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Determinants of burnout and other aspects of psychological well-being in healthcare workers during the Covid-19 pandemic: A multinational cross-sectional study

Title: Determinants of burnout and other aspects of psychological well-being in healthcare workers during the Covid-19 pandemic: A multinational cross-sectional study
Authors: Denning, M
Goh, ET
Tan, B
Kanneganti, A
Almonte, M
Scott, A
Martin, G
Clarke, J
Sounderajah, V
Markar, S
Przybylowicz, J
Chan, YH
Sia, C-H
Chua, YX
Sim, K
Lim, L
Tan, L
Tan, M
Sharma, V
Ooi, S
Beatty, JW
Flott, K
Mason, S
Chidambaram, S
Yalamanchili, S
Zbikowska, G
Fedorowski, J
Dykowska, G
Wells, M
Purkayastha, S
Kinross, J
Item Type: Journal Article
Abstract: The Covid-19 pandemic has placed unprecedented pressure on healthcare systems and workers around the world. Such pressures may impact on working conditions, psychological wellbeing and perception of safety. In spite of this, no study has assessed the relationship between safety attitudes and psychological outcomes. Moreover, only limited studies have examined the relationship between personal characteristics and psychological outcomes during Covid-19. From 22nd March 2020 to 18th June 2020, healthcare workers from the United Kingdom, Poland, and Singapore were invited to participate using a self-administered questionnaire comprising the Safety Attitudes Questionnaire (SAQ), Oldenburg Burnout Inventory (OLBI) and Hospital Anxiety and Depression Scale (HADS) to evaluate safety culture, burnout and anxiety/depression. Multivariate logistic regression was used to determine predictors of burnout, anxiety and depression. Of 3,537 healthcare workers who participated in the study, 2,364 (67%) screened positive for burnout, 701 (20%) for anxiety, and 389 (11%) for depression. Significant predictors of burnout included patient-facing roles: doctor (OR 2.10; 95% CI 1.49–2.95), nurse (OR 1.38; 95% CI 1.04–1.84), and ‘other clinical’ (OR 2.02; 95% CI 1.45–2.82); being redeployed (OR 1.27; 95% CI 1.02–1.58), bottom quartile SAQ score (OR 2.43; 95% CI 1.98–2.99), anxiety (OR 4.87; 95% CI 3.92–6.06) and depression (OR 4.06; 95% CI 3.04–5.42). Significant factors inversely correlated with burnout included being tested for SARS-CoV-2 (OR 0.64; 95% CI 0.51–0.82) and top quartile SAQ score (OR 0.30; 95% CI 0.22–0.40). Significant factors associated with anxiety and depression, included burnout, gender, safety attitudes and job role. Our findings demonstrate a significant burden of burnout, anxiety, and depression amongst healthcare workers. A strong association was seen between SARS-CoV-2 testing, safety attitudes, gender, job role, redeployment and psychological state. These findings highlight the importance of targeted support services for at risk groups and proactive SARS-CoV-2 testing of healthcare workers.
Issue Date: 16-Apr-2021
Date of Acceptance: 21-Mar-2021
URI: http://hdl.handle.net/10044/1/95892
DOI: 10.1371/journal.pone.0238666
ISSN: 1932-6203
Publisher: Public Library of Science (PLoS)
Start Page: 1
End Page: 18
Journal / Book Title: PLoS One
Volume: 16
Issue: 4
Copyright Statement: © 2021 Denning et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Keywords: Science & Technology
Multidisciplinary Sciences
Science & Technology - Other Topics
SAFETY ATTITUDES QUESTIONNAIRE
DEPRESSION SCALE
HOSPITAL ANXIETY
PSYCHOMETRIC PROPERTIES
VALIDITY
SARS
VALIDATION
CULTURE
STRESS
IMPACT
Adult
Anxiety
Burnout, Professional
Burnout, Psychological
COVID-19
Cross-Sectional Studies
Depression
Female
Health Personnel
Humans
Male
Middle Aged
Occupational Stress
Pandemics
Poland
SARS-CoV-2
Singapore
Surveys and Questionnaires
United Kingdom
Humans
Cross-Sectional Studies
Depression
Anxiety
Burnout, Professional
Adult
Middle Aged
Health Personnel
Singapore
Poland
Female
Male
Pandemics
Surveys and Questionnaires
United Kingdom
Occupational Stress
Burnout, Psychological
COVID-19
SARS-CoV-2
Science & Technology
Multidisciplinary Sciences
Science & Technology - Other Topics
SAFETY ATTITUDES QUESTIONNAIRE
DEPRESSION SCALE
HOSPITAL ANXIETY
PSYCHOMETRIC PROPERTIES
VALIDITY
SARS
VALIDATION
CULTURE
STRESS
IMPACT
General Science & Technology
Publication Status: Published
Article Number: ARTN e0238666
Online Publication Date: 2021-04-16
Appears in Collections:Department of Surgery and Cancer
Mathematics
National Heart and Lung Institute
Applied Mathematics and Mathematical Physics
Faculty of Medicine
Institute of Global Health Innovation
Imperial College London COVID-19
School of Public Health
Faculty of Natural Sciences



This item is licensed under a Creative Commons License Creative Commons