Features of stress perception and emotional burnout among employees of medical institutions during the COVID-19 pandemic

Cover Page

Cite item

Full Text

Abstract

Introduction. During the COVID-19 pandemic, the most affected group of the population were medical workers who had higher risks of infection, illness and psycho-emotional destabilization.

The aim of the study is to assess the peculiarities of perception and response to stressful factors in the conditions of the COVID–19 pandemic of medical institutions’ employees and the degree of their emotional burnout.

Materials and methods. The study was conducted in two consecutive stages by means of an online survey using questionnaires specially developed on the Google platform. At the initial stage, during the “second wave” of the pandemic (November–December 2020), using the “Perceived stress Scale-10”, the peculiarities of perception and response to stress of medical institution employees were analyzed. At the second stage, in the “third wave” of the pandemic (June-July 2021), according to a special questionnaire by K. Maslach and S. Jackson, an assessment of staff burnout was carried out. The criterion for inclusion in the study is the status of an employee of a medical institution; the exclusion criterion is the absence of the fact of work in a medical institution.

Results. A significant variability of overstrain indicators in the stress perception subscale was revealed, with a greater representation of “low” values. Analysis of the parameters on the stress counteraction subscale showed their homogeneity and greater severity of “high” indicators. A high degree of emotional burnout of employees has been established. Risk groups for the formation of emotional burnout syndrome were employees of non-medical specialties, females, with work experience of up to 5 years.

Limitations. Only employees of medical organizations participated in the online survey.

Conclusion. As a result of the study, data were obtained on the psycho-emotional state of medical workers during the COVID-19 pandemic, potential risk groups for the formation of emotional burnout syndrome were identified, requiring primarily professional psychological assistance and support.

Compliance with ethical standards. Each stage of the study was approved at a meeting of the Local Ethics Committee of UMMC-Health LLC (Protocols No. 2e of 29.10.2020 and No. 5e of 03.06.2021). Participation in the survey was voluntary. Each employee independently made a decision on consent to participate in the study and, in case of a positive decision, filled out an online questionnaire.

Contribution of the authors:
Platonova T.A. — research concept and design, material collection and processing, statistical processing, writing the text;
Golubkova A.A. — research concept and design, editing;
Sklyar M.S. — research concept and design, material collection and processing;
Shakhova K.V. — material collection and processing, writing the text;
Smirnova S.S. — material collection and processing, editing.
All authors are responsible for the integrity of all parts of the manuscript and approval of its final version.

Acknowledgment. The study had no sponsorship.

Conflict of interest. The authors declare no conflict of interest.

Received: June 30, 2022 /  Accepted: September 14, 2022 / Published: February 26, 2024

About the authors

Tatiana A. Platonova

European medical center “UMMC-Health”; Ural state medical University

Author for correspondence.
Email: fill.1990@inbox.ru
ORCID iD: 0000-0001-5441-854X

MD, PhD, head of the epidemiological department — epidemiologist of the European medical center “UMMC-Health”, Yekaterinburg, 620144; assistant of the Department of epidemiology, social hygiene and organization of the state sanitary and epidemiological service of the Ural State Medical University, Yekaterinburg, 620028 Russian Federation

e-mail: fill.1990@inbox.ru

Russian Federation

Alla A. Golubkova

Central research Institute of epidemiology; Russian Medical Academy of Continuing Professional Education

Email: allagolubkova@yandex.ru
ORCID iD: 0000-0003-4812-2165

MD, PhD, DSci., Professor, leading researcher of the Laboratory of infections associated with the provision of medical care of the Central research Institute of epidemiology, Moscow, 111123; Professor of the Department of Epidemiology of the Russian Medical Academy of Continuing Professional Education, Moscow, 125993, Russian Federation

e-mail: allagolubkova@yandex.ru

Russian Federation

Mikhail S. Sklyar

European medical center “UMMC-Health”

Email: info@ugmk-clinic.ru
ORCID iD: 0000-0003-1692-522X

MD, PhD, DSci., General Director of the European medical center «UMMC-Health», Yekaterinburg, 620144, Russian Federation

e-mail: info@ugmk-clinic.ru

Russian Federation

Kira V. Shakhova

European medical center “UMMC-Health”

