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Published in: Irish Journal of Medical Science (1971 -) 5/2022

09-10-2021 | COVID-19 | Original Article

Burnout on the frontline: the impact of COVID-19 on emergency department staff wellbeing

Authors: Oisín Sheehan, Micheal Sheehan, Raluca Ileana Rau, Iomhar O. Sullivan, Geraldine McMahon, Ann Payne

Published in: Irish Journal of Medical Science (1971 -) | Issue 5/2022

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Abstract

Background

Burnout is a syndrome resulting from chronic workplace stress that has not been successfully managed. Healthcare professionals are particularly susceptible to this occupational phenomenon. There is limited literature currently published addressing burnout in the context of the Irish frontline workers during the COVID-19 pandemic.

Objectives

Our study aims to determine the rate and degree of burnout present in the emergency department (ED) staff at St. James hospital Dublin (SJH) and at Cork University Hospital (CUH), in the context of the COVID-19 pandemic.

Design

A cross-sectional study was performed on a convenience sample of medical staff and healthcare staff in the ED at Cork University Hospital and St. James Hospital Dublin, two major University Hospital EDs. Burnout was measured using the Oldenburg burnout inventory (OLBI) a standardised 16-question instrument. Participants also provided demographic data and answered several questions relating to the pandemic.

Participants

Ninety-nine participants across two departments responded (a response rate of 30%). All ED cohorts were represented.

Results

Burnout was identified in almost three quarters of respondents (74%). The mean burnout scores were 2.42 (OLBI cut-off 2.18). There was mean disengagement level of 2.25 and a mean exhaustion level of 2.59. There was no statistically significant variance between staff, by demographics (i.e. occupation, years working in the ED, age, or gender). There was no significant difference in burnout rates or scores between St. James Hospital, Dublin, and Cork University Hospital, though the former tended to have a higher rate of burnout at 81% vs the 67% burnout observed in CUH.

Conclusions

The COVID-19 pandemic may be contributing to the long-established problem of health care burnout. The trajectory of this disease is still unclear. Consistent, progressive measures to address staff well-being, and support frontline workers, are imperative going forward.
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Literature
2.
go back to reference Shanafelt TD, Boone S, Tan L (2012) Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med 172(18):1377–1385CrossRef Shanafelt TD, Boone S, Tan L (2012) Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med 172(18):1377–1385CrossRef
3.
go back to reference Shanafelt TD, Hasan O, Dyrbye LN (2015) Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014. Mayo Clin Proc. 90(12):1600–1613CrossRef Shanafelt TD, Hasan O, Dyrbye LN (2015) Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014. Mayo Clin Proc. 90(12):1600–1613CrossRef
4.
go back to reference Adriaenssens J, De Gucht V, Maes S (2015) Determinants and prevalence of burnout in emergency nurses: a systematic review of 25 years of research. Int J Nurs Stud 52(2):649–661CrossRef Adriaenssens J, De Gucht V, Maes S (2015) Determinants and prevalence of burnout in emergency nurses: a systematic review of 25 years of research. Int J Nurs Stud 52(2):649–661CrossRef
7.
go back to reference Shanafelt TD, Boone S, Tan L et al (2012) Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med 172(18):1377–1385CrossRef Shanafelt TD, Boone S, Tan L et al (2012) Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med 172(18):1377–1385CrossRef
9.
go back to reference Adams JG, Walls RM (2020) Supporting the health care workforce during the COVID-19 global epidemic. Jama. 323(15):1439–1440CrossRef Adams JG, Walls RM (2020) Supporting the health care workforce during the COVID-19 global epidemic. Jama. 323(15):1439–1440CrossRef
10.
go back to reference Boyraz G, Legros DN (2020) Coronavirus disease (COVID-19) and traumatic stress: probable risk factors and correlates of posttraumatic stress disorder. J Loss Trauma 1–20 Boyraz G, Legros DN (2020) Coronavirus disease (COVID-19) and traumatic stress: probable risk factors and correlates of posttraumatic stress disorder. J Loss Trauma 1–20
11.
go back to reference Styra R, Hawryluck L, Robinson S (2008) Impact on health care workers employed in high-risk areas during the Toronto SARS outbreak. J psychosomatic Res. 64(2):177–183CrossRef Styra R, Hawryluck L, Robinson S (2008) Impact on health care workers employed in high-risk areas during the Toronto SARS outbreak. J psychosomatic Res. 64(2):177–183CrossRef
13.
14.
go back to reference Ruwaard J, Lange A, Schrieken B, Emmelkamp P (2011) Efficacy and effectiveness of online cognitive behavioral treatment: a decade of interapy research. Stud Health Technol Inform 167:9–14PubMed Ruwaard J, Lange A, Schrieken B, Emmelkamp P (2011) Efficacy and effectiveness of online cognitive behavioral treatment: a decade of interapy research. Stud Health Technol Inform 167:9–14PubMed
18.
go back to reference Poulsen MG, Poulsen AA, Khan A et al (2015) Recovery experience and burnout in cancer workers in Queensland. Eur J Oncol Nurs 19(1):23–28. Available from: 1016/j.ejon.2014.08.003 Poulsen MG, Poulsen AA, Khan A et al (2015) Recovery experience and burnout in cancer workers in Queensland. Eur J Oncol Nurs 19(1):23–28. Available from: 1016/j.ejon.2014.08.003
20.
go back to reference World Health Organization (2020) International Statistical Classification of Diseases and Related Health Problems. 11th ed. World Health Organization; Geneva, Switzerland World Health Organization (2020) International Statistical Classification of Diseases and Related Health Problems. 11th ed. World Health Organization; Geneva, Switzerland
Metadata
Title
Burnout on the frontline: the impact of COVID-19 on emergency department staff wellbeing
Authors
Oisín Sheehan
Micheal Sheehan
Raluca Ileana Rau
Iomhar O. Sullivan
Geraldine McMahon
Ann Payne
Publication date
09-10-2021
Publisher
Springer International Publishing
Published in
Irish Journal of Medical Science (1971 -) / Issue 5/2022
Print ISSN: 0021-1265
Electronic ISSN: 1863-4362
DOI
https://doi.org/10.1007/s11845-021-02795-w

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