Burnout, anxiety and depression in nurses during the COVID-19 pandemic
DOI:
https://doi.org/10.12707/RVI23.49.30764Keywords:
burnout, anxiety, depression, nurses, pandemic, COVID-19Abstract
Background: Nurses experienced dissatisfaction and emotional and relational tensions during the COVID-19 pandemic, which may be related to burnout, anxiety, and depression.
Objective: To assess the impact of the COVID-19 pandemic on nurses’ burnout, anxiety, and depression.
Methodology: Quantitative descriptive-correlational and cross-sectional study. The nonprobability convenience sample consisted of 234 nurses from a hospital in the archipelago of the Azores. A questionnaire with sociodemographic/general questions, the Hospital Anxiety and Depression Scale (HADS), and the Copenhagen Burnout Inventory (CBI) were administered online and face-to-face.
Data were analyzed using the SPSS software. All ethical and legal aspects were respected.
Results: The following aspects were identified: lack of and the prolonged use of personal protective equipment, unfavorable working conditions, decreased professional fulfillment, fear of becoming infected with the virus and infecting family/friends, social isolation, relationship with hierarchical superiors, inadequate remuneration, and lack of administrative practices.
Conclusion: The pandemic context, combined with the social and family context, led nurses to experience symptoms of burnout, anxiety, and depression.
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References
American Psychiatric Association. (2014). Manual de diagnóstico e estatística das perturbações mentais: DSM-5 (5ª ed.). Climepsi Editores.
Çelmeçe, N., & Menekay, M. (2020). The effect of stress, anxiety and burnout levels of healthcare professionals caring for COVID-19 patients on their quality of life. Frontiers in Psychology, 11, 1-7. https://doi.org.10.3389/fpsyg.2020.597624
Decreto-Lei nº 101-B/2020 do Ministério da Saúde. (2020). Diário da República: Iª série, nº 235. https://diariodarepublica.pt/dr/detalhe/decreto-lei/101-b-2020-150368755
Delbrouck, M. (2006). Síndrome de exaustão (Burnout). CLIMEPSI
Diogo, P. M., Sousa, M. O., Rodrigues, J. R., Silva, T. A., & Santos, M. L. (2021). Trabalho emocional de enfermeiros da linha de frente do combate à pandemia de COVID-19. Revista Brasileira de Enfermagem, 74(supp. 1), e20200660.
https://doi.org.10.1590/0034-7167-2020-0660
Direção Geral da Saúde. (2020a). Casos de infeção pelo novo corona vírus (COVID-19): Comunicado C160_75_v1. https://covid19.min-saude.pt/wp-content/uploads/2020/03/Atualiza%C3%A7%-C3%A3o-de-02032020-1728.pdf
Direção Geral da Saúde. (2020b). Surto de doença respiratória na cidade de Wuhan –China: Comunica-do C160_01_v2. https://covid19.min-saude.pt/wp-content/uploads/2020/03/Comunicado-de-14_01_2020.pdf
Fonte, C. M. (2011). Adaptação e validação para português do questionário de Copenhagen burnout inventory (CBI) [Dissertação de mestrado, Universidade de Coimbra]. Repositório Institucional da Universidade de Coimbra. https://estudogeral.uc.pt/bitstream/10316/18118/1/Adapta%c3%a7%c3%a3o%20e%20Valida%c3%a7%c3%a3o%20para%20Portugu%c3%aas%20do%20Questin%c3%a1rio%20de%20Copen.PDF
Giusti, E. M., Pedroli, E., D`Aniello, G. E., Badiale, C. S., Pietrabissa, G., Manna, C., Bandiale, M. S., Riva, G., Castelnuovo, G., & Molinari, E. (2020). The psychological impact of the COVID-19 outbreak on health professionals: A cross-sectional study. Frontiers in Psychology, 11, 1-9. https://doi.org/10.3389/fpsyg.2020.01684
Han, L., Wong, F. K., Ela, D. L., Li, S. Y., Yang, Y. F., Jiang, M. Y., Ruan, Y., Qian, S., Ma, Y., & Chung L.Y. (2020). Anxiety and depression of nurses in a north west province in China during the period of novel coronavirus pneumonia outbreak. Journal of Nursing Scholarship, 52(5), 564–573. https://doi.org.10.1111/jnu.12590
