American Journal of Public Health Research
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American Journal of Public Health Research. 2021, 9(1), 18-27
DOI: 10.12691/ajphr-9-1-3
Open AccessArticle

Prevalence and Risk Factors of Burnout among Healthcare Professionals during COVID-19 Pandemic - Saudi Arabia

Khalid H. Alanazi1, Ghada M. bin Saleh1, Sulaiman M. AlEidi2, Muteb A. AlHarbi3 and Hanan M. Hathout1, 4,

1General Directorate of Infection Prevention& Control-Ministry of Health-Saudi Arabia

2General Directorate of Occupational Health, Ministry of Health-Saudi Arabia

3King Faisal Specialist hospital and Research Center -Medina Al Munawara- Saudi Arabia

4Public Health & Community Medicine Department, Faculty of Medicine, Menoufia University, Egypt

Pub. Date: December 14, 2020

Cite this paper:
Khalid H. Alanazi, Ghada M. bin Saleh, Sulaiman M. AlEidi, Muteb A. AlHarbi and Hanan M. Hathout. Prevalence and Risk Factors of Burnout among Healthcare Professionals during COVID-19 Pandemic - Saudi Arabia. American Journal of Public Health Research. 2021; 9(1):18-27. doi: 10.12691/ajphr-9-1-3

Abstract

Objective: study the impact of COVID-19 pandemic on the prevalence of burnout and the associated factors among health care workers in Saudi Arabia. Methodology: This study targeted all categories of health care workers (HCWs) in Saudi Arabia. The data were collected through an online questionnaire that included: sociodemographic data, medical history, smoking history, work characteristics, direct care of infected patients, questions of Maslach Burnout inventory (MBI) to assess burnout among health care workers that assess the Emotional Exhaustion (EE), Depersonalization (DP), and Personal Achievement (PA). The collected data was analyzed through SPSS program version 25. Results: The total number of the participants in this study was 3,557. The results showed that 38.5% of the participants scored high for EE, 31.2% for DP, and 33.6% for PA. On analysis, being younger than the age of 40 years, female, or Saudi nationality tended to be associated with increased all burnout parameters. Shift work, on call duties, changing working hours, direct involvement in management of COVID-19 patients were associated with high burnout scores. Conclusion: High burnout is common among healthcare workers in Saudi Arabia during COVID-19 pandemic due to direct contact with infected cases and changes in the working patterns during the pandemic, etc. These factors should be discussed to find solutions to relieve the health care workers from excess stress and burnout.

Keywords:
burnout COVID-19 health care workers (HCWs) Maslach Burnout inventory (MBI) Saudi Arabia

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Embriaco N, Papazian L, Kentish-Barnes N, Pochard F, Azoulay E, “Burnout syndrome among critical care healthcare workers”, Curr Opin Crit Care, 13(5). 427-434. October 2007.
 
[2]  Rojas BM, Grisales RH” Burnout syndrome in professor from academic unit of a Colombian University”, Invest Educ Enferm, 29(3). 427-434. December 2011.
 
[3]  Elshaer NSM, Moustafa MSA, Aiad MW, Ramadan MIE,” Job stress and burnout syndrome among critical care healthcare workers”. Alexandria Journal of Medicine, 54(3). 273-277. July 2017.
 
[4]  Sami Abdo Radman AL-Dubai and Krishna Gopal Rampal,” Prevalence and Associated Factors of Burnout among Doctors in Yemen”, Journal of Occupational Health, 52(1). 58-65. 15 February 2010.
 
[5]  Singhal T., “A Review of Coronavirus Disease-2019 (COVID-19)”, Indian J Pediatr. 87(4). 281-286. March 2020.
 
[6]  Abdullah A. Algaissi, Naif Khalaf Alharbic, Mazen Hassanaine, Anwar M. Hashemf,” Preparedness and response to COVID-19 in Saudi Arabia: Building on MERS experience”, Journal of Infection and Public Health, 13 (6). 834-838. June 2020.
 
[7]  Alsofyani MA, Malaekah HM, Bashawyah A, Bawazeer M, Akkour K, Alsalmi S, et al,” Safety measures for COVID-19: a review of surgical preparedness at four major medical centers in Saudi Arabia”, Patient Safety in surgery,14(34). 1-14. 05 September 2020.
 
[8]  Al-Hanawi, M. K., Khan, S. A., & Al-Borie, H. M,” Healthcare human resource development in Saudi Arabia: emerging challenges and opportunities-a critical review”, Public health reviews, 40(1). 27. February 2019.
 
