Most Read Articles
29 Jul 2020
Adjunctive perampanel appears to be safe and effective for long-term treatment of patients with tonic‐clonic seizures, according to a posthoc analysis.
11 Aug 2020
During the Allergic Rhinitis (AR) Boot Camp held in conjunction with the Bayer Pharmacist Congress 2020, Professor Dr Baharudin Abdullah discussed the management of AR in the primary care setting and the importance of using patient profiles to guide the choice of antihistamines.
Elaine Soliven, 5 days ago
Adding mepolizumab to standard of care treatment significantly reduces nasal polyp size and obstruction in adults with chronic rhinosinusitis with nasal polyps (CRSwNP), according to the SYNAPSE* study presented at ERS 2020.
Jairia Dela Cruz, 18 Feb 2020
Administering daily oral doses of adjunctive perampanel is safe and well tolerated in the treatment of young and older children with focal seizures or generalized tonic‐clonic seizures, in addition to yielding about 40–70 percent reduction in seizure frequency, according to data from the open-label 311 Core Study.

COVID-19 frontline healthcare workers at risk of burnout

Roshini Claire Anthony
24 Aug 2020

Frontline healthcare workers (HCWs) directly dealing with COVID-19 patients may be at risk of burnout, according to a single-centre study from Japan.

Between April 6 and 19, 2020, the researchers surveyed 312 HCWs (physicians, nurses, laboratory medical technologists [MTs], radiological technologists, and pharmacists; median age 30.5 years, 71.5 percent female) who were working in departments at St Luke’s International Hospital, Tokyo, Japan, which had direct contact with COVID-19 patients.

Burnout was assessed using the Japanese version of the 16-item Maslach Burnout Inventory–General Survey, which comprises the three major aspects of burnout – emotional exhaustion, cynicism or depersonalization, and professional efficacy. In this study, burnout was defined as a high level of exhaustion (>3.5) combined with either high cynicism (>3.5) or low professional efficacy (<2.5). Overall burnout prevalence was 31.4 percent.

The population was primarily composed of nurses (40.4 percent) followed by physicians (26.3 percent). They worked for a median 61 hours per week and had a median 3 days of contact per week with COVID-19 patients.

Compared with physicians, the prevalence of burnout was increased in all other HCWs (nurses: adjusted odds ratio [OR], 4.9, 95 percent confidence interval [CI], 2.2–11.2; p=0.001; laboratory MTs: OR, 6.1, 95 percent CI, 2.0–18.5; p=0.002; radiological technologists: OR, 16.4, 95 percent CI, 4.3–61.6; p=0.001; pharmacists: OR, 4.9, 95 percent CI, 1.3–19.2; p=0.02).

Increased prevalence of burnout was also noted among HCWs with fewer years of experience (OR, 0.93, 95 percent CI, 0.89–0.97; p=0.001) and those with anxiety due to unfamiliarity with personal protective equipment (OR, 2.8, 95 percent CI, 1.4–5.5; p=0.002).

Burnout prevalence was also elevated among those with less sleep compared with the prepandemic period (OR, 2.0, 95 percent CI, 1.1–3.6; p=0.03), as well as those who needed social support such as a reduced workload (OR, 3.6, 95 percent CI, 1.6–8.0; p=0.002) and expectations of appreciation or respect (OR, 2.2, 95 percent CI, 1.1–4.6; p=0.03).

The latter suggests that expression of appreciation by team leaders and peers “through positive messages of gratitude and support” is paramount, said the researchers.

They acknowledged that the single-centre study prevents the applicability of the findings to other institutions or countries. Prevalence of burnout prepandemic was also not assessed; as such, it was not possible to identify the change in prevalence.

Previous studies have noted the presence of burnout among HCWs on the frontline of the COVID-19 pandemic. [EClinicalMedicine 2020;24:100424; medRxiv 2020;doi:10.1101/2020.06.12.20129650]

“[T]he problem of burnout … overlaps with the symptoms of depression,” said the researchers of the present study. “Further studies focusing on both identification and interventions for frontline HCWs to prevent and reduce risk of burnout are needed,” they said.

 

Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Pharmacist - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
29 Jul 2020
Adjunctive perampanel appears to be safe and effective for long-term treatment of patients with tonic‐clonic seizures, according to a posthoc analysis.
11 Aug 2020
During the Allergic Rhinitis (AR) Boot Camp held in conjunction with the Bayer Pharmacist Congress 2020, Professor Dr Baharudin Abdullah discussed the management of AR in the primary care setting and the importance of using patient profiles to guide the choice of antihistamines.
Elaine Soliven, 5 days ago
Adding mepolizumab to standard of care treatment significantly reduces nasal polyp size and obstruction in adults with chronic rhinosinusitis with nasal polyps (CRSwNP), according to the SYNAPSE* study presented at ERS 2020.
Jairia Dela Cruz, 18 Feb 2020
Administering daily oral doses of adjunctive perampanel is safe and well tolerated in the treatment of young and older children with focal seizures or generalized tonic‐clonic seizures, in addition to yielding about 40–70 percent reduction in seizure frequency, according to data from the open-label 311 Core Study.