Management of burnout among the staff of primary care centres in Spain during the pandemic caused by the SARS-CoV-2

Abstract Background The provision of healthcare during the pandemic caused by the SARS-CoV-2 virus represented a challenge for the management of the resources in the primary care centres. We proposed assessing burnout among the staff of those centres and identifying factors that contributed to its a...

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Autores principales:	Isaac Aranda-Reneo, Azucena Pedraz-Marcos, Montserrat Pulido-Fuentes
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Burnout COVID-19 SARS-CoV-2 Primary care Workload Mental health Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/a42a7ff09f5f4f178d0bb4e222a475e5
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spelling	oai:doaj.org-article:a42a7ff09f5f4f178d0bb4e222a475e52021-11-08T11:15:52ZManagement of burnout among the staff of primary care centres in Spain during the pandemic caused by the SARS-CoV-210.1186/s12960-021-00679-91478-4491https://doaj.org/article/a42a7ff09f5f4f178d0bb4e222a475e52021-11-01T00:00:00Zhttps://doi.org/10.1186/s12960-021-00679-9https://doaj.org/toc/1478-4491Abstract Background The provision of healthcare during the pandemic caused by the SARS-CoV-2 virus represented a challenge for the management of the resources in the primary care centres. We proposed assessing burnout among the staff of those centres and identifying factors that contributed to its appearance and those that limited it. Methods An observational study which, by means of anonymous questionnaires, collected information about: (i) demographic variables; (ii) the characteristics of each position; (iii) the measures implemented by the medical decision-makers in order to provide care during the pandemic; and (iv) the Burnout Clinical Subtype Questionnaire (BCSQ-36). We performed a descriptive analysis of the burnout mentioned by the staff, and, by means of a multivariate analysis, we identified the factors which influenced it. Using logit models, we analysed whether receiving specific training in COVID-19, feeling involved in decision-making processes, and/or working within different healthcare systems had effects on the development of burnout. Results We analysed the replies of 252 employees of primary care centres in Spain with an average age of 45 (SD = 15.7) and 22 (SD = 11.4) years of experience. 68% of the participants (n = 173) indicated burnout of the frenetic subtype. 79% (n = 200) of the employees had high scores in at least one burnout subtype, and 62% (n = 156) in at least two. Women older than 45 had a lower probability of suffering burnout. Receiving specific training (OR = 0.28; CI95%: 0.11–0.73) and feeling involved in decision-making (OR = 0.32; CI95%:0.15–0.70) each reduced the probability of developing burnout. Working in a different department increased the likelihood of developing burnout of at least one clinical subtype (OR = 2.85; CI95%: 1.38–5.86). Conclusions The staff in primary care centres have developed high levels of burnout. Participation in decision-making and receiving specific training are revealed as factors that protect against the development of burnout. The measures taken to contain the adverse effects of a heavy workload appear to be insufficient. Certain factors that were not observed, but which are related to decisions taken by the healthcare management, appear to have had an effect on the development of some burnout subtypes.Isaac Aranda-ReneoAzucena Pedraz-MarcosMontserrat Pulido-FuentesBMCarticleBurnoutCOVID-19SARS-CoV-2Primary careWorkloadMental healthMedicine (General)R5-920Public aspects of medicineRA1-1270ENHuman Resources for Health, Vol 19, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Burnout COVID-19 SARS-CoV-2 Primary care Workload Mental health Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	Burnout COVID-19 SARS-CoV-2 Primary care Workload Mental health Medicine (General) R5-920 Public aspects of medicine RA1-1270 Isaac Aranda-Reneo Azucena Pedraz-Marcos Montserrat Pulido-Fuentes Management of burnout among the staff of primary care centres in Spain during the pandemic caused by the SARS-CoV-2
description	Abstract Background The provision of healthcare during the pandemic caused by the SARS-CoV-2 virus represented a challenge for the management of the resources in the primary care centres. We proposed assessing burnout among the staff of those centres and identifying factors that contributed to its appearance and those that limited it. Methods An observational study which, by means of anonymous questionnaires, collected information about: (i) demographic variables; (ii) the characteristics of each position; (iii) the measures implemented by the medical decision-makers in order to provide care during the pandemic; and (iv) the Burnout Clinical Subtype Questionnaire (BCSQ-36). We performed a descriptive analysis of the burnout mentioned by the staff, and, by means of a multivariate analysis, we identified the factors which influenced it. Using logit models, we analysed whether receiving specific training in COVID-19, feeling involved in decision-making processes, and/or working within different healthcare systems had effects on the development of burnout. Results We analysed the replies of 252 employees of primary care centres in Spain with an average age of 45 (SD = 15.7) and 22 (SD = 11.4) years of experience. 68% of the participants (n = 173) indicated burnout of the frenetic subtype. 79% (n = 200) of the employees had high scores in at least one burnout subtype, and 62% (n = 156) in at least two. Women older than 45 had a lower probability of suffering burnout. Receiving specific training (OR = 0.28; CI95%: 0.11–0.73) and feeling involved in decision-making (OR = 0.32; CI95%:0.15–0.70) each reduced the probability of developing burnout. Working in a different department increased the likelihood of developing burnout of at least one clinical subtype (OR = 2.85; CI95%: 1.38–5.86). Conclusions The staff in primary care centres have developed high levels of burnout. Participation in decision-making and receiving specific training are revealed as factors that protect against the development of burnout. The measures taken to contain the adverse effects of a heavy workload appear to be insufficient. Certain factors that were not observed, but which are related to decisions taken by the healthcare management, appear to have had an effect on the development of some burnout subtypes.
format	article
author	Isaac Aranda-Reneo Azucena Pedraz-Marcos Montserrat Pulido-Fuentes
author_facet	Isaac Aranda-Reneo Azucena Pedraz-Marcos Montserrat Pulido-Fuentes
author_sort	Isaac Aranda-Reneo
title	Management of burnout among the staff of primary care centres in Spain during the pandemic caused by the SARS-CoV-2
title_short	Management of burnout among the staff of primary care centres in Spain during the pandemic caused by the SARS-CoV-2
title_full	Management of burnout among the staff of primary care centres in Spain during the pandemic caused by the SARS-CoV-2
title_fullStr	Management of burnout among the staff of primary care centres in Spain during the pandemic caused by the SARS-CoV-2
title_full_unstemmed	Management of burnout among the staff of primary care centres in Spain during the pandemic caused by the SARS-CoV-2
title_sort	management of burnout among the staff of primary care centres in spain during the pandemic caused by the sars-cov-2
publisher	BMC
publishDate	2021
url	https://doaj.org/article/a42a7ff09f5f4f178d0bb4e222a475e5
work_keys_str_mv	AT isaacarandareneo managementofburnoutamongthestaffofprimarycarecentresinspainduringthepandemiccausedbythesarscov2 AT azucenapedrazmarcos managementofburnoutamongthestaffofprimarycarecentresinspainduringthepandemiccausedbythesarscov2 AT montserratpulidofuentes managementofburnoutamongthestaffofprimarycarecentresinspainduringthepandemiccausedbythesarscov2
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Management of burnout among the staff of primary care centres in Spain during the pandemic caused by the SARS-CoV-2

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