Healthcare worker stress, anxiety and burnout during the COVID-19 pandemic in Singapore: A 6-month multi-centre prospective study
<h4>Aim</h4> The long-term stress, anxiety and job burnout experienced by healthcare workers (HCWs) are important to consider as the novel coronavirus disease (COVID-19) pandemic stresses healthcare systems globally. The primary objective was to examine the changes in the proportion of H...
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Public Library of Science (PLoS)
2021
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oai:doaj.org-article:cccd1ddb276943168fabf9528e7d01e42021-11-04T06:07:11ZHealthcare worker stress, anxiety and burnout during the COVID-19 pandemic in Singapore: A 6-month multi-centre prospective study1932-6203https://doaj.org/article/cccd1ddb276943168fabf9528e7d01e42021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8535445/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Aim</h4> The long-term stress, anxiety and job burnout experienced by healthcare workers (HCWs) are important to consider as the novel coronavirus disease (COVID-19) pandemic stresses healthcare systems globally. The primary objective was to examine the changes in the proportion of HCWs reporting stress, anxiety, and job burnout over six months during the peak of the pandemic in Singapore. The secondary objective was to examine the extent that objective job characteristics, HCW-perceived job factors, and HCW personal resources were associated with stress, anxiety, and job burnout. <h4>Method</h4> A sample of HCWs (doctors, nurses, allied health professionals, administrative and operations staff; N = 2744) was recruited via invitation to participate in an online survey from four tertiary hospitals. Data were gathered between March-August 2020, which included a 2-month lockdown period. HCWs completed monthly web-based self-reported assessments of stress (Perceived Stress Scale-4), anxiety (Generalized Anxiety Disorder-7), and job burnout (Physician Work Life Scale). <h4>Results</h4> The majority of the sample consisted of female HCWs (81%) and nurses (60%). Using random-intercept logistic regression models, elevated perceived stress, anxiety and job burnout were reported by 33%, 13%, and 24% of the overall sample at baseline respectively. The proportion of HCWs reporting stress and job burnout increased by approximately 1·0% and 1·2% respectively per month. Anxiety did not significantly increase. Working long hours was associated with higher odds, while teamwork and feeling appreciated at work were associated with lower odds, of stress, anxiety, and job burnout. <h4>Conclusions</h4> Perceived stress and job burnout showed a mild increase over six months, even after exiting the lockdown. Teamwork and feeling appreciated at work were protective and are targets for developing organizational interventions to mitigate expected poor outcomes among frontline HCWs.Irene TeoJunxing ChayYin Bun CheungSharon C. SungKomal G. TewaniLi Fang YeoGrace Meijuan YangFang Ting PanJin Ying NgFazila Abu Bakar AloweniHui Gek AngTracy Carol AyreCrystal Chai-LimRobert Chun ChenAi Ling HengGayathri Devi NadarajanMarcus Eng Hock OngBrian SeeChai Rick SohBoon Kiat Kenneth TanBien Soo TanKenny Xian Khing TayLimin WijayaHiang Khoon TanPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10 (2021) |
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DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
Medicine R Science Q |
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Medicine R Science Q Irene Teo Junxing Chay Yin Bun Cheung Sharon C. Sung Komal G. Tewani Li Fang Yeo Grace Meijuan Yang Fang Ting Pan Jin Ying Ng Fazila Abu Bakar Aloweni Hui Gek Ang Tracy Carol Ayre Crystal Chai-Lim Robert Chun Chen Ai Ling Heng Gayathri Devi Nadarajan Marcus Eng Hock Ong Brian See Chai Rick Soh Boon Kiat Kenneth Tan Bien Soo Tan Kenny Xian Khing Tay Limin Wijaya Hiang Khoon Tan Healthcare worker stress, anxiety and burnout during the COVID-19 pandemic in Singapore: A 6-month multi-centre prospective study |
