Burnout syndrome among health care workers during the COVID-19 pandemic. A cross sectional study in Monastir, Tunisia.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2023
Historique:
received: 25 04 2022
accepted: 12 02 2023
entrez: 23 3 2023
pubmed: 24 3 2023
medline: 28 3 2023
Statut: epublish

Résumé

Burnout syndrome may affect the safety of frontline healthcare care workers (HCW) and patients. We aimed to measure the prevalence of burnout among HCW in care facilities in Tunisia during the Covid-19 pandemic and to identify its associated factors. We conducted a cross-sectional study among HCW practicing during the covid-19 pandemic in health care facilities in the governorate of Monastir. Data collection was carried out using an anonymous self-administered questionnaire composed by three sections: epidemiological and clinical characteristics, professional conditions and the Maslach Burn out Inventory (MBI-HSS). This study included 371 HCW. The prevalence of burnout was 77.9% (CI 95%: 73.6% - 82.1%). The severe level was found in 71 participants (19.1%), the moderate level in 115 (31%) and the low level in 103 (27.8%). The distribution of the levels of the burnout dimensions among the participants was as follows: high emotional exhaustion (EE) (57.4%), high depersonalization (DP) (39.4%) and low personal accomplishment (22.6%). The main determinants of burnout among healthcare professionals during COVID 19 pandemic were: working more than 6 hours per day (OR = 1.19; CI95% [1.06; 1.34]), physician function (OR = 1.17; CI 95% [1.05; 1.31]), feeling a negative impact of work on family life (OR = 1.40; 95% CI [1.13; 1.73]), and high personal estimation of COVID 19 exposure (OR = 1.15; CI95% [1.02; 1.29]). During the COVID19 pandemic, the prevalence of burnout among health professionals was high. It was related to hard implication in COVID 19 management. Interventions like adjusting working hours, reducing workload, and providing psychological support should be taken.

Sections du résumé

BACKGROUND
Burnout syndrome may affect the safety of frontline healthcare care workers (HCW) and patients. We aimed to measure the prevalence of burnout among HCW in care facilities in Tunisia during the Covid-19 pandemic and to identify its associated factors.
METHODS
We conducted a cross-sectional study among HCW practicing during the covid-19 pandemic in health care facilities in the governorate of Monastir. Data collection was carried out using an anonymous self-administered questionnaire composed by three sections: epidemiological and clinical characteristics, professional conditions and the Maslach Burn out Inventory (MBI-HSS).
RESULTS
This study included 371 HCW. The prevalence of burnout was 77.9% (CI 95%: 73.6% - 82.1%). The severe level was found in 71 participants (19.1%), the moderate level in 115 (31%) and the low level in 103 (27.8%). The distribution of the levels of the burnout dimensions among the participants was as follows: high emotional exhaustion (EE) (57.4%), high depersonalization (DP) (39.4%) and low personal accomplishment (22.6%). The main determinants of burnout among healthcare professionals during COVID 19 pandemic were: working more than 6 hours per day (OR = 1.19; CI95% [1.06; 1.34]), physician function (OR = 1.17; CI 95% [1.05; 1.31]), feeling a negative impact of work on family life (OR = 1.40; 95% CI [1.13; 1.73]), and high personal estimation of COVID 19 exposure (OR = 1.15; CI95% [1.02; 1.29]).
CONCLUSION
During the COVID19 pandemic, the prevalence of burnout among health professionals was high. It was related to hard implication in COVID 19 management. Interventions like adjusting working hours, reducing workload, and providing psychological support should be taken.

Identifiants

pubmed: 36952480
doi: 10.1371/journal.pone.0282318
pii: PONE-D-22-12103
pmc: PMC10035826
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0282318

Informations de copyright

Copyright: © 2023 Zemni 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.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Imen Zemni (I)

Department of Epidemiology and Preventive Medicine, Fattouma Bourguiba University Hospital, University of Monastir, Monastir, Tunisia.
Department of Epidemiology, Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia.
Technology and Medical Imaging Research Laboratory-LTIM-LR12ES06, University of Monastir, Monastir, Tunisia.

Wafa Dhouib (W)

Department of Epidemiology and Preventive Medicine, Fattouma Bourguiba University Hospital, University of Monastir, Monastir, Tunisia.
Department of Epidemiology, Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia.
Technology and Medical Imaging Research Laboratory-LTIM-LR12ES06, University of Monastir, Monastir, Tunisia.

Sihem Sakly (S)

Emergency Department, Ksar Hellal Hospital, Monastir, Tunisia.

Cyrine Bennasrallah (C)

Department of Epidemiology and Preventive Medicine, Fattouma Bourguiba University Hospital, University of Monastir, Monastir, Tunisia.
Department of Epidemiology, Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia.
Technology and Medical Imaging Research Laboratory-LTIM-LR12ES06, University of Monastir, Monastir, Tunisia.

Amel Gara (A)

Department of Epidemiology and Preventive Medicine, Fattouma Bourguiba University Hospital, University of Monastir, Monastir, Tunisia.
Department of Epidemiology, Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia.

Meriem Kacem (M)

Department of Epidemiology and Preventive Medicine, Fattouma Bourguiba University Hospital, University of Monastir, Monastir, Tunisia.
Department of Epidemiology, Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia.
Technology and Medical Imaging Research Laboratory-LTIM-LR12ES06, University of Monastir, Monastir, Tunisia.

Manel Ben Fredj (M)

Department of Epidemiology and Preventive Medicine, Fattouma Bourguiba University Hospital, University of Monastir, Monastir, Tunisia.
Department of Epidemiology, Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia.
Technology and Medical Imaging Research Laboratory-LTIM-LR12ES06, University of Monastir, Monastir, Tunisia.

Hela Abroug (H)

Department of Epidemiology and Preventive Medicine, Fattouma Bourguiba University Hospital, University of Monastir, Monastir, Tunisia.
Department of Epidemiology, Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia.
Technology and Medical Imaging Research Laboratory-LTIM-LR12ES06, University of Monastir, Monastir, Tunisia.

Aicha Elbaroudi (A)

Department of Occupational Health, Ksar Hellal Hospital, Monastir, Tunisia.

Ines Bouanene (I)

Department of Epidemiology and Preventive Medicine, Fattouma Bourguiba University Hospital, University of Monastir, Monastir, Tunisia.
Department of Epidemiology, Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia.

Asma Sriha Belguith (A)

Department of Epidemiology and Preventive Medicine, Fattouma Bourguiba University Hospital, University of Monastir, Monastir, Tunisia.
Department of Epidemiology, Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia.
Technology and Medical Imaging Research Laboratory-LTIM-LR12ES06, University of Monastir, Monastir, Tunisia.

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