The COVID-19 Pandemic and the Mental Health of Health Care Workers (Literature Review)
Natalia A. Ostryakova,
Sergey A. Babanov,
Denis V. Vinnikov,
Olga V. Sazonova,
Mikhail Y. Gavryushin,
Natalia Y. Kuvshinova https://doi.org/10.31089/1026-9428-2021-61-9-627-632
Abstract
The COVID-19 pandemic is having a serious psychological impact on healthcare workers. There is an operational restructuring of medical institutions, the working conditions practically correspond to an emergency situation. Every day, medical workers receive a huge amount of new information in the form of orders, guidelines. This creates an additional load in the form of continuous "information noise". The problem of emotional burnout of doctors was acute even before the COVID-19 pandemic. According to numerous studies in different countries, almost half of doctors have high rates of emotional burnout, which is two times higher than those of the population employed in other areas of professional activity.
The aim of the study is to review the theoretical and methodological foundations of the formation and development of emotional burnout in medical personnel during an increased epidemic threshold for a new coronavirus infection.
The paper provides an analysis of literary sources devoted to the problem of burnout syndrome in medical workers presented in the Scientific electronic library eLibrary, as well as in the English-language textual database of medical and biological publications PubMed.
The COVID-19 pandemic is associated with many reasons that can adversely affect the formation and development of emotional burnout in medical personnel during an increased epidemic threshold for a new coronavirus infection.
The provoking factors of the burnout syndrome (professional burnout) are the organizational factor (high workload, lack and shortage of PPE, insufficient (at the first stage) accumulated knowledge about the new coronavirus infection COVID-19); feeling of safety, threat and risk of infection; social isolation.
About the Authors
Natalia A. Ostryakova
Samara State Medical University
Russian Federation
Russian Federation
Sergey A. Babanov
Samara State Medical University
Russian Federation
Russian Federation
Head of the Department of Occupational Diseases and Clinical Pharmacology named after professor Kosarev V.V., Samara State University, Dr. of Sci. (Med.), Professor.
e-mail: s.a.babanov@mail.ru
Denis V. Vinnikov
Al-Farabi Kazakh National University
Russian Federation
Russian Federation
Olga V. Sazonova
Samara State Medical University
Russian Federation
Russian Federation
Mikhail Y. Gavryushin
Samara State Medical University
Russian Federation
Russian Federation
Natalia Y. Kuvshinova
Samara State Medical University
Russian Federation
Russian Federation
References
1. Maslach C. Burnout: A Social Psychological Analisis. The Burnout Syndrome: Current Reach, Theory, Interventions. L.W. Jones. London; 1992: 30–53.
2. Dorofeeva E.A. Burnout syndrome as a type of professional personality deformation. International academic bulletin. 2018; 27: 30–2 (in Russian).
3. Chutko L.S. Burnout syndrome. Clinical and psychological aspects. L.S. Chutko, N.V. Kozin. M.: MEDpress-inform; 2014 (in Russian).
4. Freidenberger H.J. Staff burn-out. J. of Social Issues. 1974; 30: 159–65.
5. Babanov S.A. Profession and stress: emotional burnout syndrome. Ehnergiya: ekonomika, tekhnologiya, ekologiya. 2010: 10: 74–9 (in Russian).
6. Vodopyanova N.Ye. Burnout syndrome in communicative professions. Health Psychology. Ed. G.S. Nikiforov. SPb.: Publishing house of St. Petersburg State University; 2000: 443–63 (in Russian).
7. Zhu N., Zhang D., Wang W. et al.; China Novel Coronavirus Investigating and Research Team. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med. 2020 Feb 20; 382(8): 727–33. https://doi.org/10.1056/NEJMoa2001017
8. Wu Y.C., Chen C.S., Chan Y.J. The outbreak of COVID-19: An overview. J Chin Med Assoc. 2020 Mar; 83(3): 217–20. https://doi.org/10.1097/JCMA.0000000000000270
9. Opening address by the Director-General at a COVID-19 press briefing on March 11, 2020. Published online at WHO.int. https://www.who.int/ru/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-onCOVID-19---11-march-2020
10. Sulkowski L. COVID-19 pandemic; recession, virtual revolution leading to de-globalization? J. Intercult. Manag. 2020; 12: 1–11.
11. Vieira C.M., Franco O.H., Restrepo C.G., Abel T. COVID-19: The forgotten priorities of the pandemic. Maturitas. 2020; 136: 38–41.
12. Macintyrea C.R. On a knife’s edge of a COVID-19 pandemic: is containment still possible. Public Health Res Pract. 2020; 30.
13. Brooks S.K., Webster R.K., Smith L.E. et al.: The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020; 395: 912–20.
