IMPLEMENTATION OF NATIONAL INSTITUTE OF HEALTH GUIDELINES AND OTHER FACTORS CONTRIBUTING TO WORK-RELATED BURNOUT IN COVID ISOLATION WARD AND ICU PHYSICIANS

Authors

  • Mulazim Hussain Infectious Disease Unit, Children Hospital PIMS Islamabad
  • Muhammad Bin Amjad Islamabad Medical and Dental College, Islamabad-Pakistan
  • Juniad Ahsan Islamabad Medical and Dental College, Islamabad-Pakistan
  • Shayan Omer Minhas Islamabad Medical and Dental College, Islamabad-Pakistan

Keywords:

COVID-19; Pandemic; Health Planning guidelines; Physicians; Burnout; National Institute of Health

Abstract

Background: During the pandemic, disruption of work schedule and constant health risks causes physician burnout. This study aims to identify Burnout in physicians working in COVID ICU and isolation Ward. Methods: A cross-sectional study was conducted on 200 physicians who had worked in either COVID ICU or Isolation ward. A survey of 23 questions was designed to assess the work-related Burnout using the Copenhagen burnout inventory and the implementation of NIH guidelines. Result: Among the 200 physicians, 151 (75.5%) were well informed of the guidelines, of which 52 (34.4%) participants believed the guidelines were not sufficient. These 34.4% of individuals showed a mean burnout score of 70.05% (p-value 0.001). Medical registrars and Medical Officers suffered the highest burnout mean percentage score of 76% and 72.42%, respectively. 89 (44.5%) individuals arranged PPE suits on their own and suffered a burnout score of 71.3% ±14.35 (p-value <0.001).  Seventy-two (36%) claimed their administration was not cooperative in resolve safety issues. These individuals showed a mean burnout score of 74.3% ±13.82 (p-value <0.001). Conclusion: Lack of physician’s faith in the adequacy of the NIH guidelines has been found to be a significant factor in contributing to work-related Burnout. Due to the shortage of PPE, a majority of physicians have to reuse their PPE multiple times and even have to personally arrange their PPE suits, which further compounds the burnout. Increase administrative cooperation in resolving issues related to safety measures should help elevate work-related burnout in physicians working in the ICU and isolation ward.

Author Biography

Mulazim Hussain, Infectious Disease Unit, Children Hospital PIMS Islamabad

Assistant Professor Pediatrics

References

Yin Y, Wunderink RG. MERS, SARS and other coronaviruses as causes of pneumonia. Respirology 2018;23(2):130–7.

Cascella M, Rajnik M, Cuomo A, Dulebohn SC, Di Napoli R. Features, Evaluation and Treatment Coronavirus (COVID-19) [Internet]. StatPearls. StatPearls Publishing; 2020 [cited 2020 Jul 26]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/32150360

Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020;395(10223):497–506.

Xu Z, Shi L, Wang Y, Zhang J, Huang L, Zhang C, et al. Pathological findings of COVID-19 associated with acute respiratory distress syndrome. Lancet Respir Med 2020;8(4):420–2.

Wu JT, Leung K, Leung GM. Nowcasting and forecasting the potential domestic and international spread of the 2019-nCoV outbreak originating in Wuhan, China: a modelling study. Lancet 2020;395(10225):689–97.

Li Q, Guan X, Wu P, Wang X, Zhou L, Tong Y, et al. Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia N Engl J Med 2020;382(13):1199–207.

Pakistan Coronavirus: 271,887 Cases and 5,787 Deaths - Worldometer [Internet]. [cited 2020 July 26]. Available from: https://www.worldometers.info/coronavirus/country/pakistan/

covid.gov.pk [Internet]. [cited 2020 July 26]. Available from: http://covid.gov.pk/new_guidelines/01June2020_20200509-Guidance_on_selection_and_use_of_PPE.pdf

Xiang YT, Jin Y, Wang Y, Zhang Q, Zhang L, Cheung T. Tribute to health workers in China: A group of respectable population during the outbreak of the COVID-19. Int J Biol Sci 2020;16(10):1739–40.

