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Stress- and Work-Related Burnout in Frontline Health-Care Professionals During the COVID-19 Pandemic

Published online by Cambridge University Press:  31 August 2021

Yun Ji Lee ,
Jungmi Yun  and
Taehwa Kim Open the ORCID record for Taehwa Kim [Opens in a new window]
Yun Ji Lee
Affiliation:
College of Nursing, Research Institute of Nursing Science, Pusan National University, Yangsan, Korea
Jungmi Yun
Affiliation:
College of Nursing, Research Institute of Nursing Science, Pusan National University, Yangsan, Korea
Taehwa Kim*
Affiliation:
Division of Pulmonology, Allergy and Critical Care Medicine, Department of Internal Medicine, BioMedical Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea
*
Corresponding author: Taehwa Kim, Email: taehwagongju@naver.com.
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Abstract

Objective:

The coronavirus disease 2019 (COVID-19) pandemic is affecting humankind in unprecedented and monumental ways. Health-care professionals (HCPs) have had to deal with traumatic and complex situations at work. However, the current understanding of the emotional effects on HCPs and their vulnerability during the pandemic is limited. We investigated the effects of HCPs’ viral epidemic-related stress, professional quality of life (ProQOL), depression, and anxiety on their health-related quality of life (HRQOL).

Methods:

We recruited a convenience sample of 60 HCPs at 2 tertiary hospitals in provinces P and Y, Republic of Korea. We analyzed their demographics, viral epidemic-related distress, ProQOL (compassion satisfaction, burnout, and secondary traumatic stress), depression, anxiety, and HRQOL through self-reported questionnaires.

Results:

Burnout had a significant direct effect on depression, anxiety, physical health, and psychological HRQOL and indirectly affected all subcategories of HRQOL. Viral epidemic-related stress had no significant direct effect on any variable, but indirectly affected all subcategories of HRQOL. Depression and anxiety were endogenous variables (mediators). Depression was a pathway that directly and significantly affected all subcategories of HRQOL. Burnout had the most significant effect on physical health and psychological HRQOL, whereas depression had the greatest effect on social relationships and environmental HRQOL.

Conclusions:

Low compassion satisfaction caused burnout in HCPs, and burnout was significantly associated with depression, anxiety, and HRQOL. Furthermore, HRQOL showed a greater response when affected by indirect burnout through depression and anxiety than when directly affected by burnout.

Keywords

depressionburnouthealth-care professionalsSAVE-9 (stress and anxiety to viral epidemic scale)COVID-19
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 17 , 2023 , e38
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc

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References

Lai, J, Ma, S, Wang, Y, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020;3(3):e203976.CrossRefGoogle ScholarPubMed
Tian, F, Li, H, Tian, S, et al. Psychological symptoms of ordinary Chinese citizens based on SCL-90 during the level I emergency response to COVID-19. Psychiatry Res. 2020;288:112992.CrossRefGoogle Scholar
Krystal, JH, McNeil, RL, Jr. Responding to the hidden pandemic for healthcare workers: stress. Nat Med. 2020;26(5):639.CrossRefGoogle Scholar
Tam, CW, Pang, EP, Lam, LC, et al. Severe acute respiratory syndrome (SARS) in Hong Kong in 2003: stress and psychological impact among frontline healthcare workers. Psychol Med. 2004;34(7):1197-1204.CrossRefGoogle Scholar
Lee, SM, Kang, WS, Cho, AR, et al. Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients. Compr Psychiatry. 2018;87:123-127.CrossRefGoogle Scholar
Verma, S, Mythily, S, Chan, YH, et al. Post-SARS psychological morbidity and stigma among general practitioners and traditional Chinese medicine practitioners in Singapore. Ann Acad Med Singap. 2004;33(6):743-748.Google ScholarPubMed
Liu, X, Kakade, M, Fuller, CJ, et al. Depression after exposure to stressful events: lessons learned from the severe acute respiratory syndrome epidemic. Compr Psychiatry. 2012;53(1):15-23.CrossRefGoogle ScholarPubMed
Buselli, R, Corsi, M, Baldanzi, S, et al. Professional quality of life and mental health outcomes among health care workers exposed to Sars-Cov-2 (Covid-19). Int J Environ Res Public Health. 2020;17(17):6180.CrossRefGoogle ScholarPubMed
Sim, K, Chua, HC. The psychological impact of SARS: a matter of heart and mind. CMAJ. 2004;170(5):811-812.CrossRefGoogle ScholarPubMed
Heritage, B, Rees, CS, Hegney, DG. The ProQOL-21: a revised version of the Professional Quality of Life (ProQOL) scale based on Rasch analysis. PLoS One. 2018;13(2):e0193478.CrossRefGoogle ScholarPubMed
Chung, S, Kim, HJ, Ahn, MH, et al. Development of the Stress and Anxiety to Viral Epidemics-9 (SAVE-9) scale for assessing work-related stress and anxiety in healthcare workers in response to COVID-19. https://psyarxiv.com/a52b4/. Published June 10, 2020.CrossRefGoogle Scholar
Yi, KA, Mak, KK. Professional Quality of Life Scale. 2009. https://img1.wsimg.com/blobby/go/dfc1e1a0-a1db-4456-9391-18746725179b/downloads/Korean.pdf. Accessed June 24, 2020. (in Korean)Google Scholar
Stamm, BH. The Concise ProQOL Manual. Pocatello, ID: The ProQOL; 2010.Google Scholar
Park, S-J, Kim, J-W. Influence of humanistic knowledge and occupational stress on professional quality of life of clinical nurses. J Korea Academia-Industrial cooperation Society. 2019;20(11):348-360. https://www.koreascience.or.kr/article/JAKO201907149941870.page.Google Scholar
Beck, AT, Steer, RA, Brown, GK. Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation; 1996.Google Scholar
Beck, AT, Epstein, N, Brown, G, et al. An inventory for measuring clinical anxiety: psychometric properties. J Consul Clin Psychology. 1988;56(6):893-897.Google ScholarPubMed
Lim, S, Lee, E, Hwang, S, et al. Psychometric properties of the beck depression inventory-II in Korea. Presented at: Fall Conference of the Korean Clinical Psychology Association; Ilsan, Korea, 2014.Google Scholar
Lee, H-K, Lee, E-H, Hwang, S-T, et al. Psychometric properties of the Beck anxiety inventory in the community-dwelling sample of Korean adults. Korean J Clin Psychology. 2016;35(4):822-830.Google Scholar
World Health Organization. Korean version of WHOQOL-BREF. 1996. https://www.who.int/toolkits/whoqol/whoqol-bref/docs/default-source/publishing-policies/whoqol-bref/korean-whoqol-bref. Accessed September 16, 2021.Google Scholar
No Authors Listed. Development of the World Health Organization WHOQOL-BREF quality of life assessment. The WHOQOL Group. Psychol Med. 1998;28(3):551-558.CrossRefGoogle Scholar
Min, SK, Kim, K, Lee, C, et al. Development of the Korean versions of WHO Quality of Life scale and WHOQOL-BREF. Qual Life Res. 2002;11(6):593-600.CrossRefGoogle ScholarPubMed
Maunder, R, Hunter, J, Vincent, L, et al. The immediate psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital. CMAJ. 2003;168(10):1245-1251.Google ScholarPubMed
Nickell, LA, Crighton, EJ, Tracy, CS, et al. Psychosocial effects of SARS on hospital staff: survey of a large tertiary care institution. CMAJ. 2004;170(5):793-798.CrossRefGoogle Scholar
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