LETTER TO THE EDITOR


https://doi.org/10.5005/jp-journals-10071-24507
Indian Journal of Critical Care Medicine
Volume 27 | Issue 10 | Year 2023

Job Satisfaction and Occupational Burnout among Healthcare Professionals during the COVID-19 Pandemic: A Mixed-method Approach


Vikram Singh Chouhanhttps://orcid.org/0000-0002-8643-2618

Humanities and Social Sciences, Jaypee University of Engineering and Technology, Guna, Madhya Pradesh, India

Corresponding Author: Vikram Singh Chouhan, Humanities and Social Sciences, Jaypee University of Engineering and Technology, Guna, Madhya Pradesh, India, Phone: +91 8120737773, e-mail: vikram443322@rediffmail.com

How to cite this article: Chouhan VS. Job Satisfaction and Occupational Burnout among Healthcare Professionals during the COVID-19 Pandemic: A Mixed-method Approach. Indian J Crit Care Med 2023;27(10):776–777.

Source of support: Nil

Conflict of interest: None

Keywords: COVID-19, Healthcare professionals, Job satisfaction, Occupational burnout.

Dear Editor,

The healthcare system in the last 1 year has been disintegrated worldwide since the commencement of the epidemic. Healthcare professionals (HCPs) are crucial within the healthcare system because they are the frontiers of the cure for patients in times of epidemic. Due to the workload increase, HCPs experienced enormous emotional strain. Around 30–50% of HCPs have suffered from occupational burnout.1 Approximately, 76% of physicians reported occupational burnout during the crisis, while nurses possessed modest to higher levels of burnout,2 thus revealing a higher degree of burnout and creating a major hazard to the safety of patients and the quality of healthcare.3

The study employed a mixed-method approach to measure the job satisfaction and occupational burnout among HCPs. Questionnaire-based surveys and semi-structured interviews were conducted to collect quantitative and qualitative data, respectively. The survey questionnaire was sent to HCPs through e-mails as well as social media. Voluntary participation was sought, and participants have given informed consent electronically. Regression was used to recognize the risk factors for burnout. For data acquisition, 658 HCPs were approached. A total of 402 HCPs (148 physicians and 254 nurses) participated in the survey. Telephonic interviews were conducted for the qualitative analysis on a sample of 29 (12 Physicians and 17 nurses) (Tables 1 to 5).

Table 1: Sociodemographic profile of HCPs
Demographic variables Overall Doctors Nurses
989 481 508
Gender
 Male 451 (45.60%) 371 (77.13%) 80 (15.75%)
 Female 538 (54.40%) 110 (22.87%) 428 (84.25%)
Age-group
 <25 87 (8.80%) - 87 (17.13%)
 25–34 310 (31.34%) 149 (30.98%) 161 (31.69%)
 35–44 281 (28.41%) 171 (35.55%) 110 (21.65%)
 45–54 249 (25.18%) 141 (29.31%) 108 (21.26%)
 >54 62 (6.27%) 20 (4.16%) 42 (8.27%)
Marital status
 Single 350 (35.39%) 183 (38.05%) 167 (32.87%)
 Married 639 (64.61%) 298 (61.95%) 341 (67.13%)
Years in service
 <5 201 (20.32%) 115 (23.91%) 86 (16.93%)
 5–010 324 (32.76%) 144 (29.94%) 180 (35.43%)
 11–020 252 (25.48%) 119 (24.74%) 133 (26.18%)
 21–30 152 (15.37%) 87 (18.09%) 65 (12.80%)
 >30 60 (6.07%) 18 (3.74%) 42 (8.27%)
Sector
 Public 454 (45.90%) 234 (48.65%) 220 (43.31%)
 Private 535 (54.10%) 247 (51.35%) 288 (56.69%)
Table 2: Work profile of HCPs
  Overall Doctors Nurses
Variables 989 481 508
Specialty discipline
 Medical 401 (40.55%) 147 (30.56%) 254 (50.00%)
 Surgical 323 (32.66%) 129 (26.82%) 194 (38.19%)
 A+E/Outpatients 236 (23.86%) 176 (36.59%) 60 (11.81%)
 Laboratory 29 (2.93%) 29 (6.03%)
Duty hours/week
 <40 201 (20.32%) 105 (21.83%) 96 (18.90%)
 40–48 384 (38.83%) 175 (36.38%) 209 (41.14%)
 >48 404 (40.85%) 201 (41.79%) 203 (39.96%)
Job status
 Full-time 799 (80.79%) 421 (87.53%) 378 (74.41%)
 Part-time 190 (19.21%) 60 (12.47%) 130 (25.59%)
Night shifts/week
 None 288 (29.12% 218 (45.32%) 70 (13.78%)
 1–3 529 (53.49%) 204 (42.41%) 325 (63.98%)
 >3 172 (17.39%) 59 (12.27%) 113 (22.24%)
Sufficient PPE at workplace
 Yes 545 (55.11%) 368 (76.51%) 177 (34.84%)
 No 444 (44.89%) 113 (23.49%) 331 (65.16%)
Frontline workers
 Yes 661 (66.84%) 344 (71.52%) 317 (62.40%)
 No 328 (33.16%) 137 (28.48%) 191 (37.60%)
Any pre-existing burnout syndrome?
 Yes 73 (7.38%) 34 (7.07%) 39 (7.68%)
 No 894 (90.39%) 437 (90.85%) 457 (89.96%)
 Prefer not to say 22 (2.23%) 10 (2.08%) 12 (2.36%)
Table 3: Multivariate regression for the relationship of burnout with sociodemographic/work factors
Predictors Adjusted Odds ratio 95% CI p-value
Lower Upper
Age 0.932 0.874 0.991 0.79
Gender        
 Male (Reference)        
 Female 1.602 1.109 2.194 0.02*
Frontline workers        
 No (Reference)        
 Yes 3.551 1.964 4.879 0.041*
Sufficient PPE        
 Yes (Reference)        
 No 2.519 2.142 3.589 0.003*
Any pre-existing burnout syndrome?
 No (Reference)        
 Yes 2.092 1.027 3.147 0.021*
 Prefer not to say 0.834 0.516 1.211 0.548
Duty hours/week        
 <40 (Reference)        
 40–48 0.714 0.498 1.211 0.407
 >48 1.681 1.129 2.563 0.038*
Night shifts/week        
 None (Reference)        
 1–3 2.177 1.524 3.206 0.002*
 >3 1.955 1.151 3.336 0.004*
*Statistically significant at p < 0.05
Table 4: Multivariate regression for the relationship of job satisfaction score with sociodemographic/work factors
Predictors B-coefficient p-value 95% CI
Lower Upper
Age 0.054 0.029* 0.003 0.029
Burnout –0.517 0.000* –2.093 –1.617
Specialty discipline        
Medical (Reference)        
 Surgical 0.124 0.000* 1.446 0.632
 A+E/Outpatients –0.082 0.000* –1.487 –0.561
 Laboratory –0.055 0.000* –1.377 –0.287
Sector        
 Public (Reference)        
 Private –0.179 0.035* –1.148 –0.199
*Statistically significant at p < 0.05
Table 5: Profile of HCPs who participated in Interviews
Number of participants n = 17
Age (Average, Range) 41.6 years, 27-55
Gender Male (n = 8), Female (n = 9)
Classification Doctors (n = 7), Nurses (n = 10)
Marital status Married (n = 13), Single (n = 4)
Sector Public (n = 6), Private (n = 11)
Specialty discipline Medical (n = 4), Surgical (n = 3), A+E/Outpatients (n = 4), Laboratory (n = 6)

