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Erschienen in: Irish Journal of Medical Science (1971 -) 1/2022

13.03.2021 | COVID-19 | Brief Report Zur Zeit gratis

A pilot study of burnout and long covid in senior specialist doctors

verfasst von: Anne M. Doherty, Gabrielle C. Colleran, Laura Durcan, Alan D. Irvine, Elizabeth Barrett

Erschienen in: Irish Journal of Medical Science (1971 -) | Ausgabe 1/2022

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Abstract

Background

Covid-19 has placed unprecedented demand on healthcare systems and on healthcare professionals. There have been concerns about the risk of distress, moral injury and burnout among healthcare professionals, especially doctors.

Aim

To assess the effect of the ongoing Covid-19 pandemic on Irish doctors by investigating the incidence of burnout and long covid among senior medical staff in Ireland.

Methods

This is a cross-sectional pilot study of the prevalence of burnout and long covid among senior physicians. A survey was sent by email to members of the Irish Hospital Consultant’s Association. The survey included measures of mental and physical health and the 2-item Maslach Burnout Scale (MBS-2). The study explored the experience of delivering health care in the context of a pandemic and experience of the long covid syndrome.

Results

A total of 114 responses were received. Three-quarters 77% (N = 88) screened positive for burnout on the MBS, with mean score of 5.6 (SD3.3), nearly double the cut-off for burnout. Nearly two-thirds (64%, n = 72) reported that Covid-19 has had an adverse effect on their mental health. One-quarter reported that they or colleagues had experience of ‘long-covid’ secondary to the virus.