[9]  Maslach C, Jackson SE, Leiter MP, MBI Manual, 3rd ed. Palo Alto (CA): Consulting Psychologists Pres, 1996, 192-8.
 
[10]  Panagioti M, Geraghty K, Johnson J, Zhou A, Panagopoulou E, Chew-Graham C, et al.,” Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction”, JAMA Intern Med ,78(10). 1317-1331. 4 Sep. 2018.
 
[11]  Deemah A. AlAteeqa, Sumayah Aljhani, Ibrahim Althiyabi, Safaa Majzoub,” Mental health among healthcare providers during coronavirus disease (COVID-19) outbreak in Saudi Arabia”, Journal of Infection and Public Health (13).1432-1437. September 2020.
 
[12]  Alzaid EH, Alsaad SS, Alshakhis N, Albagshi D, Albesher R, Aloqaili M,” Prevalence of COVID-19-related anxiety among healthcare workers: A cross-sectional study”,J Family Med Prim Care, 9 (9). 4904-10. 20 Sept. 2020.
 
[13]  Mohammed Khaled Al-Hanawi, Martin Limbikani Mwale, Noor Alshareef, Ameerah MN Qattan, Khadijah Angawi, Rasha Almubark, et al,” Psychological Distress amongst Health Workers and the General Public During the COVID-19 Pandemic in Saudi Arabia”, Risk Management and Healthcare Policy, 13. 733-742. 7 July 2020.
 
[14]  Al Sulais E, Mosli M, AlAmeel T., “The psychological impact of COVID-19 pandemic on physicians in Saudi Arabia: A cross-sectional study”, Saudi Journal of Gastroenterology, 26(5). 249-255. 04 June 2020.
 
[15]  Almubark R. Almaleh Y., BinDhim N., Almedaini M., Almutairi A., Alqahtani S.,”Monitoring Burnout in the Intensive Care Unit and Emergency Department during the COVID-19 pandemic: the Saudi Arabian Experience:, Middle East Journal of Nursing, 14(2)-12-21. Nov. 2020.
 
[16]  Giusti EM, Pedroli E, D’Aniello GE, Stramba Badiale C, Pietrabissa G, Manna C, et al,” The Psychological Impact of the COVID-19 Outbreak on Health Professionals: A Cross-Sectional Study”, Front. Psychol., 11(1684). 1-9. 10 July 2020.
 
[17]  Barello S, Palamenghi L, Graffigna G,” Burnout and somatic symptoms among frontline healthcare professionals at the peak of the Italian COVID-19 pandemic”, Psychiatry Research, 290 (113129). May 2020.
 
[18]  Al-Hanawi, M. K., Mwale, M. L., Alshareef, N., Qattan, A., Angawi, K., Almubark, R., & et al.,” Psychological Distress Amongst Health Workers and the General Public During the COVID-19 Pandemic in Saudi Arabia”, Risk management and healthcare policy,13.733-742. 7 July 2020.
 
[19]  Khasne RW, Dhakulkar BS, Mahajan HC, Kulkarni AP.,” Burnout among Healthcare Workers during COVID-19 Pandemic in India: Results of a Questionnaire-based Survey”, Indian J Crit Care Med, 4(8). 664-671. Aug.2020.
 
[20]  Xing J, Sun N, Xu J, Geng S, Li Y.,” Study of the mental health status of medical personnel dealing with new coronavirus pneumonia”, PLoS One,15(5). 1-10. 19 May 2020.
 
[21]  Matsuo T, Kobayashi D, Taki F, Sakamoto F, Uehara Y, Mori N, et al.,” Prevalence of Health Care Worker Burnout During the Coronavirus Disease 2019 (COVID-19) Pandemic in Japan”, JAMA Network Open,3(8). 1-4. 4 Aug.2020.
 
[22]  Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al.,” Factors Associated with Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019”, JAMA Network Open, 3(3). 1-12. 23 March2020.
 
[23]  Guillermo A. Cañadas-De la Fuente, Elena Ortega, Lucia Ramirez-Baena, Emilia I. De la Fuente-Solana, Cristina Vargasand Jose Luis Gómez-Urquiza,” Gender, Marital Status, and Children as Risk Factors for Burnout in Nurses: A Meta-Analytic Study”, Int. J. Environ. Res. Public Health, 15(10). 1-13. 25 September 2018.
 
