ArticleJournal of the American Medical Directors Association2022
The Effect of COVID-19 Endemicity on the Mental Health of Health Workers.
Article in Journal of the American Medical Directors Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Review: application of the Safety Attitudes Questionnaire (SAQ) in primary care - a systematic synthesis on validity, descriptive and comparative results, and variance across organisational units.BMC primary care · 2024Pooled it
- Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis.BMJ open · 2022Pooled it
- Psychological Distress Among Primary Care Professionals in Singapore: Repeated-Measures Analyses of Two Independent Observation Windows (HADS and GHQ-12).Healthcare (Basel, Switzerland) · 2026Article
- Teamwork and burnout among healthcare workers from a public hospital in ColombiaBiomedica : revista del Instituto Nacional de Salud · 2025Observational
- Assessing the psychological wellbeing and resilience of frontline health workers in Uganda: a cross-sectional study.Frontiers in psychiatry · 2025Article
- Stress and burnout amongst mental health professionals in Singapore during Covid-19 endemicity.PloS one · 2024Article
- Mental health of primary health care physicians and nurses following prolonged infection control rules: a national survey in China.Frontiers in public health · 2024Article
- Beliefs, attitudes and feelings about work among healthcare workers and teachers during the fifth wave of COVID-19.The Journal of international medical research · 2023Article
- Article
- The first wave of COVID-19 and mental distress of physician residents in Brazil: a comparison between two cohorts.Human resources for health · 2023Article
- An Intensive Longitudinal Assessment Approach to Surveilling Trajectories of Burnout over the First Year of the COVID Pandemic.International journal of environmental research and public health · 2023Article
- Surgeons' involvement in COVID-19 treatment: a practice by a regional core hospital in Japan to avoid physician burnout.BMC health services research · 2023Article
- The Need for Psychological Support of Health Workers during the COVID-19 Pandemic and the Influence on Their Work.International journal of environmental research and public health · 2022Article
- Systematic Review of Mind-Body Modalities to Manage the Mental Health of Healthcare Workers during the COVID-19 Era.Healthcare (Basel, Switzerland) · 2022Review
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesA major surge in COVID-19 cases despite Singapore's high vaccination has strained the health care system in October 2021. Our aim was to assess and compare Healthcare Worker (HCW) mental well-being in 2021 against a previously published cohort in 2020.
designCross-sectional survey study. SETTING AND
participantsHCWs from 4 public hospitals and a primary health care system over a 4-week duration in 2021 coinciding with a major surge compared with a similar period in 2020.
methodsA survey comprising of the Oldenburg Burnout Inventory (OLBI), Hospital Anxiety and Depression Scale (HADS), and Safety Attitudes Questionnaire (SAQ) was distributed via email. Primary endpoints were the proportion meeting OLBI thresholds for both disengagement and exhaustion and being at risk for both Anxiety and Depression using HADS. Multivariate analysis identified significant predictors among demographic, workplace, and SAQ data. Subgroup analysis of overseas HCWs was performed.
resultsWe surveyed 1475 HCWs. Significantly more HCWs met primary outcomes using OLBI and HADS than in 2020 (84.1% and 39.6% vs 68.2% and 23.3%, respectively; P < .001). Burnout levels were uniformly high. A HADS score ≥8 in either subscale was significantly associated with meeting burnout thresholds (P < .001). Overseas HCWs (P = .002), South Asian ethnicity (P = .004), preuniversity educational qualifications (P = .026), and longer shift workhours of 8 to <12 (P = .015) and ≥12 (P = .001) were significantly associated with meeting HADS thresholds. Among overseas HCWs (n=407), seeing family more than a year ago was significantly associated with worse OLBI disengagement scores and a greater proportion meeting HADS thresholds vs seeing them within a year or being local HCWs (47.2% vs 37.2% and 35.6%, respectively; P = .001). CONCLUSIONS AND IMPLICATIONS: HCW mental health has objectively worsened between 2020 and 2021 in the pandemic's second year. Avoiding prolonged shifts, adopting preventive mental health strategies, improving patient safety, and attention to HCWs of minority ethnicity, from overseas, and with preuniversity education may help.
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