Psychological Impact of COVID-19 Emergency on Health Professionals: Burnout Incidence at the Most Critical Period in Spain.

Jos�� ��ngel Mart��nez-L��pez, Cristina L��zaro-P��rez, Jos�� G��mez-Gal��n, Mar��a Del Mar Fern��ndez-Mart��nez
Author Information
  1. Jos�� ��ngel Mart��nez-L��pez: Department of Social Work and Social Services, University of Murcia, Avda. Teniente Flomesta, 5-30003 Murcia, Spain. ORCID
  2. Cristina L��zaro-P��rez: Department of Sociology, University of Murcia, C/Campus Universitario, 11, 30100 Murcia, Spain. ORCID
  3. Jos�� G��mez-Gal��n: Department of Education, University of Extremadura, Avda. de Elvas, s/n, 06006 Badajoz, Spain.
  4. Mar��a Del Mar Fern��ndez-Mart��nez: College of Education Sciences & College of Sociology, Social Work and Public Health, University of Huelva, Campus El Carmen, Avda. de las Fuerzas Armadas, s/n, 21007 Huelva, Spain.

Abstract

BACKGROUND: The health profession is a burnout producer due to the continuous contact with pain and suffering. In addition, excessive workloads can generate stress and psychological distress.
OBJECTIVES: The aim of this study was to determine the degree of burnout and its main triggers in health professionals in Spain at the most critical period of the COVID-19 emergency.
METHOD: A quantitative research was developed through a simple random sampling in different Spanish hospitals through the period of greatest impact of the pandemic ( = 157). Data were collected using a standardized questionnaire from Maslach burnout inventory (MBI) containing 22 items, which measures three subscales: emotional burnout, depersonalization, and self-fulfillment.
RESULTS: depersonalization values reached 38.9%. A total of 90.4% of the health professionals considered that psychological care should be provided from the work centers. Furthermore, 43.3% of the health professionals estimated that they might need psychological treatment in the future. Finally, 85.4% stated that the lack of personal protective equipment (PPE) generated an increase in stress and anxiety.
CONCLUSION: This study demonstrates the need to consider specific mental health care services and training in crises to avoid possible psychological disorders. The information obtained is also valuable for the development of future prevention protocols and training of health personnel to face pandemics of these characteristics or emergency scenarios. Having the necessary physical means for their protection, as well to updated regular and accurate information, is essential to avoid feelings of fear and uncertainty. This would promote the health of these professionals.

