low and very low levels of burnout report more occupational changes, while those with high and very high burnout levels experience more psychological difficulties. High burnout levels are associated with challenges in working conditions, mask-equipment use, and psychological well-being. These findings are consistent with previous research linking increased workload, alterations in work environment, and psychological difficulties to burnout during the COVID-19 pandemic. In general, the findings align with previous studies that highlight the impact of changes in the work environment, increased workload, and psychological factors on burnout.

Ethical Statement

For the study the approval of ethical committee no B2020-07-05 dated 01.07.2020 was taken from the Ethical Committee, Balıkesir University.

References

  • Barello, S., Palamenghi, L., & Graffigna, G. (2020). Stressors and resources for healthcare professionals during the COVID-19 pandemic: Lesson learned from Italy. Frontiers in Psychology, 11.
  • Bastian, N.D., Munoz, D., & Ventura, M. (2016). A mixed-methods research framework for healthcare process improvement. Journal of Pediatric Nursing, 31, e39–e51.
  • Buselli, R., Corsi, M., Baldanzi, S., Chiumiento, M., Del Lupo, E., Dell'Oste, V., ... & Carmassi, C. (2020). Professional quality of life and mental health outcomes among healthcare workers exposed to Sars-Cov-2 (Covid-19). International Journal of Environmental Research and Public Health, 17(17), 6180.
  • Chen, Q., Liang, M., Li, Y., Guo, J., Fei, D., Wang, L., He, L., Sheng, C., Cai, Y., Li, X., Wang, J., & Zhang, Z. (2020). Mental health care for medical staff in China during the COVID-19 outbreak. The Lancet Psychiatry, 7(4), e15–e16.
  • Creswell, J. W., & Plano-Clark, V. L. (2007). Designing and conducting mixed methods research. Thousand Oaks, Calif: SAGE Publications.
  • Çapri, B. (2006). Tükenmişlik ölçeğinin türkçe uyarlaması: geçerlik ve güvenirlik çalışması. [Turkish adaptation of burnout scale: validity and reliability study]. Mersin Üniversitesi Eğitim Fakültesi Dergisi, 2(1), 62-77.
  • Daly, M., Sutin, A., & Robinson, E. (2022). Longitudinal changes in mental health and the COVID-19 pandemic: Evidence from the UK Household Longitudinal Study. Psychological Medicine, 52, 2549-2558.
  • Di Monte, C., Monaco, S., Mariani, R., & Di Trani, M. (2020). From resilience to burnout: psychological features of Italian general practitioners during COVID-19 emergency. Frontiers in Psychology, 11, 2476.
  • El Haj, M., Allain, P., Annweiler, C., Boutoleau-Bretonnière, C., Chapelet, G., Gallouj, K., ... & Boudoukha, A. H. (2020). Burnout of healthcare workers in acute care geriatric facilities during the COVID-19 crisis: An online-based study. Journal of Alzheimer's Disease, (Preprint), 1-6.
  • Evanoff, B. A., Strickland, J. R., Dale, A. M., Hayibor, L., Page, E., Duncan, J. G., ... & Gray, D. L. (2020). Work-related and personal factors associated with mental well-being during the COVID-19 response: survey of health care and other workers. Journal of Medical Internet Research, 22(8), e21366.
  • Goldberg, R., Boss, R.W., Chan, L., Goldberg, J., Mallon, W. K., Moradzadeh, D., Goodman, E. A., & McConkie, M. L. (1996). Burnout and its correlates in emergency physicians: four years' experience with a wellness booth. Acad Emerg Med, 3(12), 1156-64.
  • Giusti, E. M., Pedroli, E., D'Aniello, G. E., Badiale, C. S., Pietrabissa, G., Manna, C., ... & Molinari, E. (2020). The psychological impact of the COVID-19 outbreak on health professionals: a cross-sectional study. Frontiers in Psychology, 11.
  • Hu, S. X., Luk, A. L., & Smith, G. D. (2015). The effects of hazardous working conditions on burnout in Macau nurses. International Journal of Nursing Sciences, 2(1), 86-92.
  • Kamali, M., Sadati, A. K., Khademi, M. R., Ghahramani, S., Zarei, L., Ghaemi, S. Z., ... & Lankarani, K. B. (2020). Burnout among nurses during the coronavirus disease 2019 outbreak in Shiraz. Galen Medical Journal, 9, e1956.
  • Khasne, R. W., Dhakulkar, B. S., Mahajan, H. C., & Kulkarni, A. P. (2020). Burnout among healthcare workers during COVID-19 pandemic in India: Results of a questionnaire-based survey. Indian Journal of Critical Care Medicine, 24(8), 664.
  • Kocabaş, D. & Şenyurt, A. Y. (2022). A qualitative research on the challenges faced by healthcare professionals during the COVID-19 pandemic. Abant Sosyal Bilimler Dergisi, 22(1), 97-106.
