본문 바로가기
KERD
논문KCI 등재

Burnout and Resilience among Emergency Physicians at Korean University Hospitals during the COVID-19 Pandemic: A Cross-Sectional Analysis

0

조회

0

다운로드

2

인용

0

참고문헌

키워드

주제분류의학일반

초록

Purpose: This study aimed to investigate burnout and resilience among emergency physicians (EPs) at university teaching hospitalsduring the coronavirus disease (COVID-19) pandemic. Materials and Methods: In April to May 2021, a survey was administered to 331 and 309 emergency medicine specialists and residents,respectively, from 31 university teaching hospitals in Korea. Data on the respondents’ age, sex, designation, working area,experience with treating COVID-19 patients, and personal experience with COVID-19 were collected. Based on the participants’characteristics, quality of life (compassion satisfaction, burnout, and secondary traumatic stress), resilience, emotional content,and self-image were analyzed. Results: A total of 247 responses were analyzed. Compared to specialists, compassion satisfaction and resilience in residents werenot good, burnout was severe, and emotional content and self-image were less positive. Experiences with treating COVID-19 patientsdid not cause any difference in quality of life, resilience, emotional content, and self-image among participant subgroups. Personal COVID-19 experiences were associated with poor compassion satisfaction, resilience, less positive emotional content andself-image, and severe burnout. Compassion satisfaction, secondary traumatic stress, and resilience can definitively affect burnout. Conclusion: The quality of life and resilience of EPs in university teaching hospitals in Korea during the COVID-19 pandemic havebeen low. Supportive measures to improve resilience can prevent burnout among emergency staff, particularly residents and EPs,with personal experiences related to COVID-19.

Abstract

Purpose: This study aimed to investigate burnout and resilience among emergency physicians (EPs) at university teaching hospitalsduring the coronavirus disease (COVID-19) pandemic. Materials and Methods: In April to May 2021, a survey was administered to 331 and 309 emergency medicine specialists and residents,respectively, from 31 university teaching hospitals in Korea. Data on the respondents’ age, sex, designation, working area,experience with treating COVID-19 patients, and personal experience with COVID-19 were collected. Based on the participants’characteristics, quality of life (compassion satisfaction, burnout, and secondary traumatic stress), resilience, emotional content,and self-image were analyzed. Results: A total of 247 responses were analyzed. Compared to specialists, compassion satisfaction and resilience in residents werenot good, burnout was severe, and emotional content and self-image were less positive. Experiences with treating COVID-19 patientsdid not cause any difference in quality of life, resilience, emotional content, and self-image among participant subgroups. Personal COVID-19 experiences were associated with poor compassion satisfaction, resilience, less positive emotional content andself-image, and severe burnout. Compassion satisfaction, secondary traumatic stress, and resilience can definitively affect burnout. Conclusion: The quality of life and resilience of EPs in university teaching hospitals in Korea during the COVID-19 pandemic havebeen low. Supportive measures to improve resilience can prevent burnout among emergency staff, particularly residents and EPs,with personal experiences related to COVID-19.

참고문헌 (31)

