Changes in Burnout and Moral Distress Among Veterans Health Administration (VA) Physicians Before and During the COVID-19 Pandemic

被引：0
|
作者：
Mohr, David C. [1 ,2 ]
Apaydin, Eric A. [3 ,4 ,8 ,9 ]
Li, Brandon M. [5 ]
Molloy-Paolillo, Brianne K. [6 ]
Rinne, Seppo T. [6 ,7 ]
机构：
[1] VA Boston Healthcare Syst, Ctr Healthcare Org & Implementat Res CHOIR, Boston, MA USA
[2] Boston Univ, Dept Hlth Policy & Management, Sch Publ Hlth, Boston, MA USA
[3] VA Greater Angeles Healthcare Syst, Ctr Study Healthcare Innovat Implementat & Policy, Los Angeles, CA USA
[4] RAND Corp, Santa Monica, CA USA
[5] Boston Univ, Sch Med, Boston, MA USA
[6] VA Bedford Healthcare Syst, Ctr Healthcare Org & Implementat Res CHOIR, Bedford, MA USA
[7] Boston Univ, Pulm Ctr, Sch Med, Boston, MA USA
[8] VA HSR&D Ctr Study Healthcare Innovat Implementat, 11301 Wilshire Blvd 151, Los Angeles, CA 90073 USA
[9] VA Greater Angeles Healthcare Syst, 11301 Wilshire Blvd 151, Los Angeles, CA 90073 USA
来源：
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE | 2023年 / 65卷 / 07期
关键词：
burnout; physicians; workforce; COVID-19; psychological safety; organizational satisfaction; Veterans Health Administration; VA; PRIMARY-CARE;
D O I：
10.1097/JOM.0000000000002861
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
BackgroundWe investigated the impacts of workload, resources, organizational satisfaction, and psychological safety on changes in physician burnout and moral distress among physicians during the early pandemic.MethodsWe obtained national administrative and survey data on burnout, moral distress, organizational satisfaction, psychological safety, COVID-19 burden, and state-level restrictions for 11,877-14,246 Veterans Health Administration (VA) physicians from 2019 and 2020. We regressed the changes in burnout and moral distress on the changes in reasonable workload, appropriate job resources, organizational satisfaction, and psychological safety, controlling for COVID-19 burden and restrictions, and individual and medical center characteristics.ResultsBurnout and moral distress were not related to COVID-19 cases or restrictions but were reduced by improvements in workload, organizational satisfaction, and psychological safety.ConclusionsHealth systems should be conscious of factors that can harm or improve physician well-being, especially in the context of external stressors.
引用
收藏
页码：605 / 609
页数：5
相关论文
共 50 条
  • [41] Commentary: Critical care nurse burnout, moral distress, and mental health during the COVID-19 pandemic: A United States Survey
    Chlan, Linda L.
    [J]. HEART & LUNG, 2022, 55 : 162 - 162
  • [42] Chronicling moral distress among healthcare providers during the COVID-19 pandemic: A longitudinal analysis of mental health strain, burnout, and maladaptive coping behaviours
    Wilson, Chloe A.
    Metwally, Hannah
    Heavner, Smith
    Kennedy, Ann Blair
    Britt, Thomas W.
    [J]. INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, 2022, 31 (01) : 111 - 127
  • [43] Changes in mental health among US military veterans during the COVID-19 pandemic: A network analysis
    Spiller, Tobias R.
    Na, Peter J.
    Merians, Addie N.
    Duek, Or
    Ben-Zion, Ziv
    Tsai, Jack
    von Kanel, Roland
    Harpaz-Rotem, Ilan
    Pietrzak, Robert H.
    [J]. JOURNAL OF PSYCHIATRIC RESEARCH, 2023, 165 : 352 - 359
  • [44] Mental health symptoms among American veterans during the COVID-19 Pandemic
    Pedersen, Eric R.
    Davis, Jordan P.
    Prindle, John
    Fitzke, Reagan E.
    Tran, Denise D.
    Saba, Shaddy
    [J]. PSYCHIATRY RESEARCH, 2021, 306
  • [45] Burnout symptoms among physicians and nurses before, during and after COVID-19 care.
    Valdes-Elizondo, Giselle Dayana
    Alvarez-Maldonado, Pablo
    Ocampo-Ocampo, Maria Angelica
    Hernandez-Rios, Grisel
    Reding-Bernal, Arturo
    Hernandez-Solis, Alejandro
    [J]. REVISTA LATINO-AMERICANA DE ENFERMAGEM, 2023, 31
  • [46] Levels and drivers of burnout during the COVID-19 pandemic among a diverse group of resident physicians
    Briles, Brenna
    Kahl, Alyssa
    Anaissie, James
    Brettmann, Lindsay
    Pathak, Ujval
    Staggers, Kristen A.
    Popat, Shreeya
    Agrawal, Anoop
    Rose, Stacey
    Taylor, Jennifer
    [J]. POSTGRADUATE MEDICINE, 2024, 136 (01) : 44 - 51
  • [47] The burnout epidemic during the COVID-19 pandemic: The role of LMX in alleviating physicians' burnout
    de Moura, Eduardo Cardoso
    Furtado, Liliane
    Sobral, Filipe
    [J]. RAE-REVISTA DE ADMINISTRACAO DE EMPRESAS, 2020, 60 (06): : 426 - 436
  • [48] Suicidal thoughts and burnout among physicians during the first wave of the COVID-19 pandemic in Spain
    de la Vega Sanchez, Diego
    Irigoyen-Otinano, Maria
    Carballo, Juan Jose
    Guija, Julio A.
    Giner, Lucas
    [J]. PSYCHIATRY RESEARCH, 2023, 321
  • [49] Prevalence, Associated Factors, and Consequences of Burnout Among Egyptian Physicians During COVID-19 Pandemic
    Abdelhafiz, Ahmed Samir
    Ali, Asmaa
    Ziady, Hany H.
    Maaly, Ayman Mohamed
    Alorabi, Mohamed
    Sultan, Eman A.
    [J]. FRONTIERS IN PUBLIC HEALTH, 2020, 8
  • [50] Second victim experiences and moral injury as predictors of hospitalist burnout before and during the COVID-19 pandemic
    Chandrabhatla, Tejasri
    Asgedom, Henok
    Gaudiano, Zehra P.
    de Avila, Leyla
    Roach, Kenneth L.
    Venkatesan, Chapy
    Weinstein, Ali A.
    Younossi, Zobair M.
    [J]. PLOS ONE, 2022, 17 (10):
12345