14. Lai J., Ma S., Wang Y. Factors associated with mental health outcomes among health care workers exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020; 3(3): e203976. https://doi.org/10.1001/jamanetworkopen.2020.3976
15. Khan S., Siddique R., Bai A.A.Q., Li Z., Li H., Shereen M.A. et al. The spread of novel coronavirus has created an alarming situation worldwide. J Infect Public Health. 2020; 13(4): 469–71. https://doi.org/10.1016/j.jiph.2020.03.005
16. Sun N., Shi S., Jiao D. A Qualitative study on the psychological experience of caregivers of COVID-19 patients. Am J Infect Control. 2020 48(6): 592–8. https://doi.org/10.1016/j.ajic.2020.03.018
17. Yin X., Zeng L. A study on the psychological needs of nurses caring for patients with coronavirus disease 2019 from the perspective of the existence, relatedness, and growth theory. Int J Nurs Sci. 2020. https://doi.org/10.1016/j.ijnss.2020.04.002
18. Misra A. Doctors and healthcare workers at frontline of COVID 19 epidemic: admiration, a pat on the back, and need for extreme caution. Diabetes Metab Syndr. 2020; 14(3): 255–6. https://doi.org/10.1016/j.dsx.2020.03.006
19. Alsubaie S., Temsah M.H., Al-Eyadhy A.A., Gossady I., Hasan G.M., Al-rabiaah A. et al. Middle East Respiratory Syndrome Coronavirus epidemic impact on healthcare workers’ risk perceptions, work and personal lives. J Infect Dev Ctries. 2019; 13: 920–6. https://doi.org/10.3855/jidc.11753
20. Perlis R.H. Exercising Heart and Head in Managing Coronavirus Disease 2019 in Wuhan. JAMA Netw Open. 2020; 3(3): e204006. https://doi.org/10.1001/jamanetworkopen.2020.4006
21. Kang L., Ma S., Chen M. et al. Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: a cross sectional study. Brain Behav Immun. 2020; 87: 11–7.
22. Goulia P., Mantas C., Dimitroula D., Mantis D., Hyphantis T. General hospital staff worries, perceived sufficiency of information and associated psychological distress during the A/H1N1 influenza pandemic. BMC Infect Dis. 2010; 10: 322. https://doi.org/10.1186/1471-2334-10-322
23. Vyas K.J., Delaney E.M., Webb-Murphy J.A., Johnston S.L. Psychological Impact of Deploying in Support of the U.S. Response to Ebola: a systematic review and meta-analysis of past outbreaks. Military Med. 2016; 181(11–12): 1515–31. https://doi.org/10.7205/MILMED-D-15-00473
24. Maunder R.G., Lancee W.J., Balderson K.E. Long-term psychological and occupational effects of providing hospital healthcare during SARS outbreak. Emerg Infect Dis. 2006; 2(12): 924–32. https://doi.org/10.3201/eid1212.060584
25. Chan A.O.M., Huak C.Y. Psychological impact of the 2003 severe acute respiratory syndrome outbreak on healthcare workers in a medium size regional general hospital in Singapore. Occup Med (Lond). 2004; 54(3): 190–6. https://doi.org/10.1093/occmed/kqh027
26. Nickell L.A., Crighton E.J., Tracy C.S. Psychosocial effects of SARS on hospital staff: survey of a large tertiary care institution. CMAJ. 2004; 170(5): 793–8. https://doi.org/10.1503/cmaj.1031077
27. Tam C.W., Pang E.P., Lam L.C., Chiu H.F. Severe acute respiratory syndrome (SARS) in Hong Kong in 2003: stress and psychological impact among healthcare workers. Psychol Med. 2004; 34(7): 1197–204. https://doi.org/10.1017/s0033291704002247
28. Khalid I., Khalid T.J., Qabajah M.R., Barnard A.G., Qushmaq I.A. Healthcare Workers Emotions, Perceived Stressors and Coping Strategies During MERS-CoV Outbreak. Clin Med Res. 2016; 14(1): 7–14. https://doi.org/10.3121/cmr.2016.1303
29. Tam C.W., Pang E.P., Lam L.C., Chiu H.F. Severe acute respiratory syndrome (SARS) in Hong Kong in 2003: stress and psychological impact among healthcare workers. Psychol Med. 2004; 34(7): 1197–204. https://doi.org/10.1017/s0033291704002247
30. Park J.S., Lee E.H., Park N.R., Choi Y.H. Mental health of nurses working at a government-designated hospital during a MERS-CoV outbreak: a cross-sectional study. Arch Psychiatr Nurs. 2018; 32: 2–6. https://doi.org/10.1016/j.apnu.2017.09.006
31. Duan L., Zhu G. Psychological interventions for people affected by the COVID-19 epidemic. Lancet Psychiatry. 2020; 7: 300–2.
32. Xiao H. The effects of social support on sleep quality of medical staff treating patients with coronavirus disease 2019 (COVID-19) in January and February 2020 in China. Med Sci Monit. 2020; 26: e923549-1–e923549-8.
