• Max Denning, Ee Teng Goh, Benjamin Tan, Abhiram Kanneganti, Melanie Almonte, Alasdair Scott, Guy Martin, Jonathan Clarke, Viknesh Sounderajah, Sheraz Markar, Jan Przybylowicz, Yiong Huak Chan, Ching-Hui Sia, Ying Xian Chua, Kang Sim, Lucas Lim, Lifeng Tan, Melanie Tan, Vijay Sharma, Shirley Ooi, Winter BeattyJasmineJ0000-0002-2145-6977Department of Surgery and Cancer, Imperial College London, London, United Kingdom., Kelsey Flott, Sam Mason, Swathikan Chidambaram, Seema Yalamanchili, Gabriela Zbikowska, Jaroslaw Fedorowski, Grazyna Dykowska, Mary Wells, Sanjay Purkayastha, and James Kinross.
• Department of Surgery and Cancer, Imperial College London, London, United Kingdom.
• Plos One. 2021 Jan 1; 16 (4): e0238666.

AbstractThe Covid-19 pandemic has placed unprecedented pressure on healthcare systems and workers around the world. Such pressures may impact on working conditions, psychological wellbeing and perception of safety. In spite of this, no study has assessed the relationship between safety attitudes and psychological outcomes. Moreover, only limited studies have examined the relationship between personal characteristics and psychological outcomes during Covid-19. From 22nd March 2020 to 18th June 2020, healthcare workers from the United Kingdom, Poland, and Singapore were invited to participate using a self-administered questionnaire comprising the Safety Attitudes Questionnaire (SAQ), Oldenburg Burnout Inventory (OLBI) and Hospital Anxiety and Depression Scale (HADS) to evaluate safety culture, burnout and anxiety/depression. Multivariate logistic regression was used to determine predictors of burnout, anxiety and depression. Of 3,537 healthcare workers who participated in the study, 2,364 (67%) screened positive for burnout, 701 (20%) for anxiety, and 389 (11%) for depression. Significant predictors of burnout included patient-facing roles: doctor (OR 2.10; 95% CI 1.49-2.95), nurse (OR 1.38; 95% CI 1.04-1.84), and 'other clinical' (OR 2.02; 95% CI 1.45-2.82); being redeployed (OR 1.27; 95% CI 1.02-1.58), bottom quartile SAQ score (OR 2.43; 95% CI 1.98-2.99), anxiety (OR 4.87; 95% CI 3.92-6.06) and depression (OR 4.06; 95% CI 3.04-5.42). Significant factors inversely correlated with burnout included being tested for SARS-CoV-2 (OR 0.64; 95% CI 0.51-0.82) and top quartile SAQ score (OR 0.30; 95% CI 0.22-0.40). Significant factors associated with anxiety and depression, included burnout, gender, safety attitudes and job role. Our findings demonstrate a significant burden of burnout, anxiety, and depression amongst healthcare workers. A strong association was seen between SARS-CoV-2 testing, safety attitudes, gender, job role, redeployment and psychological state. These findings highlight the importance of targeted support services for at risk groups and proactive SARS-CoV-2 testing of healthcare workers.

34 keywords...

hide…