Prevalence of Burnout in Healthcare Workers of Tertiary-Care Hospitals during the COVID-19 Pandemic: A Cross-Sectional Survey from Two Central European Countries

Int J Environ Res Public Health. 2023 Feb 20;20(4):3720. doi: 10.3390/ijerph20043720.

Abstract

COVID-19 has led to an unprecedented strain on healthcare workers (HCWs). This study aimed to determine the prevalence of burnout in hospital employees during a prolonged pandemic-induced burden on healthcare systems. An online survey among employees of a Czech and Slovak university hospital was conducted between November 2021 and January 2022, approximately when the incidence rates peaked in both countries. The Maslach Burnout Inventory-Human Services Survey was applied. We obtained 807 completed questionnaires (75.1% from Czech employees, 91.2% from HCWs, 76.2% from women; mean age of 42.1 ± 11 years). Burnout in emotional exhaustion (EE) was found in 53.2%, depersonalization (DP) in 33%, and personal accomplishment (PA) in 47.8% of respondents. In total, 148 (18.3%) participants showed burnout in all dimensions, 184 (22.8%) in two, and 269 (33.3%) in at least one dimension. Burnout in EE and DP (65% and 43.7%) prevailed in physicians compared to other HCWs (48.6% and 28.8%). Respondents from COVID-19-dedicated units achieved burnout in the EE and DP dimensions with higher rates than non-frontline HCWs (58.1% and 40.9% vs. 49.9% and 27.7%). Almost two years of the previous overloading of healthcare services, caused by the COVID-19 pandemic, resulted in the relatively high prevalence of burnout in HCWs, especially in physicians and frontline HCWs.

Keywords: COVID-19; burnout; depersonalization; emotional exhaustion; healthcare worker; pandemic; personal accomplishment.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Burnout, Professional* / epidemiology
  • COVID-19* / epidemiology
  • Cross-Sectional Studies
  • Female
  • Humans
  • Middle Aged
  • Pandemics
  • Personnel, Hospital
  • Prevalence
  • Surveys and Questionnaires
  • Tertiary Care Centers

Grants and funding

The study was supported by the Palacký University Olomouc Fund (IGA_LF_UP_2022_005; RVO 61989592), the Ministry of Health of the Czech Republic (grant number NU22-A-105; conceptual development of research organization [FNOl, 0098892]), and the Integrated Infrastructure Operational Program for the project: new possibilities for the management of serious diseases in medical and preventive care with regard to the safety of health professionals, ITMS: 313011AUA5, co-financed by the European Regional Development Fund. A license to reproduce the Czech version of MBI in the corresponding number has been purchased.