Burnout at the hospital

Healthcare workers coping with COVID-19 stress

Autores/as

  • Maria Fernanda Marciano Barros de FREITAS Pontifícia Universidade Católica de Campinas (PUC-Campinas), Escola de Ciências da Vida, Programa de Pós-Graduação em Ciências da Saúde. https://orcid.org/0000-0002-1578-2709
  • Sônia Regina Fiorim ENUMO Pontifícia Universidade Católica de Campinas (PUC-Campinas), Escola de Ciências da Vida, Programa de Pós-Graduação em Psicologia. https://orcid.org/0000-0001-9038-6151
  • Wagner de Lara MACHADO Pontifícia Universidade Católica do Rio Grande do Sul, Escola de Ciências da Vida e da Saúde, Programa de Pós-Graduação em Psicologia. https://orcid.org/0000-0001-5555-5116
  • João Carlos Caselli MESSIAS Pontifícia Universidade Católica de Campinas (PUC-Campinas), Escola de Ciências da Vida, Programa de Pós-Graduação em Psicologia. https://orcid.org/0000-0002-6487-4407
  • Elisa Donalísio Teixeira MENDES Pontifícia Universidade Católica de Campinas (PUC-Campinas), Escola de Ciências da Vida, Programa de Pós-Graduação em Ciências da Saúde. Campinas https://orcid.org/0000-0003-4251-8185

Palabras clave:

Adaptation, psychological, Burnout, psychological, COVID-19, Health professionals

Resumen

Objective
The first wave of COVID-19 was challenging for healthcare workers. This study analyzed the ways of coping with stress at a university hospital.
Method
A Sociodemographic Characterization, Risk and Exposure Assessment, Burnout Assessment Tool (BAT-23), and COVID-19 Coping Scale were responded online by 181 professionals.
Results
The sample was composed mainly of women, white, married, physicians, with one job. Over 80% of the sample were at high exposure and risk for infection, with 17.1% having tested positive. The most reported stressors were risks of transmitting the disease, being hospitalized, and being separated from loved ones; 11% presented the risk of/probable burnout, with exhaustion and emotional impairment. They presented adaptive coping strategies, such as problem-solving and information-seeking, with a negative correlation between adaptive coping and burnout. Being a physician with maladaptive coping, in psychiatric care, and having religious beliefs were predictors of burnout.

Conclusion
Promoting adaptive coping may improve the mental health of these workers.

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Citas

Amorim, M., Souza, W., Barros, A., Toledo-Teixeira, D., Santos, K., Simeoni, C., Parise, P., Vieira, A., Forato, J., Claro, I., Mofatto, L., Barbosa, P., Brunetti, N., França, E., Pedroso, G., Carvalho, B., Zaccariotto, T., Krywacz, K., Vieira, A., ... Proenca-Modena, J. (2021). Respiratory viral shedding in healthcare workers reinfected with SARS-CoV-2, Brazil, 2020. Emerging Infectious Diseases, 27(6), 737-1740. https://doi.org/10.3201/eid2706.210558

Araújo, M. F., Pinzón, J. H., Silva, A. M. B., Amaral, J. D. H. F., Lins, C. A., Enumo, A. M. F., Laloni, D. T., Laloni, I. T., Vicentini, E. C. C., Dellazzana-Zanon, L. L., Freitas, M. F. M. B., Mendes, E. D. T., Weide, J. N., Machado, W. L., & Enumo, S. R. F. (2020). Cartilha de enfrentamento do estresse da COVID-19 para trabalhadores da saúde. PUC-Campinas; PUCRS. https://www.puc-campinas.edu.br/wp-content/uploads/2020/06/PsiCOVIDa_enfrentamento-estresse-trabalhadores-saude.pdf

Cai, H., Tu, B., Ma, J., Chen, L., Fu, L., Jiang, Y., & Zhuang, Q. (2020). Psychological impacts and coping strategies of front-line medical staff during COVID-19 outbreak in Hunan, China. Medical Science Monitor, 26, e924171. https://doi.org/10.12659/msm.924171

Civantos, A. M., Bertelli, A., Gonçalves, A., Getzen, E., Chang, C., Long, Q., & Rajasekaran, K. (2020). Mental health among head and neck surgeons in Brazil during the COVID-19 pandemic: a national study. American Journal of Otolaryngology, 41(6), 102694. https://doi.org/10.1016/j.amjoto.2020.102694

DeVellis, R. F. (1991). Scale development: theory and applications (Applied Social Research Methods Series, Vol. 26). Sage Publications.

Dullius, W. R., Scortegagna, S. A., & McCleary, L. (2021). Coping strategies in health professionals facing Covid-19: systematic review. Psicologia: Teoria e Prática, 23(1), 1-20. https://dx.doi.org/10.5935/1980- 6906/ePTPC1913976

Elbay, R. Y., Kurtulmuş, A., Arpacıoğlu, S., & Karadere, E. (2020). Depression, anxiety, stress levels of physicians and associated factors in Covid-19 pandemics. Psychiatry Research, 290, 113130. https://doi.org/10.1016/j.psychres.2020.113598

Enumo, S. R. F., & Amaral, J. D. H. F. (2020). Escala de Enfrentamento do Estresse da COVID-19: Trabalhadores de Saúde [Unpublished work]. PUC-Campinas.