  • Lange, M., Joo, S., Couette, P. A., de JAEGHER, S., Joly, F., & Humbert, X. (2020). Impact on mental health of the COVID-19 outbreak among community pharmacists during the sanitary lockdown period. In Annales Pharmaceutiques Francaises, 78(6), 459-463.
  • Lluch, C., Galiana, L., Doménech, P., & Sansó, N. (2022). The Impact of the COVID-19 pandemic on burnout, compassion fatigue, and compassion satisfaction in healthcare personnel: A systematic review of the literature published during the first year of the pandemic. Healthcare (Basel, Switzerland), 10(2), 364.
  • Maslach, C., & Leiter, M. P. (1997). The truth about burnout: How organizations cause personal stress and what to do about it. Jossey-Bass.
  • Malach-Pines, A. (2005). The burnout measure, short version. International Journal of Stress Management, 12(1), 78–88.
  • Maslach, C., & Goldberg, J. (1998). Prevention of burnout: New perspectives. Applied & Preventive Psychology, 7(1), 63–74.
  • Matsuo, T., Kobayashi, D., Taki, F., Sakamoto, F., Uehara, Y., Mori, N., & Fukui, T. (2020). Prevalence of healthcare worker burnout during the coronavirus disease 2019 (COVID-19) pandemic in Japan. JAMA Network Open, 3(8), e2017271-e2017271.
  • Mazur, P. J., & Lynch, M. D. (1989). Differential impact of administrative, organizational, and personality factors on teacher burnout. Teaching and Teacher Education, 5(4), 337–353.
  • Ng, K. Y. Y., Zhou, S., Tan, S. H., Ishak, N. D. B., Goh, Z. Z. S., Chua, Z. Y., ... & Ngeow, J. (2020). Understanding the psychological impact of the Covid-19 pandemic on patients with cancer, their caregivers, and health care workers in Singapore. JCO Global Oncology, 6, 1494–1509.
  • Shih, F.J., Gau, M.L., Kao, C.C., Yang, C.Y., Lin, Y.S., Liao, Y.C., & Sheu, S.J. (2007). Dying and caring on the edge: Taiwan’s surviving nurses’ reflections on taking care of patients with severe acute respiratory syndrome. Applied Nursing Research, 20(4), 171–180.
  • Stodolska, A., Wójcik, G., Barańska, I., Kijowska, V., & Szczerbińska, K. (2023). Prevalence of burnout among healthcare professionals during the COVID-19 pandemic and associated factors- a scoping review. International Journal of Occupational Medicine and Environmental Health, 36(1), 21–58.
  • Sunjaya, D. K., Herawati, D. M. D., & Siregar, A. Y. M. (2021). Depressive, anxiety, and burnout symptoms on health care personnel at a month after COVID-19 outbreak in Indonesia. BMC Public Health, 21, 227.
  • Ramaci, T., Barattucci, M., Ledda, C., & Rapisarda, V. (2020). Social stigma during COVID-19 and its impact on HCWs outcomes. Sustainability, 12(9), 3834.
  • Tariq, S. & Woodman, J. (2013). Using mixed methods in health research. JRSM Short Rep, 4, 1–8.
  • The Jamovi Project. (2020). Jamovi. (Version 1.2) [Computer Software]. Retrieved August 15, 2021 from https://www.jamovi.org
  • Twenge, J. M., & Joiner, T. E. (2020). U.S. Census Bureau‐assessed prevalence of anxiety and depressive symptoms in 2019 and during the 2020 COVID‐19 pandemic. Depression and Anxiety, 37(10), 954-956.
  • Weiskopf, P. E. (1980). Burnout among teachers of exceptional children. Exceptional Children, 47(1), 18–23.
  • West, C. P., Tan, A. D., Habermann, T. M., Sloan, J. A., & Shanafelt, T. D. (2009). Association of resident fatigue and distress with perceived medical errors. Journal of the American Medical Association, 302(12), 1294-300.
  • Williams, S., Dale, J., Glucksman, E., & Welesley, A. (1997). Senior house officers’ work-related stressors, psychological distress, and confidence in performing clinical tasks in accident and emergency: A questionnaire study. British Medical Journal, 314, 713–718.
  • Zhao, G. (2020). Taking preventive measures immediately: Evidence from China on COVID-19. Gaceta Sanitaria, 34(3), 217–219.
There are 35 citations in total.

Details

Primary Language English
Subjects Health Management
Journal Section Research Articles
Authors

Ahmet Yasin Şenyurt 0000-0003-4779-9422

Dilek Kocabaş 0000-0002-7403-2924

Publication Date November 30, 2024
Submission Date March 1, 2024
Acceptance Date October 16, 2024
Published in Issue Year 2024 Volume: 15 Issue: 44

Cite

APA Şenyurt, A. Y., & Kocabaş, D. (2024). Burnout Levels of Healthcare Professionals During the Covid-19 Pandemic Period: A Mixed Model Research. Süleyman Demirel Üniversitesi Vizyoner Dergisi, 15(44), 1152-1164. https://doi.org/10.21076/vizyoner.1445757

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