Conclusion

More comprehensive evaluation of the effect of the pandemic on front-line staff is needed to identify the extent of the problem and the factors which contribute to it. This will inform measures to mitigate these effects.
Literatur
1.
Zurück zum Zitat ECDC (2021) COVID-19 situation update worldwide, as of week 6, updated 18 February 2021. EU: European Centre for Disease Prevention and Control ECDC (2021) COVID-19 situation update worldwide, as of week 6, updated 18 February 2021. EU: European Centre for Disease Prevention and Control
2.
Zurück zum Zitat NICE (2020) COVID-19 rapid guideline: managing the long-term effects of COVID-19. London: National Institute for Health and Care Excellence (UK). Copyright © NICE 2020 NICE (2020) COVID-19 rapid guideline: managing the long-term effects of COVID-19. London: National Institute for Health and Care Excellence (UK). Copyright © NICE 2020
3.
Zurück zum Zitat Greenberg N (2020) Mental health of health-care workers in the COVID-19 era. Nat Rev Nephrol 16(8):425–426 CrossRef Greenberg N (2020) Mental health of health-care workers in the COVID-19 era. Nat Rev Nephrol 16(8):425–426 CrossRef
4.
Zurück zum Zitat Greenberg N, Brooks SK, Wessely S, Tracy DK (2020) How might the NHS protect the mental health of health-care workers after the COVID-19 crisis? Lancet Psychiatry 7(9):733–734 CrossRef Greenberg N, Brooks SK, Wessely S, Tracy DK (2020) How might the NHS protect the mental health of health-care workers after the COVID-19 crisis? Lancet Psychiatry 7(9):733–734 CrossRef
5.
Zurück zum Zitat Greenberg N, Docherty M, Gnanapragasam S, Wessely S (2020) Managing mental health challenges faced by healthcare workers during covid-19 pandemic. BMJ 368:m1211 CrossRef Greenberg N, Docherty M, Gnanapragasam S, Wessely S (2020) Managing mental health challenges faced by healthcare workers during covid-19 pandemic. BMJ 368:m1211 CrossRef
6.
Zurück zum Zitat Tracy DK, Tarn M, Eldridge R, Cooke J, Calder JDF, Greenberg N (2020) What should be done to support the mental health of healthcare staff treating COVID-19 patients? Br J Psychiatry 217(4):537–539 CrossRef Tracy DK, Tarn M, Eldridge R, Cooke J, Calder JDF, Greenberg N (2020) What should be done to support the mental health of healthcare staff treating COVID-19 patients? Br J Psychiatry 217(4):537–539 CrossRef
7.
Zurück zum Zitat Flynn J, O’Connor L, Hanlon M, Bellani G, Contreras M, Doherty A et al (2021) The identification of needs and development of best practice guidance for the psychological support of frontline healthcare workers during and after COVID-19: a protocol for the FLoWS project. HRB Open Res 3:54 CrossRef Flynn J, O’Connor L, Hanlon M, Bellani G, Contreras M, Doherty A et al (2021) The identification of needs and development of best practice guidance for the psychological support of frontline healthcare workers during and after COVID-19: a protocol for the FLoWS project. HRB Open Res 3:54 CrossRef
8.
Zurück zum Zitat Maslach C, Leiter MP (2016) Understanding the burnout experience: recent research and its implications for psychiatry. World psychiatry 15(2):103–111 CrossRef Maslach C, Leiter MP (2016) Understanding the burnout experience: recent research and its implications for psychiatry. World psychiatry 15(2):103–111 CrossRef
9.
Zurück zum Zitat Shanafelt TD, Boone S, Tan L, Dyrbye LN, Sotile W, Satele D et al (2012) Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med 172(18):1377–1385 CrossRef Shanafelt TD, Boone S, Tan L, Dyrbye LN, Sotile W, Satele D et al (2012) Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med 172(18):1377–1385 CrossRef
10.
Zurück zum Zitat Shanafelt TD, Sloan JA, Habermann TM (2003) The well-being of physicians. Am J Med 114(6):513–519 CrossRef Shanafelt TD, Sloan JA, Habermann TM (2003) The well-being of physicians. Am J Med 114(6):513–519 CrossRef
11.
Zurück zum Zitat Riley GJ (2004) Understanding the stresses and strains of being a doctor. Med J Aust 181(7):350–353 CrossRef Riley GJ (2004) Understanding the stresses and strains of being a doctor. Med J Aust 181(7):350–353 CrossRef
12.