Enumo, S. R. F., Weide, J. N., Vicentini, E. C. C., Araújo, M. F., & Machado, W. L. (2020). Enfrentando o estresse em tempos de pandemia: proposição de uma Cartilha. Estudos de Psicologia (Campinas), 37, e200065. http://dx.doi.org/10.1590/1982-0275202037e200065

Epskamp, S., & Fried, E. I. (2018). A tutorial on regularized partial correlation networks. Psychological Methods, 23(4), 617-634. https://doi.org/10.1037/met0000167

Ferreira, N., & Lucca, S. (2015). Síndrome de burnout em técnicos de enfermagem de um hospital público do Estado de São Paulo. Revista Brasileira de Epidemiologia, 18(1), 68-79. https://doi.org/10.1590/1980-5497201500010006

Foch, G., Silva, A. M. B., & Enumo, S. R. F. (2017). Enfrentamento religioso/espiritual: uma revisão sistemática da literatura (2003-2013). Arquivos Brasileiros de Psicologia, 69(2), 53-71. http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1809-52672017000200005&lng=pt&tlng=pt

Lees, D. C. (2007). An empirical investigation of the motivational theory of coping in middle to late childhood [Unpublished doctoral thesis]. Griffith University.

Meira-Silva, V. S. T., Freire, A. C. T. N., Zinezzi, D. P., Ribeiro, F. C. R., Coutinho, G. D., Lima, I. M. B., Crispi, I. C., Porto, J. D., Silva, L. G. P., Miranda, L. H. A., Zurita, M. G. F., Belerique, V. H. R., & Bandoli, Y. T. (2022). Burnout syndrome in healthcare workers during the COVID-19 pandemic: a systematic review. Revista Brasileira de Medicina do Trabalho, 20(1),122-131. http://dx.doi.org/10.47626/1679-4435-2022-849

Messias, J. C. C., Rocha, M. O., Barbi, K. B. S., & Fontoura Junior, E. E. (2022). Death and resistance: Professionals on the front line against COVID-19. Paideia, 32, e3209. https://doi.org/10.1590/1982-4327e3209

Moura, E., Furtado, L., & Sobral, F. (2020). The burnout epidemic during the COVID-19 pandemic: the role of LMX in alleviating physicians’ burnout. Revista de Administração de Empresas, 60(6), 426-436. https://doi.org/10.1590/s0034-759020200606

Orfão, N. H., Ferreira, M. R. L., Souza, G. A. S. C., Martins, L. M., & Feitosa, V. G. (2020). COVID-19: estratégias de enfrentamento e comportamentos adaptativos pelos profissionais de saúde durante a pandemia. Revista de Epidemiologia e Controle de Infecção, 10(4), 1-22. https://doi.org/10.17058/reci.v10i4.15462

Pablo, G. S., Vaquerizo-Serrano, J., Catalan, A., Arango, C., Moreno, C., Ferre, F., Shin, J., Sullivan, S., Brondino, N., Solmi, M., & Fusar-Poli, P. (2020). Impact of coronavirus syndromes on physical and mental health of health care workers: systematic review and meta-analysis. Journal of Affective Disorders, 275, 48-57. https://doi.org/10.1016/j.jad.2020.06.022

Pinheiro, G., Luna, G., Santos, R., Pimentel, S., & Varão, A. (2020). Estresse percebido durante período de distanciamento social: diferenças entre sexo. Brazilian Journal of Health Review, 3(4), 10470-10486. https://doi.org/10.34119/bjhrv3n4-264

Ribeiro, R., Marziale, M., Martins, J., Galdino, M., & Ribeiro, P. (2018). Estresse ocupacional entre trabalhadores de saúde de um hospital universitário. Revista Gaúcha de Enfermagem, 39, e65127. https://doi.org/10.1590/1983-1447.2018.65127

Ryan, R. M., & Deci, E. L. (2017). Self-Determination Theory: basic psychological needs in motivation, development and wellness. The Guilford Press.

Schaufeli, W. B. (2017). Applying the Job Demands-Resources model: a “how to” guide to measuring and tackling work engagement and burnout. Science Direct, 46, 120-132. https://doi.org/10.1016/j.orgdyn.2017.04.008

Schaufeli, W. B., De Witte, H., & Desart, S. (2019). Burnout Assessment Tool (BAT) – Test Manual [Unpublished report]. Belgium.