33. Kang L., Li Y., Hu S., Chen M., Yang C., Yang B.X. et al. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. Lancet Psychiatry. 2020; 7(3): e14. https://doi.org/10.1016/S2215-0366(20)30047-X
34. Liu C.-Y., Yang Y.-Z., Zhang X.-M. et al. The prevalence and inf l uencing factors for anxiety in medical workers fighting COVID-19 in China: a cross-sectional survey. Available at SSRN 3548781. 2020; 148: e98. https://doi.org/10.1101/2020.03.05.20032003
35. Lu W., Wang H., Lin Y. et al. Psychological status of medical workforce during the COVID-19 pandemic: a cross-sectional study. Psychiatry Res. 2020; 288: 112936.
36. Zhu N., Zhang D., Wang W. et al.; China Novel Coronavirus Investigating and Research Team. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med. 2020; 382(8): 727–33. https://doi.org/10.1056/NEJMoa2001017
37. Guo J., Liao L., Wang B. et al. Psychological effects of COVID-19 on hospital staff: a national cross-sectional survey of China Mainland. Available at SSRN 3550050. 2020. In press.
38. Dai Y., Hu G., Xiong H. et al. Psychological impact of the coronavirus disease 2019 (COVID-19) outbreak on healthcare workers in China. medRxiv. 2020. In press
39. Simione L., Gnagnarella C. Differences between health workers and general population in risk perception, behaviors, and psychological distress related to COVID-19 spread in Italy. PsyArXiv. 2020. In press.
40. Zhang S.X., Liu J., Afshar Jahanshahi A. et al. At the height of the storm: healthcare staff’s health conditions and job satisfaction and their associated predictors during the epidemic peak of COVID-19. Brain Behav Immun. 2020; 87: 144–6.
41. Delgado D., Wyss Quintana F., Perez G. et al. Personal safety during the COVID-19 pandemic: realities and perspectives of healthcare workers in Latin America. Int J Environ Res Public Health. 2020; 17(8): 2798.
42. Prescott K., Baxter E., Lynch C. et al. COVID-19: How prepared are front line healthcare workers in England? J Hosp Infect. 2020; 105(2): 142–5.
43. Suleiman A., Bsisu I., Guzu H. et al. Preparedness of frontline doctors in Jordan healthcare facilities to COVID-19 outbreak. Int J Environ Res Public Health. 2020; 17(9): 3181
44. Chew N.W.S., Lee G.K.H., Tan B.Y.Q. et al. A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain Behav Immun. 2020; 88: 559–65.
45. Jiang N., Jia X., Qiu Z. et al. The Influence of efficacy beliefs on interpersonal loneliness among front — 9line healthcare workers during the 2019 novel coronavirus outbreak in China: a cross-sectional study. SSRN. 2020. In press
46. Badahdah A.M., Khamis F., Mahyijari N.A. The psychological well-being of physicians during COVID-19 outbreak in Oman. Psychiatry Res. 2020; 289: 113053.
47. Wu Y., Wang J., Luo C. et al. A comparison of burnout frequency among oncology physicians and nurses working on the front lines and usual wards during the COVID-19 epidemic in Wuhan, China. J Pain Symptom Manage. 2020; 60(1): e60–5.
48. Cao J., Wei J., Zhu H. et al. A study of basic needs and psychological wellbeing of medical workers in the fever clinic of a tertiary general hospital in Beijing during the COVID-19 outbreak. Psychother Psychosom. 2020: 1–3.
49. Huang Y., Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res. 2020; 288: 112954.
50. Liu Q., Luo D., Haase J.E. et al. The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study. Lancet Glob Health. 2020; 8(6): E790–8
51. Sun N., Wei L., Shi S. et al. A qualitative study on the psychological experience of caregivers of COVID-19 patients. Am J Infect Control. 2020; 48(6): 592–8.
52. Sethi B.A., Sethi A., Ali S. et al. Impact of coronavirus disease (COVID-19) pandemic on health professionals. Pak J Med Sci. 2020; 36(COVID19-S4).
53. Jin Y.H., Huang Q., Wang Y.Y. et al. Perceived infection transmission routes, infection control practices, psychosocial changes, and management of COVID-19 infected healthcare workers in a tertiary acute care hospital in Wuhan: a cross-sectional survey. Mil Med Res. 2020; 7(1): 24.
Review
For citations:
Ostryakova N.A., Babanov S.A., Vinnikov D.V., Sazonova O.V., Gavryushin M.Y., Kuvshinova N.Y. The COVID-19 Pandemic and the Mental Health of Health Care Workers (Literature Review). Russian Journal of Occupational Health and Industrial Ecology. 2021;61(9):627-632. (In Russ.) https://doi.org/10.31089/1026-9428-2021-61-9-627-632
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