[24]  Al-Haddad A, Al-Omar F, Al-Khaleel A, Al-Khalaf A.,” Prevalence of burnout syndrome and its related risk factors among physicians working in primary health care centers of the Ministry of Health, Al Ahsa region, Saudi Arabia, 2018-2019”, J Family Med Prim Care 9(2) .571-579. 28 Feb. 2020.
 
[25]  Majid Ali Alotni and Samia Eaid Elgazzar.,” Investigation of Burnout, its Associated Factors and its Effect on the Quality of Life of Critical Care Nurses Working in Buraydah Central Hospital at Qassim Region, Saudi Arabia”,The Open Nursing Journal (14). 190-202. 14 Sept. 2020.
 
[26]  Alqahtani, A. M., Awadalla, N. J., Alsaleem, S. A., Alsamghan, A. S., & Alsaleem, M. A.,” Burnout Syndrome among Emergency Physicians and Nurses in Abha and Khamis Mushait Cities, Aseer Region, Southwestern Saudi Arabia”, The Scientific World Journal, Article ID: 4515972. 1-14. 18 Feb. 2019.
 
[27]  Petrelli F, Scuri S, Tanzi E, Nguyen C, Grappasonni I.,” Public health and burnout: a survey on lifestyle changes among workers in the healthcare sector”, Acta BioMed, 90 (1). 24-30. 28 Nov.2018.
 
[28]  Xia L, Jiang F, Rakofsky J, Zhang Y, Zhang K, Liu T, Liu Y, Liu H and Tang YL.,” Cigarette Smoking, Health-Related Behaviors, and Burnout Among Mental Health Professionals in China: A Nationwide Survey”, Front. Psychiatry. 11(706). 1-8. 17 July 2020.
 
[29]  Vinnikov D, Dushpanova A, Kodasbaev A, Romanova Z, Almukhanova A, Tulekov Z, et al.,” Occupational burnout and lifestyle in Kazakhstan cardiologists”, Arch Public Health, 77(1). 1-6. 13 Dec. 2019.
 
[30]  Roland von Känel, Mary Princip, SarahA. Holzgang, Walther J. Fuchs, Marc van Nufel, Aju P. Pazhenkotti & et al.,” Relationship between job burnout and somatic diseases: a network analysis”, Scientific Reports, 10(1): 18438. Oct. 2020.
 
[31]  Salvagioni DAJ, Melanda FN, Mesas AE, González AD, Gabani FL, Andrade SMd.,” Physical, psychological and occupational consequences of job burnout: A systematic review of prospective studies”, PLoS ONE2017; 12(10): e0185781.1-29. 4 Oct. 2017.
 
[32]  Selaihem AA.,” Prevalence of burnout amongst physicians working in primary care in Riyadh military hospital, Saudi Arabia”, Int J Med Sci Public Health, 2(3):436. 410-9. Jan. 2013.
 
[33]  Alyami MH, Naser AY, Orabi MAA, Alwafi H and Alyami HS.,” Epidemiology of COVID-19 in the Kingdom of Saudi Arabia: An Ecological Study”, Frontiers in Public Health, 8:506. 1-9. 17 Sept. 2020.
 
[34]  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”, Z Gesundh Wiss.1-6. 6 June 2020.
 
[35]  Sahin, T., Aslaner, H., Olguner Eker, Özlem., Gökçek, M. B., & Doğan, M. A,” Questionnaire Study Effect of COVID-19 Pandemic on Anxiety and Burnout Levels in Emergency Healthcare Workers”, International Journal of Medical Science and Clinical Invention, 7(09)- 4991-5001. 12 Dec. 2020.
 
[36]  COVID Surg. Collaborative, “Elective surgery cancellations due to the COVID-19 pandemic: global predictive modelling to inform surgical recovery plans”, . , 107. 1440-1449. 12 May 2020.
 
[37]  Wang XS, Armstrong ME, Cairns BJ, Key TJ, Travis RC.,” Shift work and chronic disease: the epidemiological evidence”, Occup Med ,61(2). 78-89. March 2011.
 
[38]  Wisetborisut A, Angkurawaranon C, Jiraporncharoen W, Uaphanthasath R, Wiwatanadate P.,” Shift work and burnout among health care workers”, Occup Med, 64(4)-279-86. June 2014.
 
[39]  Awad Al-Omari, Abbas Al Mutair, Abbas Shamsan, and Alya Al Mutairi.,” Predicting Burnout Factors among Healthcare Providers at Private Hospitals in Saudi Arabia and United Arab Emirates: A Cross-Sectional Study”, Appl. Sci.,10(1),157. 1-8. 24 Dec. 2019.