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Int J Environ Res Public Health. 2021 Mar 24;18(7). doi: 10.3390/ijerph18073358.

Burnout Determinants among Nurses Working in Palliative Care during the Coronavirus Disease 2019 Pandemic.

International journal of environmental research and public health

José Vítor Gonçalves, Luísa Castro, Guilhermina Rêgo, Rui Nunes

Affiliations

  1. Physical Medicine and Rehabilitation Department, Centro Hospitalar Vila Nova de Gaia/Espinho, 4434-502 Vila Nova de Gaia, Portugal.
  2. Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal.
  3. Health Information and Decision Sciences Department-MEDCIDS, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal.
  4. Center for Health Technology and Services Research (CINTESIS), University of Porto, 4200-319 Porto, Portugal.

PMID: 33805141 PMCID: PMC8037557 DOI: 10.3390/ijerph18073358

Abstract

Nurses working in palliative care are at risk of burnout. The Copenhagen Burnout Inventory was used to determine burnout levels of nurses working in the Portuguese national network of palliative care. We evaluated the contribution of personal, work, and COVID-19 variables in three burnout subclasses: personal, work, and patient-related. A cross-sectional, exploratory, and quantitative design was employed and participants were sampled using convenience and snowball technique. An online survey was conducted and 153 nurses participated in our study. Socio-demographic characterization was conducted, levels of burnout and determinants were explored through multiple linear regression models for its three dimensions. High levels of personal, working, and patient burnout were present in 71 (46%), 68 (44%), and 33 nurses (22%), respectively. Most of them agreed that COVID-19 had an impact on their activities. Significant personal and work related burnout factors found were specialization in palliative care, self-perceived health status, unit type, weekly hours of work, and allocation to COVID-19 units. Gender was found to be a significant factor in patient-related burnout. There is a high level of burnout among nurses working in the Portuguese national network of palliative care. Measures for identification and mitigation of burnout are necessary to protect health care professionals.

Keywords: COVID-19; burnout; delivery of health care; nurses; palliative care

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