Keywords

References

  1. Med Sci Monit. 2020 Mar 05;26:e923549 [PMID: 32132521]
  2. Rev Esp Salud Publica. 2004 Jul-Aug;78(4):505-16 [PMID: 15384264]
  3. Ann Work Expo Health. 2020 Jun 24;64(5):461-464 [PMID: 32202635]
  4. J Occup Health Psychol. 2018 Jan;23(1):18-30 [PMID: 27643608]
  5. Int J Environ Res Public Health. 2019 Dec 18;17(1): [PMID: 31861367]
  6. Int Arch Occup Environ Health. 2011 Apr;84(4):453-9 [PMID: 21373879]
  7. Soc Work Health Care. 2005;40(4):83-97 [PMID: 15911505]
  8. Evid Rep Technol Assess (Full Rep). 2007 Jan;(149):1-69 [PMID: 17764217]
  9. Am J Emerg Med. 2000 May;18(3):300-11 [PMID: 10830687]
  10. J Contin Educ Health Prof. 2011 Winter;31(1):15-20 [PMID: 21425355]
  11. Enferm Intensiva. 2005 Jan-Mar;16(1):3-14 [PMID: 15808122]
  12. Acta Clin Belg. 2020 Feb;75(1):57-79 [PMID: 31835964]
  13. Aten Primaria. 2012 Jan;44(1):30-5 [PMID: 21496968]
  14. J Emerg Med. 2010 Aug;39(2):220-6 [PMID: 20079997]
  15. Emerg Med J. 2015 Sep;32(9):722-7 [PMID: 25604324]
  16. Australas Emerg Care. 2019 Sep;22(3):193-199 [PMID: 31101586]
  17. Biomed Res Int. 2019 Jan 21;2019:6462472 [PMID: 30800675]
  18. Lancet. 2020 Mar 21;395(10228):942-943 [PMID: 32171075]
  19. Rev Enferm. 2002 Nov;25(11):18-26 [PMID: 14506761]
  20. Lancet. 2020 Feb 22;395(10224):537 [PMID: 32087777]
  21. Am J Crit Care. 2014 Nov;23(6):e97-105 [PMID: 25362680]
  22. Annu Rev Psychol. 2001;52:397-422 [PMID: 11148311]
  23. An Sist Sanit Navar. 2019 Dec 5;42(3):269-280 [PMID: 31859274]
  24. Sci Total Environ. 2020 Jul 10;725:138277 [PMID: 32278175]
  25. JAMA Netw Open. 2020 Jun 1;3(6):e2010705 [PMID: 32478846]
  26. J Clin Psychol. 2016 Jan;72(1):22-37 [PMID: 26451877]
  27. Span J Psychol. 2010 Nov;13(2):897-905 [PMID: 20977037]
  28. Trends Cogn Sci. 2020 Aug;24(8):587-589 [PMID: 32410822]
  29. Adm Policy Ment Health. 2019 Mar;46(2):238-254 [PMID: 30488144]
  30. Lancet Psychiatry. 2020 Apr;7(4):300-302 [PMID: 32085840]
  31. Stress Health. 2017 Feb;33(1):3-13 [PMID: 26916333]
  32. J Psychosom Res. 2008 Feb;64(2):177-83 [PMID: 18222131]
  33. J Clin Psychol. 2018 Mar;74(3):319-355 [PMID: 28752554]
  34. Int J Environ Res Public Health. 2018 Sep 25;15(10): [PMID: 30257449]
  35. Maturitas. 2020 Jun;136:38-41 [PMID: 32386664]
  36. Public Health Rep. 2007 May-Jun;122(3):422-6 [PMID: 17518315]
  37. Am J Occup Ther. 1987 Oct;41(10):652-7 [PMID: 3688119]
  38. World Health Organ Tech Rep Ser. 1984;708:1-54 [PMID: 6438919]
  39. Aten Primaria. 2017 Feb;49(2):77-85 [PMID: 27363394]
  40. Int J Public Health. 2013 Dec;58(6):801-10 [PMID: 23132128]
  41. Int J Ment Health Nurs. 2018 Feb;27(1):20-32 [PMID: 29243348]
  42. Gac Sanit. 2005 Nov-Dec;19(6):463-70 [PMID: 16483524]
  43. Gen Psychiatr. 2020 Mar 6;33(2):e100213 [PMID: 32215365]
  44. Psychiatry Res. 2020 Aug;290:113129 [PMID: 32485487]
  45. Arch Pathol Lab Med. 2019 Dec;143(12):1442-1443 [PMID: 31765247]
  46. Neurology. 2018 Nov 13;91(20):e1928-e1941 [PMID: 30305448]
  47. Rev Psiquiatr Salud Ment. 2020 Apr-Jun;13(2):111-113 [PMID: 38620311]
  48. Asian J Psychiatr. 2020 Dec;54:102300 [PMID: 32683251]
  49. BMC Health Serv Res. 2010 Mar 22;10:72 [PMID: 20307302]
  50. Int J Environ Res Public Health. 2020 May 02;17(9): [PMID: 32370115]
  51. Ambul Pediatr. 2005 Jul-Aug;5(4):244-8 [PMID: 16026191]
  52. Infect Control Hosp Epidemiol. 2020 Sep;41(9):1118-1119 [PMID: 32307028]
  53. Int J Environ Res Public Health. 2020 Mar 06;17(5): [PMID: 32155789]
  54. Sci Transl Med. 2020 Mar 11;12(534): [PMID: 32161107]
  55. J Psychiatr Ment Health Nurs. 2013 Apr;20(4):305-13 [PMID: 22404294]
  56. Int J Environ Res Public Health. 2020 Jul 30;17(15): [PMID: 32751624]
  57. Dermatol Ther. 2020 Jul;33(4):e13361 [PMID: 32239578]
  58. Aten Primaria. 2003 Mar 15;31(4):227-33 [PMID: 12681162]
  59. Ann Acad Med Singap. 2020 Jan;49(3):155-160 [PMID: 32200399]
  60. Indian J Med Ethics. 2020 Oct-Dec;V(4):1-6 [PMID: 34018959]
  61. Rev Saude Publica. 2005 Feb;39(1):1-8 [PMID: 15654454]
  62. Cell Mol Immunol. 2020 May;17(5):555-557 [PMID: 32235915]
  63. JAMA Netw Open. 2020 Mar 2;3(3):e203976 [PMID: 32202646]
  64. Brain Behav Immun. 2020 Jul;87:172-176 [PMID: 32405150]
  65. Emerg Med Australas. 2018 Jun;30(3):375-381 [PMID: 29363265]
  66. BMJ. 2020 May 05;369:m1642 [PMID: 32371466]
  67. Am J Emerg Med. 2021 Apr;42:246-247 [PMID: 32593460]
  68. J Am Coll Emerg Physicians Open. 2020 Jun 09;1(5):1050-1051 [PMID: 33145556]
  69. Lancet Psychiatry. 2020 Mar;7(3):228-229 [PMID: 32032543]
  70. Scand J Work Environ Health. 2008 Jun;34(3):169-78 [PMID: 18728906]
  71. Lancet Psychiatry. 2020 Apr;7(4):e15-e16 [PMID: 32085839]
  72. Asian J Psychiatr. 2020 Jun;51:102083 [PMID: 32283510]
  73. Int J Nurs Stud. 2015 Jan;52(1):240-9 [PMID: 25062805]
  74. Aten Primaria. 2015 Jan;47(1):25-31 [PMID: 24908347]
  75. Semergen. 2015 May-Jun;41(4):191-8 [PMID: 24857630]
  76. J Affect Disord. 2021 Mar 15;283:123-129 [PMID: 33548905]
  77. BMJ Open. 2014 Feb 25;4(2):e004185 [PMID: 24568961]
  78. Issues Ment Health Nurs. 1992 Jul-Sep;13(3):177-90 [PMID: 1399517]
  79. Mayo Clin Proc. 2019 Dec;94(12):2501-2509 [PMID: 31806103]