| description |
<h4>Aim</h4> The long-term stress, anxiety and job burnout experienced by healthcare workers (HCWs) are important to consider as the novel coronavirus disease (COVID-19) pandemic stresses healthcare systems globally. The primary objective was to examine the changes in the proportion of HCWs reporting stress, anxiety, and job burnout over six months during the peak of the pandemic in Singapore. The secondary objective was to examine the extent that objective job characteristics, HCW-perceived job factors, and HCW personal resources were associated with stress, anxiety, and job burnout. <h4>Method</h4> A sample of HCWs (doctors, nurses, allied health professionals, administrative and operations staff; N = 2744) was recruited via invitation to participate in an online survey from four tertiary hospitals. Data were gathered between March-August 2020, which included a 2-month lockdown period. HCWs completed monthly web-based self-reported assessments of stress (Perceived Stress Scale-4), anxiety (Generalized Anxiety Disorder-7), and job burnout (Physician Work Life Scale). <h4>Results</h4> The majority of the sample consisted of female HCWs (81%) and nurses (60%). Using random-intercept logistic regression models, elevated perceived stress, anxiety and job burnout were reported by 33%, 13%, and 24% of the overall sample at baseline respectively. The proportion of HCWs reporting stress and job burnout increased by approximately 1·0% and 1·2% respectively per month. Anxiety did not significantly increase. Working long hours was associated with higher odds, while teamwork and feeling appreciated at work were associated with lower odds, of stress, anxiety, and job burnout. <h4>Conclusions</h4> Perceived stress and job burnout showed a mild increase over six months, even after exiting the lockdown. Teamwork and feeling appreciated at work were protective and are targets for developing organizational interventions to mitigate expected poor outcomes among frontline HCWs. |
| format |
article |
| author |
Irene Teo Junxing Chay Yin Bun Cheung Sharon C. Sung Komal G. Tewani Li Fang Yeo Grace Meijuan Yang Fang Ting Pan Jin Ying Ng Fazila Abu Bakar Aloweni Hui Gek Ang Tracy Carol Ayre Crystal Chai-Lim Robert Chun Chen Ai Ling Heng Gayathri Devi Nadarajan Marcus Eng Hock Ong Brian See Chai Rick Soh Boon Kiat Kenneth Tan Bien Soo Tan Kenny Xian Khing Tay Limin Wijaya Hiang Khoon Tan |
| author_facet |
Irene Teo Junxing Chay Yin Bun Cheung Sharon C. Sung Komal G. Tewani Li Fang Yeo Grace Meijuan Yang Fang Ting Pan Jin Ying Ng Fazila Abu Bakar Aloweni Hui Gek Ang Tracy Carol Ayre Crystal Chai-Lim Robert Chun Chen Ai Ling Heng Gayathri Devi Nadarajan Marcus Eng Hock Ong Brian See Chai Rick Soh Boon Kiat Kenneth Tan Bien Soo Tan Kenny Xian Khing Tay Limin Wijaya Hiang Khoon Tan |
| author_sort |
Irene Teo |
| title |
Healthcare worker stress, anxiety and burnout during the COVID-19 pandemic in Singapore: A 6-month multi-centre prospective study |
| title_short |
Healthcare worker stress, anxiety and burnout during the COVID-19 pandemic in Singapore: A 6-month multi-centre prospective study |
| title_full |
Healthcare worker stress, anxiety and burnout during the COVID-19 pandemic in Singapore: A 6-month multi-centre prospective study |
| title_fullStr |
Healthcare worker stress, anxiety and burnout during the COVID-19 pandemic in Singapore: A 6-month multi-centre prospective study |
| title_full_unstemmed |
Healthcare worker stress, anxiety and burnout during the COVID-19 pandemic in Singapore: A 6-month multi-centre prospective study |
| title_sort |
healthcare worker stress, anxiety and burnout during the covid-19 pandemic in singapore: a 6-month multi-centre prospective study |
| publisher |
Public Library of Science (PLoS) |
| publishDate |
2021 |
| url |
https://doaj.org/article/cccd1ddb276943168fabf9528e7d01e4 |
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