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Deprecated: Implicit conversion from float 300.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Gen+Hosp+Psychiatry 2021 ; 71 (ä): 88-94 Nephropedia Template TP
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Psychological impact of the COVID-19 pandemic on hospital workers over time: Relationship to occupational role, living with children and elders, and modifiable factors #MMPMID33971518
Maunder RG; Heeney ND; Kiss A; Hunter JJ; Jeffs LP; Ginty L; Johnstone J; Loftus CA; Wiesenfeld LA
Gen Hosp Psychiatry 2021[Jul]; 71 (ä): 88-94 PMID33971518show ga
OBJECTIVE: The COVID-19 pandemic is expected to have a sustained psychological impact on healthcare workers. We assessed individual characteristics related to changes in emotional exhaustion and psychological distress over time. METHODS: A survey of diverse hospital staff measured emotional exhaustion (Maslach Burnout Inventory) and psychological distress (K6) in Fall 2020 (T(1)) and Winter 2021 (T(2)). Relationships between occupational, personal, and psychological variables were assessed using repeated measures ANOVA. RESULTS: Of 539 T(1) participants, 484 (89.9%) completed T(2). Emotional exhaustion differed by occupational role (F = 7.3, p < .001; greatest in nurses), with increases over time in those with children (F = 8.5, p = .004) or elders (F = 4.0, p = .047). Psychological distress was inversely related to pandemic self-efficacy (F = 110.0, p < .001), with increases over time in those with children (F = 7.0, p = .008). Severe emotional exhaustion occurred in 41.1% (95%CI 36.6-45.4) at T(1) and 49.8% (95%CI 45.4-54.2) at T(2) (McNemar test p < .001). Psychological distress occurred in 9.7% (95%CI 7.1-12.2) at T(1) and 11.6% (95%CI 8.8-14.4) at T(2) (McNemar test p = .33). CONCLUSIONS: Healthcare workers' psychological burden is high and rising as the pandemic persists. Ongoing support is warranted, especially for nurses and those with children and elders at home. Modifiable protective factors, restorative sleep and self-efficacy, merit special attention.