Email: LytovaKV@ugmk-clinic.ru
ORCID iD: 0000-0001-7929-8599

HR Director of the European medical center «UMMC-Health», Yekaterinburg, 620144, Russian Federation

e-mail: LytovaKV@ugmk-clinic.ru

Russian Federation

Svetlana S. Smirnova

Ural state medical University; Federal Scientific Research Institute of Viral Infections “Virom”

Email: smirnova_ss69@mail.ru
ORCID iD: 0000-0002-9749-4611

MD, PhD, leading researcher, head of the Ural-Siberian Scientific and Methodological Center for the Prevention of Infections Associated with the Provision of Medical Assistance, «Virome», Ekaterinburg, 620030; associate Professor of the Department of epidemiology, social hygiene and organization of the state sanitary and epidemiological service of the Ural State Medical University, Yekaterinburg, 620028, Russian Federation

e-mail: smirnova_ss69@mail.ru

Russian Federation

References

  1. Briko N.I., Kagramanyan I.N., Nikiforov V.V., Suranova T.G., Chernyavskaya O.P., Polezhaeva N.A. Pandemic COVID-19. Prevention measures in the Russian Federation. Epidemiologiya i vaktsinoprofilaktika. 2020; 19(2): 4–12. https://doi.org/10.31631/2073-3046-2020-l9-2-4-12 https://elibrary.ru/ruwkxq (in Russian)
  2. Akimkin V.G., Kuzin S.N., Semenenko T.A., Shipulina O.Yu., Yatsyshina S.B., Tivanova E.V., et al. Patterns of the SARS-CoV-2 epidemic spread in a megacity. Voprosy virusologii. 2020; 65(4): 203–11. https://doi.org/10.36233/0507-4088-2020-65-4-203-211 https://elibrary.ru/fxkaqf (in Russian)
  3. Coronavirus. Online map of coronavirus infection. Statistics. Available at: https://coronavirus-monitor.info/ (in Russian)
  4. Hunter E., Price D.A., Murphy E., van der Loeff I.S., Baker K.F., Lendrem D., et al. First experience of COVID-19 screening of health-care workers in England. Lancet. 2020; 395(10234): e77–e78. https://doi.org/10.1016/S0140-6736(20)30970-3
  5. Chou R., Dana T., Buckley D.I., Selph S., Fu R., Totten A.M. Epidemiology of and risk factors for coronavirus infection in health care workers: a living rapid review. Ann. Intern. Med. 2020; 173(2): 120–36. https://doi.org/10.7326/M20-1632
  6. El-Hage W., Hingray C., Lemogne C., Yrondi A., Brunault P., Bienvenu T., et al. Health professionals facing the coronavirus disease 2019 (COVID-19) pandemic: What are the mental health risks? Encephale. 2020; 46(3S): S73–S80. https://doi.org/10.1016/j.encep.2020.04.008
  7. Tsaranov K.N., Zhil’tsov V.A., Klimova E.M., Tarbastaev A.G. Perceptions of personal safety hazards in the context of the COVID-19 pandemic by USA and Russian medical staff. Vestnik Moskovskogo gosudarstvennogo oblastnogo universiteta. 2020; (2): 236–47. https://doi.org/10.18384/2224-0209-2020-2-1008 https://elibrary.ru/dpmqnq (in Russian)
  8. Petrikov S.S., Kholmogorova A.B., Suroegina A.Yu., Mikita O.Yu., Roy A.P., Rakhmanina A.A. Professional burnout, symptoms of emotional disorders and distress among healthcare professionals during the COVID-19 epidemic. Konsul’tativnaya psikhologiya i psikhoterapiya. 2020; 28(2): 8–45. https://doi.org/10.17759/cpp.2020280202 https://elibrary.ru/nilffr (in Russian)
  9. Kholmogorova A.B., Petrikov S.S., Suroegina A.Yu., Mikita O.Yu., Roy A.P., Rakhmanina A.A. Burnout and its factors in healthcare workers involved in providing health care for patients with COVID-19 at different stages of the pandemic. Neotlozhnaya meditsinskaya pomoshch’. Zhurnal im. N.V. Sklifosovskogo. 2020; 9(3): 321–37. https://doi.org/10.23934/2223-9022-2020-9-3-321-337 https://elibrary.ru/ienscl (in Russian)
  10. Poznyak V.P., ed. Lexicons of Psychiatry of the World Health Organization [Leksikony psikhiatrii Vsemirnoy Organizatsii Zdravookhraneniya]. Kiev: Sferа; 2001. (in Russian)