Schaufeli, W. B., Desart, S., & De Witte, H. (2020). Burnout Assessment Tool (BAT) - Development, validity, and reliability. International. Journal of Environmental Research and Public Health, 17(24), 9495. https://doi.org/10.3390/ijerph17249495

Schmidt, B., Crepaldi, M., Bolze, S., Neiva-Silva, L., & Demenech, L. (2020). Saúde mental e intervenções psicológicas diante da pandemia do novo coronavírus (COVID-19). Estudos de Psicologia (Campinas), 37, e200063 https://doi.org/10.1590/1982-0275202037e200063

Serrano-Ripoll, M. J., Meneses-Echavez, J. F., Ricci-Cabello, I., Fraile-Navarro, D., Fiol-de- Roque, M. A., Pastor- Moreno, G., Castro, A., Ruiz-Pérez, I., Zamanillo-Campos, R., & Gonçalves-Bradley, D. C. (2020). Impact of viral epidemic outbreaks on mental health of healthcare workers: a rapid systematic review and meta-analysis. Journal of Affective Disorders, 277, 347-357. https://doi.org/10.1016/j.jad.2020.08.034

Shechter, A., Diaz, F., Moise, N., Anstey, D. E., Ye, S., Agarwal, S., Birk, J. L., Brodie, D., Cannone, D. E., Chang, B., Claassen, J., Cornelius, T., Derby, L., Dong, M., Givens, R. C., Hochman, B., Homma, S., Kronish, I. M., Lee, S., … Abdalla, M. (2020). Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic. General Hospital Psychiatry, 66, 1-8. https://doi.org/10.1016/j.genhosppsych.2020.06.007

Shreffler, J., Huecker, M., & Petrey, J. (2020). The impact of COVID-19 on healthcare worker wellness: a scoping review. Western Journal of Emergency Medicine, 21(5), 1059-1066. https://doi.org/10.5811/westjem.2020.7.48684

Silva, A. M. B., Araújo, M. F., Pinzón, J. H., Amaral, J. D. H. F., Dellazzana-Zanon, L. L., Lins, C. A., Freitas, M. F. M. B., Mendes, E. D. T., Vicentini, E. C. C., & Enumo, S. R. F. (2022). Coping for healthcare workers in times of pandemic: Elaboration of a booklet. Psicologia: Teoria e Prática, 24(3), ePTPCP14211. https://doi.org/10.5935/1980-6906/ePTPCP14211.en

Sinval, J., Vazquez, A., Hutz, C., Schaufeli, W., & Silva, S. (2022). Burnout Assessment Tool (BAT): validity evidence from Brazil and Portugal. International Journal of Environmental Research and Public Health, 19(3), 1344. https://doi.org/10.3390/ijerph19031344

Skinner, E. A., & Wellborn, J. G. (1994). Coping during childhood and adolescence: a motivational perspective. In D. L. Featherman, R. M. Lerner, & M. Perlmutter (Eds.), Life-Span development and behavior (Vol. 12, pp. 91-133). Lawrence Erlbaum Associates.

Skinner, E., Edge, K., Altman, J., & Sherwood, H. (2003). Searching for the structure of coping: a review and critique of category systems for classifying ways of coping. Psychological Bulletin, 129(2), 216-269. https://doi.org/10.1037/0033-2909.129.2.216

Spoorthy, M. S., Pratapa, S. K., & Mahant, S. (2020). Mental health problems faced by healthcare workers due to the COVID-19 pandemic: a review. Asian Journal of Psychiatry, 51, 102119. https://doi.org/10.1016/j.ajp.2020.102119

Stauner, N., Exline, J. J., & Pargament, K. I. (2016). Religious and spiritual struggles as concerns for health and well-being. Horizonte, 14, 50-77. https://doi.org/10.5752/P.2175-5841.2016v14n41p48

Sun, P., Wang, M., Song, T., Wu, Y., Luo, J., Chen, L., & Yan, L. (2021). The psychological impact of COVID-19 pandemic on health care workers: a systematic review and meta-analysis. Frontiers in Psychology, 12, e626547. https://doi.org/10.3389/fpsyg.2021.626547

Vazquez, A., Santos, A., Costa, P., Freitas, C., Witte, H., & Schaufeli, W. (2019). Trabalho e bem-estar: evidências da relação entre burnout e satisfação de vida. Revista Avaliação Psicológica, 18(04), 372-381. https://doi.org/10.15689/ap.2019.1804.18917.05

World Health Organization. (2020). Risk assessment and management of exposure of health care workers in the context of COVID-19. https://apps.who.int/iris/handle/10665/331496

Yıldırım, M., & Solmaz, F. (2020). COVID-19 burnout, COVID-19 stress and resilience: Initial psychometric properties of COVID-19 burnout scale. Death Studies, 46(3), 524-532. https://doi.org/10.1080/07481187.2020.1818885

Publicado

2023-10-20

Cómo citar

FREITAS, M. F. M. B. de, ENUMO, S. R. F., MACHADO, W. de L., MESSIAS, J. C. C., & MENDES, E. D. T. (2023). Burnout at the hospital: Healthcare workers coping with COVID-19 stress. Estudos De Psicologia, 40. Recuperado a partir de https://periodicos.puc-campinas.edu.br/estpsi/article/view/10069

Número

Sección

PSICOLOGIA DA SAÚDE