TY - JOUR
T1 - A Longitudinal Cohort Study of Factors Impacting Healthcare Worker Burnout in New York City During the COVID-19 Pandemic
AU - Peccoralo, Lauren A.
AU - Pietrzak, Robert H.
AU - Tong, Michelle
AU - Kaplan, Sabrina
AU - Feingold, Jordyn H.
AU - Feder, Adriana
AU - Chan, Chi
AU - Verity, Jaclyn
AU - Charney, Dennis
AU - Ripp, Jonathan
N1 - Funding Information:
Conflict of Interest: (a) A portion of this work completed when J.H.F. was grant funded by TL1 grant TR001434 from the National Institutes of Health, and she received payment from Penguin Randomhouse for work on a book, Choose Growth: A Workbook for Transcending Trauma, Fear and Self-Doubt, and from BetterUp for consulting work. (b) L.A.P. received honoraria from Atrium Health Wake Forest Baptist, the American Society of Health-System Pharmacists, Stanford University, and the University of Montana. (c) J.R. received honoraria for numerous speaking engagements at professional societies, academic medical centers, and healthcare institutions; serves as a course director for the Institute for Healthcare Improvement; worked as a consultant for the well-being program at the NYU School of Medicine Long Island; served as a nonfiduciary board member of the Lorna Breen Foundation; and served on a temporary advisory board established by PEPSICO to inform employee well-being efforts. All other authors report no conflicts of interests for this work.
Funding Information:
This study was approved and deemed exempt by the Institutional Review Board at the Icahn School of Medicine at Mount Sinai. HS#: 20-00423; GCO#1: 20-0888(0001) Icahn School of Medicine at Mount Sinai.
Publisher Copyright:
© 2023 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2023/5/1
Y1 - 2023/5/1
N2 - Objective: This study aimed to longitudinally examine the prevalence and correlates of burnout in frontline healthcare workers (FHCWs) during COVID-19 in New York City. Methods A prospective cohort study of 786 FHCWs at Mount Sinai Hospital was conducted during the initial COVID surge in April to May 2020 (T1) and November 2020 to January 2021 (T2) to assess factors impacting burnout. Results Burnout increased from 38.9% to 44.8% (P = 0.002); 222 FHCWs (28.3%) had persistent burnout, 82 (10.5%) had early burnout, and 129 (16.5%) had delayed burnout. Relative to FHCWs with no burnout (n = 350; 44.7%), those with persistent burnout reported more prepandemic burnout (relative risk [RR], 6.67), less value by supervisors (RR, 1.79), and lower optimism (RR, 0.82), whereas FHCWs with delayed burnout reported more prepandemic burnout (RR, 1.75) and caring for patients who died (RR, 3.12). Conclusion FHCW burnout may be mitigated through increasing their sense of value, support, and optimism; treating mental health symptoms; and counseling regarding workplace distress.
AB - Objective: This study aimed to longitudinally examine the prevalence and correlates of burnout in frontline healthcare workers (FHCWs) during COVID-19 in New York City. Methods A prospective cohort study of 786 FHCWs at Mount Sinai Hospital was conducted during the initial COVID surge in April to May 2020 (T1) and November 2020 to January 2021 (T2) to assess factors impacting burnout. Results Burnout increased from 38.9% to 44.8% (P = 0.002); 222 FHCWs (28.3%) had persistent burnout, 82 (10.5%) had early burnout, and 129 (16.5%) had delayed burnout. Relative to FHCWs with no burnout (n = 350; 44.7%), those with persistent burnout reported more prepandemic burnout (relative risk [RR], 6.67), less value by supervisors (RR, 1.79), and lower optimism (RR, 0.82), whereas FHCWs with delayed burnout reported more prepandemic burnout (RR, 1.75) and caring for patients who died (RR, 3.12). Conclusion FHCW burnout may be mitigated through increasing their sense of value, support, and optimism; treating mental health symptoms; and counseling regarding workplace distress.
KW - COVID-19 pandemic
KW - burnout
KW - healthcare workers
KW - mental health
UR - http://www.scopus.com/inward/record.url?scp=85159368818&partnerID=8YFLogxK
U2 - 10.1097/JOM.0000000000002790
DO - 10.1097/JOM.0000000000002790
M3 - Article
C2 - 36727906
AN - SCOPUS:85159368818
SN - 1076-2752
VL - 65
SP - 362
EP - 369
JO - Journal of Occupational and Environmental Medicine
JF - Journal of Occupational and Environmental Medicine
IS - 5
ER -