  1. [URL]
  2. Lee Ju-Yeon, "The Experiences of Health Care Workers during the COVID-19 Pandemic in Korea: a Qualitative Study", Journal of Korean Medical Science, 36(23), pp.1~15 (2021), 대한의학회[DOI]
  3. Dewa CS, "The relationship between physician burnout and quality of healthcare in terms of safety and acceptability : a systematic review", BMJ Open, 7, pp.e015141~ (2017)
  4. 이형민, "2015 응급의학과 전문의 총조사 최종보고서", 대한응급의학회지, 27(5), pp.1~24 (2016), 대한응급의학회
  5. McKinley N, "Resilience, burnout and coping mechanisms in UK doctors : a cross-sectional study", BMJ Open, 10, pp.e031765~ (2020)
  6. Rodriguez RM, "Academic emergency medicine physicians’ anxiety levels, stressors, and potential stress mitigation measures during the acceleration phase of the COVID-19 pandemic", Acad Emerg Med, 27, pp.700~707 (2020)
  7. Fletcher D, "Psychological resilience : a review and critique of definitions, concepts, and theory", Eur Psychol, 18, pp.12~23 (2013)
  8. 박미미, "간호사 극복력 측정도구 개발", 기본간호학회지, 23(1), pp.32~41 (2016), 기본간호학회[DOI]
  9. 이안생, "사회적 지지와 자아탄력성이 병원간호사의 간호업무 성과에 미치는 영향", 한국직업건강간호학회지, 21(3), pp.283~289 (2012), 한국직업건강간호학회
  10. "Professional Quality of Life Scale (PROQOL)"[URL]
  11. Connor KM, "Development of a new resilience scale : the Connor-Davidson Resilience scale(CD-RISC)", Depress Anxiety, 18, pp.76~82 (2003)
  12. 백현숙, "Reliability and Validity of the Korean Version of the Connor-Davidson Resilience Scale", PSYCHIATRY INVESTIGATION, 7(2), pp.109~115 (2010), 대한신경정신의학회
  13. Silver R, "Aggression and depression assessed through art: using draw-a-story to identify children and adolescents at risk" (2005), Brunner-Routledge
  14. Silver R, "The Silver drawing test and draw a story: assessing depression, aggression, and cognitive skills" (2007), Routledge Inc
  15. Nguyen J, "Impacts and challenges of the COVID-19 pandemic on emergency medicine physicians in the United States", Am J Emerg Med, 48, pp.38~47 (2021)
  16. Zhou Q, "Impact of burnout, secondary traumatic stress and compassion satisfaction on hand hygiene of healthcare workers during the COVID-19 pandemic", Nurs Open, 8, pp.2551~2557 (2021)
  17. Kopytin A, "Humor, self-attitude, emotions, and cognitions in group art therapy with war veterans", Art Therapy, 30, pp.20~29 (2013)
  18. 성정은, "집단미술치료가 우울 성향 주부의 우울감소에 미치는 영향", 정서·행동장애연구, 30(2), pp.257~282 (2014), 한국정서행동장애학회
  19. Pyo J, "A study on the DAS reaction characteristics of emergency medical personnel according to job stress and resilience", pp.2019
  20. Gramaglia C, "The mental health impact of 2019-nCOVID on healthcare workers from North-Eastern Piedmont, Italy. Focus on burnout", Front Public Health, 9, pp.667379~ (2021)
  21. Zoorob D, "Insight into resident burnout, mental wellness, and coping mechanisms early in the COVID-19 pandemic", PLoS One, 16, pp.e0250104~ (2021)
  22. Rodriguez RM, "Symptoms of anxiety, burnout, and PTSD and the mitigation effect of serologic testing in emergency department personnel during the COVID-19 pandemic", Ann Emerg Med, 78, pp.35~43 (2021)[DOI]
  23. Kelker H, "Prospective study of emergency medicine provider wellness across ten academic and community hospitals during the initial surge of the COVID-19 pandemic", BMC Emerg Med, 21, pp.36~ (2021)
  24. Baptista S, "Physician burnout in primary care during the COVID-19 pandemic : a cross-sectional study in Portugal", J Prim Care Community Health, 12, pp.21501327211008437~ (2021)
  25. Silver RA, "Three art assessments: the Silver drawing test of cognition and emotion, draw a story, screening for depression, and stimulus drawing techniques" (2002), Brunner-Routledge
  26. Milgrom Y, "Stress assessment among internal medicine residents in a level-3 hospital versus a level-2 hospital with only emergency room service for COVID-19", J Community Hosp Intern Med Perspect, 10, pp.301~305 (2020)
  27. Wu W, "Psychological stress of medical staffs during outbreak of COVID-19 and adjustment strategy", J Med Virol, 92, pp.1962~1970 (2020)
  28. Denning M, "Determinants of burnout and other aspects of psychological well-being in healthcare workers during the COVID-19 pandemic : a multinational cross-sectional study", PLoS One, 16, pp.e0238666~ (2021)
  29. Jyothindran R, "Fulfillment, burnout and resilience in emergency medicine-correlations and effects on patient and provider outcomes", PLoS One, 15, pp.e0240934~ (2020)
  30. Monette DL, "A video-based debriefing program to support emergency medicine clinician well-being during the COVID-19 pandemic", West J Emerg Med, 21, pp.88~92 (2020)

관련 논문AI추천

이 간행물의 다른 논문 (11건)