Wang J, Zhou M, Liu F. Reasons for healthcare workers becoming infected with novel coronavirus disease 2019 (COVID-19) in China. 2020;105(1):100–1.

Ran L, Chen X, Wang Y, Wu W, Zhang L, Tan X. Risk Factors of Healthcare Workers with Corona Virus Disease 2019: A Retrospective Cohort Study in a Designated Hospital of Wuhan in China. Clin Infect Dis 2020;71(16):2218–21.

Bauchner H, Fontanarosa PB, Livingston EH. Conserving supply of personal protective equipment - A call for ideas. JAMA 2020;323(19):1911.

Mumu SB, Aktar MN, Nahar Z, Sharmin S, Mostaid MS. Medical Doctors Awareness, Perception, and Attitude towards COVID-19 in Bangladesh: A Cross sectional study [Internet]. Public and Global Health; 2020 May [cited 2020 Sep 4]. Available from: http://medrxiv.org/lookup/doi/10.1101/2020.05.14.20101659

Kristensen TS, Borritz M, Villadsen E, Christensen KB. The Copenhagen Burnout Inventory: A new tool for the assessment of burnout. Work Stress 2005;19(3):192–207.

Ayanian JZ. Mental Health Needs of Health Care Workers Providing Frontline COVID-19 Care. JAMA Health Forum 2020;1(4):e200397.

West CP, Dyrbye LN, Shanafelt TD. Physician burnout: contributors, consequences and solutions. J Intern Med 2018;283(6):516–29.

Galbraith N, Boyda D, McFeeters D, Hassan T. The mental health of doctors during the COVID-19 pandemic. BJPsych Bull 2020;1–4.

Talaee N, Varahram M, Jamaati H, Salimi A, Attarchi M, Kazempour dizaji M, et al. Stress and burnout in health care workers during COVID-19 pandemic: validation of a questionnaire. J Public Heal 2020;6:1–6.

Kannampallil TG, Goss CW, Evanoff BA, Strickland JR, McAlister RP, Duncan J. Exposure to COVID-19 patients increases physician trainee stress and burnout. Murakami M, editor. PLoS One 2020;15(8):e0237301.

Barello S, Palamenghi L, Graffigna G. Burnout and somatic symptoms among frontline healthcare professionals at the peak of the Italian COVID-19 pandemic. Psychiatry Res 2020;290:113129.

Osama M, Zaheer F, Saeed H, Anees K, Jawed Q, Syed SH, et al. Impact of COVID-19 on surgical residency programs in Pakistan; A residents’ perspective. Do programs need formal restructuring to adjust with the “new normal”? A cross-sectional survey study. Int J Surg 2020;79:252–6.

Aziminia N, Khani A, Smith C, Bakhai A, Lisk C. Hospital Trainees’ Worries, Perceived Sufficiency of Information and Reported Psychological Health During The COVID-19 Pandemic [Internet]. Health Systems and Quality Improvement; 2020 Jul [cited 2020 Sep 4]. Available from: http://medrxiv.org/lookup/doi/10.1101/2020.07.22.20158311

Bhattacharya S, Hossain MM, Singh A. Addressing the shortage of personal protective equipment during the COVID-19 pandemic in India-A public health perspective. AIMS Public Health 2020;7(2):223–7.

Evans HL, Shaffer MM, Hughes MG, Smith RL, Chong TW, Raymond DP, et al. Contact isolation in surgical patients: A barrier to care? Surgery 2003;134(2):180–8.

Saint S, Higgins LA, Nallamothu BK, Chenoweth C. Do physicians examine patients in contact isolation less frequently? A brief report. Am J Infect Control 2003;31(6):354–6.

Published

2021-04-23

Issue

Vol. 33 No. 2 (2021): Journal of Ayub Medical College Abbottabad

Section

ORIGINAL ARTICLE

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