Zurück zum Zitat Tan SMK, Jong SC, Chan LF, Jamaludin NA, Phang CK, Jamaluddin NS et al (2013) Physician, heal thyself: the paradox of anxiety amongst house officers and work in a teaching hospital. Asia-Pac Psychiatry 5(S1):74–81 CrossRef Tan SMK, Jong SC, Chan LF, Jamaludin NA, Phang CK, Jamaluddin NS et al (2013) Physician, heal thyself: the paradox of anxiety amongst house officers and work in a teaching hospital. Asia-Pac Psychiatry 5(S1):74–81 CrossRef
13.
Zurück zum Zitat Lamb D, Greenberg N, Stevelink SAM, Wessely S (2020) Mixed signals about the mental health of the NHS workforce. Lancet Psychiatry 7(12):1009–1011 CrossRef Lamb D, Greenberg N, Stevelink SAM, Wessely S (2020) Mixed signals about the mental health of the NHS workforce. Lancet Psychiatry 7(12):1009–1011 CrossRef
14.
Zurück zum Zitat West CP, Huschka MM, Novotny PJ, Sloan JA, Kolars JC, Habermann TM et al (2006) Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. JAMA 296(9):1071–1078 CrossRef West CP, Huschka MM, Novotny PJ, Sloan JA, Kolars JC, Habermann TM et al (2006) Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. JAMA 296(9):1071–1078 CrossRef
15.
Zurück zum Zitat Fahrenkopf AM, Sectish TC, Barger LK, Sharek PJ, Lewin D, Chiang VW et al (2008) Rates of medication errors among depressed and burnt out residents: prospective cohort study. BMJ 336(7642):488–491 CrossRef Fahrenkopf AM, Sectish TC, Barger LK, Sharek PJ, Lewin D, Chiang VW et al (2008) Rates of medication errors among depressed and burnt out residents: prospective cohort study. BMJ 336(7642):488–491 CrossRef
16.
Zurück zum Zitat Holmes EG, Connolly A, Putnam KT, Penaskovic KM, Denniston CR, Clark LH et al (2017) Taking care of our own: a multispecialty study of resident and program director perspectives on contributors to burnout and potential interventions. Acad Psychiatry 41(2):159–166 CrossRef Holmes EG, Connolly A, Putnam KT, Penaskovic KM, Denniston CR, Clark LH et al (2017) Taking care of our own: a multispecialty study of resident and program director perspectives on contributors to burnout and potential interventions. Acad Psychiatry 41(2):159–166 CrossRef
17.
Zurück zum Zitat Jovanović N, Podlesek A, Volpe U, Barrett E, Ferrari S, Kuzman MR et al (2016) Burnout syndrome among psychiatric trainees in 22 countries: Risk increased by long working hours, lack of supervision, and psychiatry not being first career choice. Eur Psychiatry 32:34–41 CrossRef Jovanović N, Podlesek A, Volpe U, Barrett E, Ferrari S, Kuzman MR et al (2016) Burnout syndrome among psychiatric trainees in 22 countries: Risk increased by long working hours, lack of supervision, and psychiatry not being first career choice. Eur Psychiatry 32:34–41 CrossRef
18.
Zurück zum Zitat Margiotta F, Crudden G, Byrne D, Doherty AM (2019) Prevalence and co-variates of burnout in consultant hospital doctors: burnout in consultants in Ireland Study (BICDIS). Ir J Med Sci 188(2):355–364 CrossRef Margiotta F, Crudden G, Byrne D, Doherty AM (2019) Prevalence and co-variates of burnout in consultant hospital doctors: burnout in consultants in Ireland Study (BICDIS). Ir J Med Sci 188(2):355–364 CrossRef
19.
Zurück zum Zitat McNicholas F, Sharma S, Oconnor C, Barrett E (2020) Burnout in consultants in child and adolescent mental health services (CAMHS) in Ireland: a cross-sectional study. BMJ Open 10(1):e030354 CrossRef McNicholas F, Sharma S, Oconnor C, Barrett E (2020) Burnout in consultants in child and adolescent mental health services (CAMHS) in Ireland: a cross-sectional study. BMJ Open 10(1):e030354 CrossRef
20.
Zurück zum Zitat West CP, Dyrbye LN, Sloan JA, Shanafelt TD (2009) Single item measures of emotional exhaustion and depersonalization are useful for assessing burnout in medical professionals. J Gen Intern Med 24(12):1318–1321 CrossRef West CP, Dyrbye LN, Sloan JA, Shanafelt TD (2009) Single item measures of emotional exhaustion and depersonalization are useful for assessing burnout in medical professionals. J Gen Intern Med 24(12):1318–1321 CrossRef
21.
Zurück zum Zitat Li-Sauerwine S, Rebillot K, Melamed M, Addo N, Lin M (2020) A 2-question summative score correlates with the Maslach burnout inventory. West J Emerg Med 21(3):610–617 CrossRef Li-Sauerwine S, Rebillot K, Melamed M, Addo N, Lin M (2020) A 2-question summative score correlates with the Maslach burnout inventory. West J Emerg Med 21(3):610–617 CrossRef