Hu, D., Kong, Y., Li, W., Han, Q., Zhang, W., Zhu, L. X., Wan, S. W., Liu, Z., Shen, Q., Yang, J., He, H-G., & Zhu, J. (2020). Frontline nurses’ burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: A large-scale cross-sectional study. EClinicalMedicine, 24, e100424. https://doi.org/10.1016/j.eclinm.2020.100424
Janeway, D. (2020). The role of psychiatry in treatin burnout among nurses during the Covid-19 pandemic. Journal of Radiology Nursing, 39(3), 176-178. https://doi.org./10.1016/j.jradnu.2020.06.004
Maslach, C. (2003). Burnout: The cost of caring. Malor Book.Miguel-Puga, J. A., Cooper-Bribiesca, D., Avelar-Garnica, F. J., Sanchez-Hurtado, L. A., Colin-Martínez, T., Espinosa-Poblano, E., Anda-Garay, J. C., González-Díaz, J. I., Segura-Santos, O. B., Vital-Arriaga, L. C., & Jáuregui-Renaud, K. (2020). Burnout, depersonalization, and anxiety contribute to posttraumatic stress in frontline health workers at COVID-19 patient care, a follow-up study. Brain and Behavior, 11, e02007. https://doi.org.10.1002/brb3.2007
Oliveira, A. R., Bezerra, T. C., Oliveira, T. H., Rezende, A. T., Figueiredo, C. V., & Costa, T. S. (2021). Síndrome de burnout e síndrome do impostor: Um estudo correlacional. Research Society and Development, 10(3), 1-8. http://dx.doi.org/10.33448/rsdv10i3.13344
Pais-Ribeiro, J., Silva, I., Ferreira, T., Martins, A., Meneses, R., & Baltar, M. (2007). Validation study of a Portuguese version of the hospital anxiety na depression scale, Psychology, Health & Medicine, 12(2), 225-237. https://doi.org.10.1080/13548500500524088
Paula, A. C., Carletto, A. G., Lopes, D., Ferreira, J. C., Tonini, N. S., & Trecossi, S. P. (2021). Reactions and feelings of health professionals in the care of hospitalized patients with suspected covid-19. Revista Gaúcha de Enfermagem, 42(spe), 1-7. https://doi.org/10.1590/1983-1447.2021.20200160
Pereira, A. M. (2002). Burnout: Quando o trabalho ameaça o bem-estar do trabalhador. Casa do Psicólogo. Shanafelt, T. (2020). Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. Jama Network, 323(21), 2133-2134. https://doi.org/10.1001/jama.2020.5893
Souza N. V., Carvalho E. C., Soares S. S., Varella T. C., Pereira S. E’., & Andrade K. B. (2020). Trabalho de enfermagem na pandemia da Covid-19 e repercussões para a saúde mental dos trabalhadores. Revista Gaúcha Enfermagem 42(spe), e20200225. https://doi.org/10.1590/1983-1447.2021.20200225
Surrati, A. M., Mansuri, F. M., & Alihabi, A. A. (2020). Psychological impact of the COVID-19 pandemic on health care workers. Journal of Taibah University Medical Sciences, 15(6), 536-543. https://doi.org/10.1016/j.jtumed.2020.10.005
Townsend, M. C. (2011). Enfermagem em saúde mental e psiquiátrica: Conceitos de cuidados na prática baseada na evidência (6ª ed.). Lusociência.
World Health Organization. (2020a). Severe acute respiratory infections treatment centre. https://www.who.int/publications/i/item/10665-331603
World Health Organization. (2020c). Coronavirus disease (COVID-19) outbreak: Rights, roles and responsibilities of health workers, including key considerations for occupational safety and health. https://www.who.int/docs/default-source/coronaviruse/who-rights-roles-respon-hw-covid-19.pdf?Sfvrsn=bcabd401_0
World Health Organization. (2020d). Coronavirus outbreak (COVID - 19): WHO update [video]. https://www.youtube.com/watch?v=Btlzrwl9Lcw
Xiang, Y. T., Yang, Y., Li, W., Zhang, L., Zhang, Q., Cheung, T., & Ng, C. (2020). Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. The Lancet Psychiatry, 7(3), 228-229. https://doi.org/10.1016/S2215-0366(20)30046-8
Zhang, Y., Wang, C., Pan, W., Zheng, J., Gao, J., Huang, X., Cai, S., Zhai, Y., Latour, J. M., & Zhu, C. (2020). Stress, burnout, and coping strategies of frontline nurses during the COVID-19 epidemic in Wuhan and Shanghai, China. Frontiers in Psychology, 11, 565520. https://doi.org/10.3389/fpsyt.2020.565520
