BURNOUT IN ACADEMIC PHYSICIAN DURING COVID-19 PANDEMIC

D. Sari, Y. P. Susani, Emmy Amalia
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Abstract

Background: The COVID-19 pandemic has caused tremendous and abrupt changes in all aspects of social life, including healthcare and education. It has caused stress and psychological impact on physicians and other healthcare workers globally. Exposure to chronic occupational stress can lead to burnout. The multiple responsibilities of academic physicians potentially lead to a higher risk of burnout, particularly during this pandemic. This study aimed to obtain burnout profiles in academic physicians and factors associated with burnout during the COVID-19 pandemic.Methods: This was a cross-sectional study. The MBI-HSS was used to measure the three dimensions of burnout. Academic physicians' perception of distance learning, involvement in the clinical care of COVID-19 patients, involvement in faculty management, and healthcare facilities management were also included in the survey. Results: Among 42 participants (response rate 56%), 45.2% provided care to COVID-19 patients, 42.9% were involved in the management of healthcare facilities, and 35.7% in faculty management. Median of Emotional Exhaustion (EE) was 12 (1-35), Depersonalization (DP) 6 (0-19) and Personal Accomplishment (PA) 32.5 (16-47). Based on Z-score for each dimension, 23.8% have high EE, 16.7% high DP, 50% low PA, and 11.9% categorized as burnout. Involvement in healthcare facilities management and providing care for COVID-19 patients were significantly associated with higher EE (p = .030 and p = .029 respectively), while the perception of the workload of distance learning associated significantly with higher EE (p = .046) and DP (p = .014). Conclusion: Workload related to clinical work, healthcare management, and distance learning, associated with higher burnout in academic physicians during COVID-19 pandemic.
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COVID-19大流行期间学术医师的职业倦怠
背景:2019冠状病毒病大流行给包括医疗保健和教育在内的社会生活的各个方面造成了巨大而突然的变化。它给全球的医生和其他卫生保健工作者造成了压力和心理影响。长期的职业压力会导致职业倦怠。学术医生的多重责任可能导致更高的倦怠风险,特别是在这次大流行期间。本研究旨在获得学术医生在COVID-19大流行期间的职业倦怠概况以及与职业倦怠相关的因素。方法:采用横断面研究。采用MBI-HSS量表测量倦怠的三个维度。调查还包括学术医生对远程学习、参与COVID-19患者临床护理、参与教师管理和医疗设施管理的看法。结果:42名参与者中,45.2%的人参与了COVID-19患者的护理,42.9%的人参与了医疗机构的管理,35.7%的人参与了教员的管理。情绪耗竭(EE)中位数为12(1-35),人格解体(DP)中位数为6(0-19),个人成就感(PA)中位数为32.5(16-47)。根据各维度的z得分,23.8%的人有高情感表达,16.7%的人有高DP, 50%的人有低PA, 11.9%的人被归类为倦怠。参与医疗机构管理和为COVID-19患者提供护理与更高的情感表达显著相关(p = 0.030和p = 0.029),而远程学习工作量的感知与更高的情感表达(p = 0.046)和DP (p = 0.014)显著相关。结论:在COVID-19大流行期间,与临床工作、医疗保健管理和远程学习相关的工作量与学术医生的高倦怠相关。
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