The study findings revealed a significant increase in burnout among HCPs caused by COVID-19 crisis as the prevalence of occupational burnout was 61.4%. Job satisfaction was found to be an important predictor of burnout. Several factors related positively to burnout, such as female nurses, extra workload, doing night shifts, and insufficient access to PPE kits. Job satisfaction was negatively related to burnout.

The findings of the study established several major themes emerging from the respondents’ statements. The primary common feature of the respondents’ responses was that majority of them distinctly articulated occupational burnout syndromes during the pandemic. The findings of the study revealed that they experienced symptoms of lower levels of occupational burnout pre-COVID-19, and COVID-19 considerably deteriorated their occupational burnout. The third common theme was a negative cause and effect association of job satisfaction on burnout with higher job satisfaction causing lower burnout. Another theme that emerged was respondents’ expression of a comparatively harmonized mixture of definite components of job satisfaction (working conditions, responsibility, pay). Even though no burnout symptom was included as a criterion for taking part in the interviews, all participants evidently expressed their diverse syndromes: physical, emotional, cognitive, and behavioral. All participants expressed that burnout enhanced drastically during the COVID-19 crisis because of massive enlargement in accountability since they were accountable for the safety of their own and others including colleagues, patients, and residents. They had higher workload levels exerting a considerable burden on their psychological health, thus experiencing anxiety and fear concerning their occupation. This might be a cause of HCPs’ psychological fatigue; consequently, making them more susceptible to develop burnout syndrome.

The study portrays a call for reforming long-term care in healthcare services to prevent burnout of HCPs; hence, the results of the study are expected to assist decision-makers and policy-makers in the healthcare sector with a complete overview of essential aspects of burnout and job satisfaction of HCPs.

ORCID

Vikram Singh Chouhan https://orcid.org/0000-0002-8643-2618

REFERENCES

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2. Dimitriu MCT, Pantea-Stoian A, Smaranda AC, Nica AA, Carap AC, Constantin VD, et al. Burnout syndrome in Romanian medical residents in time of the COVID-19 pandemic. Med Hypotheses 2020;144:109972. DOI: 10.1016/j.mehy.2020.109972.

3. Choi KR, Skrine JK, Logsdon MC. Nursing and the novel coronavirus: risks and responsibilities in a global outbreak. J Adv Nurs 2020;23:1–2. DOI: 10.1111/jan.14369.

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