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Antonio Lasalvia, Francesco Amaddeo, Stefano Porru, Angela Carta, Stefano Tardivo, Chiara Bovo, Mirella Ruggeri, Chiara Bonetto
OBJECTIVE: To determine burn-out levels and associated factors among healthcare personnel working in a tertiary hospital of a highly burdened area of north-east Italy during the COVID-19 pandemic. DESIGN: Observational study conducted from 21 April to 6 May 2020 using a web-based questionnaire. SETTING: Research conducted in the Verona University Hospital (Veneto, Italy). PARTICIPANTS: Out of 2195 eligible participants, 1961 healthcare workers with the full range of professional profiles (89.3%) completed the survey. PRIMARY OUTCOME MEASURE: Levels of burn-out, assessed by the Maslach Burnout Inventory-General Survey (MBI-GS). Multivariable logistic regression analysis was performed to identify factors associated with burn-out in each MBI-GS dimension (emotional exhaustion, EX; professional efficacy, EF; cynicism, CY). RESULTS: Overall, 38.3% displayed high EX, 46.5% low EF and 26.5% high CY. Burn-out was frequent among staff working in intensive care units (EX 57.0%; EF 47.8%; CY 40.1%), and among residents (EX 34.9%; EF 63.9%; CY 33.4%) and nurses (EX 49.2%; EF 46.9%; CY 29.7%). Being a resident increased the risk of burn-out (by nearly 2.5 times) in all the three MBI subscales and being a nurse increased the risk of burn-out in the EX dimension in comparison to physicians. Healthcare staff directly engaged with patients with COVID-19 showed more EX and CY than those working in non-COVID wards. Finally, the risk of burn-out was higher in staff showing pre-existing psychological problems, in those having experienced a COVID-related traumatic event and in those having experienced interpersonal avoidance in the workplace and personal life. CONCLUSIONS: Burn-out represents a great concern for healthcare staff working in a large tertiary hospital during the COVID-19 pandemic and its impact is more burdensome for front-line junior physicians. This study underlines the need to carefully address psychological well-being of healthcare workers to prevent the increase of burn-out in the event of a new COVID-19 healthcare emergency.
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Lasalvia, A., Amaddeo, F., Porru, S., Carta, A., Tardivo, S., Bovo, C., Ruggeri, M., & Bonetto, C. (2021). Levels of burn-out among healthcare workers during the COVID-19 pandemic and their associated factors: a cross-sectional study in a tertiary hospital of a highly burdened area of north-east Italy. BMJ Open, 11(1), e045127. https://doi.org/10.1136/bmjopen-2020-045127
Lasalvia, Antonio, et al. "Levels of burn-out among healthcare workers during the COVID-19 pandemic and their associated factors: a cross-sectional study in a tertiary hospital of a highly burdened area of north-east Italy." BMJ Open, vol. 11, no. 1, 2021, pp. e045127, https://doi.org/10.1136/bmjopen-2020-045127.
Lasalvia, Antonio, Francesco Amaddeo, Stefano Porru, Angela Carta, Stefano Tardivo, Chiara Bovo, Mirella Ruggeri, and Chiara Bonetto. "Levels of burn-out among healthcare workers during the COVID-19 pandemic and their associated factors: a cross-sectional study in a tertiary hospital of a highly burdened area of north-east Italy." BMJ Open 11, no. 1 (2021): e045127. https://doi.org/10.1136/bmjopen-2020-045127.
Lasalvia A., Amaddeo F., Porru S. [и др.] Levels of burn-out among healthcare workers during the COVID-19 pandemic and their associated factors: a cross-sectional study in a tertiary hospital of a highly burdened area of north-east Italy // BMJ Open. — 2021. — Vol. 11, № 1. — P. e045127. — URL: https://doi.org/10.1136/bmjopen-2020-045127
@article{lasalvia2021levels,
title = {{Levels of burn-out among healthcare workers during the COVID-19 pandemic and their associated factors: a cross-sectional study in a tertiary hospital of a highly burdened area of north-east Italy}},
author = {Antonio Lasalvia and Francesco Amaddeo and Stefano Porru and Angela Carta and Stefano Tardivo and Chiara Bovo and Mirella Ruggeri and Chiara Bonetto},
journal = {BMJ Open},
year = {2021},
volume = {11},
number = {1},
pages = {e045127},
doi = {10.1136/bmjopen-2020-045127},
url = {https://doi.org/10.1136/bmjopen-2020-045127}
}TY - JOUR AU - Lasalvia, Antonio AU - Amaddeo, Francesco AU - Porru, Stefano AU - Carta, Angela AU - Tardivo, Stefano AU - Bovo, Chiara AU - Ruggeri, Mirella AU - Bonetto, Chiara TI - Levels of burn-out among healthcare workers during the COVID-19 pandemic and their associated factors: a cross-sectional study in a tertiary hospital of a highly burdened area of north-east Italy JO - BMJ Open VL - 11 IS - 1 SP - e045127 PY - 2021 DA - 2021/01/01 DO - 10.1136/bmjopen-2020-045127 UR - https://doi.org/10.1136/bmjopen-2020-045127 ER -
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