en
Scientific article
Meta-analysis
Open access
English

No increase in burnout in health care workers during the initial COVID-19 outbreak: Systematic review and meta-analysis

Published inWorld journal of meta-analysis, vol. 10, no. 4, p. 206-219
Publication date2022-08-28
Abstract

BACKGROUND: For decades and before the coronavirus disease 2019 (COVID-19) pandemic, for health care workers (HCWs) burnout can be experienced as an upsetting confrontation with their self and the result of a complex a multifactorial process interacting with environmental and personal features.

AIM: To literature review and meta-analysis was to obtain a comprehensive understanding of burnout and work-related stress in health care workers around the world during the first outbreak of the COVID-19 pandemic.

METHODS: We performed a database search of Embase, Google Scholar and PubMed from June to October 2020. We analysed burnout risk factors and protective factors in included studies published in peer-reviewed journals as of January 2020, studying a HCW population during the first COVID-19 wave without any geographic restrictions. Furthermore, we performed a meta-analysis to determine overall burnout levels. We studied the main risk factors and protective factors related to burnout and stress at the individual, institutional and regional levels.

RESULTS: Forty-one studies were included in our final review sample. Most were cross-sectional, observational studies with data collection windows during the first wave of the COVID-19 surge. Of those forty-one, twelve studies were included in the meta-analysis. Of the 27907 health care professionals who participated in the reviewed studies, 70.4% were women, and two-thirds were either married or living together. The most represented age category was 31-45 years, at 41.5%. Approximately half of the sample comprised nurses (47.6%), and 44.4% were working in COVID-19 wards (intensive care unit, emergency room and dedicated internal medicine wards). Indeed, exposure to the virus was not a leading factor for burnout. Our meta-analytic estimate of burnout prevalence in the HCW population for a sample of 6784 individuals was 30.05%.

CONCLUSION: There was a significant prevalence of burnout in HCWs during the COVID-19 pandemic, and some of the associated risk factors could be targeted for intervention, both at the individual and organizational levels. Nevertheless, COVID-19 exposure was not a leading factor for burnout, as burnout levels were not notably higher than pre-COVID-19 levels.

eng
Keywords
  • Burnout
  • Initial COVID-19 outbreak
  • SARS-CoV-2 pandemic
  • Healthcare workers
  • Mental health services
  • Maslach burnout inventory
Citation (ISO format)
KIMPE, Vincent, SABE, Michel, SENTISSI EL IDRISSI, Othman. No increase in burnout in health care workers during the initial COVID-19 outbreak: Systematic review and meta-analysis. In: World journal of meta-analysis, 2022, vol. 10, n° 4, p. 206–219. doi: 10.13105/wjma.v10.i4.206
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Identifiers
ISSN of the journal2308-3840
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Technical informations

Creation08/26/2022 8:36:00 AM
First validation08/26/2022 8:36:00 AM
Update time03/16/2023 8:55:52 AM
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