  11. Ababkov V.A., Baryshnikova K., Vorontsova-Venger O.V., Gorbunov I.A., Kapranova S.V., Pologaeva E.A., et al. Validation of the Russian version of the questionnaire “Scale of perceived stress – 10”. Vestnik Sankt-Peterburgskogo universiteta. Seriya 16. Psikhologiya. Pedagogika. 2016; (2): 6–15. https://doi.org/10.21638/11701/spbu16.2016.202 https://elibrary.ru/ualwvl (in Russian)
  12. Cohen S., Kamarck T., Mermelstein R. A global measure of perceived stress. J. Health Soc. Behav. 1983; 24(4): 385–96.
  13. Maslach С., Jackson S.E. The measurement of experienced burnout. J. Org. Behav. 1981; 2(2): 99–113. https://doi.org/10.1002/job.4030020205
  14. Vodop’yanova N.E., Starchenkova E.S. Burnout Syndrome: Diagnosis and Prevention [Sindrom vygoraniya: diagnostika i profilaktika]. St. Petersburg: Piter; 2007. (in Russian)
  15. Lozinskaya E.I., Lutova N.B., Vid V.D. System Index of Burnout Syndrome (Based on the MMPI test). Methodological Recommendations [Sistemnyy indeks sindroma peregoraniya (na osnove testa MBI). Metodicheskie rekomendatsii]. St. Petersburg; 2007. https://elibrary.ru/ywrtih (in Russian)
  16. Lu W., Wang H., Lin Y., Li L. Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study. Psychiatry Res. 2020; 288: 112936. https://doi.org/10.1016/j.psychres.2020.112936
  17. Shen X., Zou X., Zhong X., Yan J., Li L. Psychological stress of ICU nurses in the time of COVID-19. Crit. Care. 2020; 24(1): 200. https://doi.org/10.1186/s13054-020-02926-2
  18. Atreya A., Nepal S., Menezes R.G., Shurjeel Q., Qazi S., Ram M.D., et al. Assessment of fear, anxiety, obsession and functional impairment due to COVID-19 amongst health-care workers and trainees: A cross-sectional study in Nepal. F1000Res. 2022; 11: 119. https://doi.org/10.12688/f1000research.76032.2
  19. Sharma G., Sharma P., Mohan B., Agarwal A., Lama S., Jat M., et al. Prevalence of psychological outcomes and its associated factors in healthcare personnel working during COVID-19 outbreak in India. Indian J. Psychiatry. 2022; 64(2): 151–8. https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_60_21
  20. Sultanova I.V., Klenikova K.A. Stress resistance of medical personnel during the pandemic period. Problemy sovremennogo pedagogicheskogo obrazovaniya. 2021; (72-1): 404–7. https://elibrary.ru/sucliz (in Russian)
  21. Doronina T.V., Okulova A.E., Artsishevskaya E.V. Perceived stress and coping strategies of healthcare workers in the context of the COVID-19 pandemic. Klinicheskaya i spetsial’naya psikhologiya. 2021; 10(3): 64–83. https://doi.org/10.17759/cpse.2021100305 https://elibrary.ru/xdjezq (in Russian)
  22. Shanafelt T., Ripp J., Trockel M. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. JAMA. 2020; 323(21): 2133–4. https://doi.org/10.1001/jama.2020.5893.
  23. Chen Q., Liang M., Li Y., Guo J., Fei D., Wang L., et al. Mental health care for medical staff in China during the COVID-19 outbreak. Lancet Psychiatry. 2020; 7(4): e15–6. https://doi.org/10.1016/S2215-0366(20)30078-X
  24. Blake H., Bermingham F., Johnson G., Tabner A. Mitigating the psychological impact of COVID-19 on healthcare workers: a digital learning package. Int. J. Environ. Res. Public Health. 2020; 17(9): 2997. https://doi.org/10.3390/ijerph17092997
  25. Li W., Yuan Y., Liu Z.H., Zhao Y.J., Zhang Q., Zhang L., et al. Progression of mental health services during the COVID-19 outbreak in China. Int. J. Biol. Sci. 2020; 16(10): 1732–8. https://doi.org/10.7150/ijbs.45120

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2024 Platonova T.A., Golubkova A.A., Sklyar M.S., Shakhova K.V., Smirnova S.S.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ:  ПИ № ФС77-50668 от 13.07.2012 г.