22.
Zurück zum Zitat O’Kelly F, Manecksha RP, Quinlan DM, Reid A, Joyce A, O’Flynn K et al (2016) Rates of self-reported ‘burnout’ and causative factors amongst urologists in Ireland and the UK: a comparative cross-sectional study. BJU Int 117(2):363–372 CrossRef O’Kelly F, Manecksha RP, Quinlan DM, Reid A, Joyce A, O’Flynn K et al (2016) Rates of self-reported ‘burnout’ and causative factors amongst urologists in Ireland and the UK: a comparative cross-sectional study. BJU Int 117(2):363–372 CrossRef
23.
Zurück zum Zitat Tsamakis K, Tsiptsios D, Ouranidis A, Mueller C, Schizas D, Terniotis C et al (2021) COVID-19 and its consequences on mental health (Review). Exp Ther Med 21(3):244 CrossRef Tsamakis K, Tsiptsios D, Ouranidis A, Mueller C, Schizas D, Terniotis C et al (2021) COVID-19 and its consequences on mental health (Review). Exp Ther Med 21(3):244 CrossRef
24.
Zurück zum Zitat Pearson C, Levine M, Messman A, Chopra T, Awali R, Robb L et al (2021) Understanding the impact of COVID-19 on physician moms. Disaster Med Public Health Prep:1–17 Pearson C, Levine M, Messman A, Chopra T, Awali R, Robb L et al (2021) Understanding the impact of COVID-19 on physician moms. Disaster Med Public Health Prep:1–17
25.
Zurück zum Zitat Shanafelt T, Goh J, Sinsky C (2017) The business case for investing in physician well-being. JAMA internal medicine 177(12):1826–1832 CrossRef Shanafelt T, Goh J, Sinsky C (2017) The business case for investing in physician well-being. JAMA internal medicine 177(12):1826–1832 CrossRef
26.
Zurück zum Zitat Kehoe C, Barrett E (2020) Doctor's burnout and interventions. Ir J Psychol Med:1–3 Kehoe C, Barrett E (2020) Doctor's burnout and interventions. Ir J Psychol Med:1–3
27.
Zurück zum Zitat Taylor C, Xyrichis A, Leamy MC, Reynolds E, Maben J (2018) Can Schwartz Center Rounds support healthcare staff with emotional challenges at work, and how do they compare with other interventions aimed at providing similar support? A systematic review and scoping reviews. BMJ open 8(10):e024254 CrossRef Taylor C, Xyrichis A, Leamy MC, Reynolds E, Maben J (2018) Can Schwartz Center Rounds support healthcare staff with emotional challenges at work, and how do they compare with other interventions aimed at providing similar support? A systematic review and scoping reviews. BMJ open 8(10):e024254 CrossRef
28.
Zurück zum Zitat Maben J, Taylor C, Dawson J, Leamy M, McCarthy I, Reynolds E et al (2018) Health services and delivery research. A realist informed mixed-methods evaluation of Schwartz Center Rounds(®) in England. Southampton (UK): NIHR Journals Library. Copyright © Queen’s Printer and Controller of HMSO 2018. This work was produced by Maben et al. under the terms of a commissioning contract issued by the Secretary of State for Health and Social Care. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK Maben J, Taylor C, Dawson J, Leamy M, McCarthy I, Reynolds E et al (2018) Health services and delivery research. A realist informed mixed-methods evaluation of Schwartz Center Rounds(®) in England. Southampton (UK): NIHR Journals Library. Copyright © Queen’s Printer and Controller of HMSO 2018. This work was produced by Maben et al. under the terms of a commissioning contract issued by the Secretary of State for Health and Social Care. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK
29.
Zurück zum Zitat Patel RK, Sweeney MD, Baker CSR, Greenberg N, Piper SE, Shergill SS et al (2021) If not now, when? Enhancing cardiologists’ psychological well-being as a COVID-19 gain. Heart Patel RK, Sweeney MD, Baker CSR, Greenberg N, Piper SE, Shergill SS et al (2021) If not now, when? Enhancing cardiologists’ psychological well-being as a COVID-19 gain. Heart
Metadaten
Titel
A pilot study of burnout and long covid in senior specialist doctors
verfasst von
Anne M. Doherty
Gabrielle C. Colleran
Laura Durcan
Alan D. Irvine
Elizabeth Barrett
Publikationsdatum
13.03.2021
Verlag
Springer International Publishing
Schlagwort
COVID-19
Erschienen in
Irish Journal of Medical Science (1971 -) / Ausgabe 1/2022
Print ISSN: 0021-1265
Elektronische ISSN: 1863-4362
DOI
https://doi.org/10.1007/s11845-021-02594-3

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