Burnout symptoms among physicians and nurses before, during and after COVID-19 care

Objective:

this study evaluated burnout symptoms among physicians and nurses before, during and after COVID-19 care.

Method:

a cross-sectional comparative study in the Pulmonary Care unit of a tertiary-level public hospital. The Maslach Burnout Inventory was used.

Results:

280 surveys were distributed across three periods: before (n=80), during (n=105) and after (n=95) COVID-19 care; 172 surveys were returned. The response rates were 57.5%, 64.8% and 61.1%, respectively. The prevalence of severe burnout was 30.4%, 63.2% and 34.5% before, during and after COVID-19 care (p<0.001). Emotional exhaustion (p<0.001) and depersonalization (p=0.002) symptoms were more prevalent among nurses than among physicians. Severe burnout was more prevalent in women, nurses and night shift staff.

Conclusion:

the high prevalence of burnout doubled in the first peak of hospital admissions and returned to pre-pandemic levels one month after COVID-19 care ended. Burnout varied by gender, shift and occupation, with nurses among the most vulnerable groups. Focus on early assessment and mitigation strategies are required to support nurses not only during crisis but permanently.

Descriptors:
Burnout; COVID-19; Physicians; Nurses; Pandemics; SARS-CoV-2

Highlights:

(1) Several manifestations of psychological stress have been reported in COVID-19 care.

(2) This study shows high prevalence of burnout in Mexican healthcare personnel.

(3) Women, nurses and night shift staff were more prone to burnout.

(4) Burnout returned to pre-pandemic levels after the end of COVID-19 care.