Word Cloud

Created with Highcharts 10.0.0healthburnoutprofessionalspsychologicalstressCOVID-19studySpainperiodemergencypandemicdepersonalization4%careneedfutureanxietytrainingavoidinformationpreventionBACKGROUND:professionproducerduecontinuouscontactpainsufferingadditionexcessiveworkloadscangeneratedistressOBJECTIVES:aimdeterminedegreemaintriggerscriticalMETHOD:quantitativeresearchdevelopedsimplerandomsamplingdifferentSpanishhospitalsgreatestimpact=157DatacollectedusingstandardizedquestionnaireMaslachinventoryMBIcontaining22itemsmeasuresthreesubscales:emotionalself-fulfillmentRESULTS:valuesreached389%total90consideredprovidedworkcentersFurthermore433%estimatedmighttreatmentFinally85statedlackpersonalprotectiveequipmentPPEgeneratedincreaseCONCLUSION:demonstratesconsiderspecificmentalservicescrisespossibledisordersobtainedalsovaluabledevelopmentprotocolspersonnelfacepandemicscharacteristicsscenariosnecessaryphysicalmeansprotectionwellupdatedregularaccurateessentialfeelingsfearuncertaintypromotePsychologicalImpactEmergencyHealthProfessionals:BurnoutIncidenceCriticalPeriod

Similar Articles

Cited By