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Women Physicians: Burnout during the COVID-19 Pandemic in Brazil
Gláucia Maria Moraes de Oliveira1, Viviana Guzzo Lemke2, Maria Sanali Moura de Oliveira Paiva3
1Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ - Brasil.
Insights
The COVID-19 pandemic significantly impacted Brazilian women physicians, leading to high burnout rates and wage loss. However, many maintained good quality of life and found comfort in spirituality.
Area of Science:
- Medical research
- Public health
- Psychology
Background:
- The COVID-19 pandemic has disproportionately affected physicians, particularly women, increasing workload and diminishing quality of life.
- Women physicians faced significant challenges impacting their professional and personal well-being during the global health crisis.
Purpose of the Study:
- To evaluate the impact of the COVID-19 pandemic on the quality of life, burnout levels, and spirituality among Brazilian women physicians.
- Assessing the effects on healthcare professionals directly or indirectly involved in COVID-19 patient care.
Main Methods:
- A prospective, observational study was conducted in Brazil between July and September 2020.
- 769 women physicians across 47 specialties completed an online survey assessing demographics, quality of life (WHOQOL-brief), spirituality (WHOQOL-SRPB), and burnout (Oldenburg Burnout Inventory).
- Statistical analyses included beta regression, classification trees, and polychoric correlation matrix.
Main Results:
- 61.6% of respondents reported burnout symptoms, and 64% experienced wage loss up to 50%.
- Physicians reported decreased energy, negative feelings, and dissatisfaction with work capabilities, with negative feelings correlating with lower life satisfaction and energy.
- Inability to remain optimistic correlated with feeling unsafe and a lack of meaning derived from caring for others.
Conclusions:
- A high prevalence of burnout was observed among Brazilian women physicians during the COVID-19 pandemic.
- Despite challenges, participants reported a relatively good quality of life and found spirituality to be a source of comfort and reassurance.
- Spirituality played a crucial role in coping with the pandemic's adversities for these healthcare professionals.
Background:
COVID-19 has placed a tremendous burden on physicians worldwide, especially women physicians, affected by increased workload and loss of quality of life.
Objective:
To assess the effects of the COVID-19 pandemic on the quality of life, burnout and spirituality of Brazilian women physicians directly or indirectly providing care to COVID-19 patients.
Methods:
Prospective, observational study performed from July 28 to September 27, 2020, in Brazil, with women physicians from 47 specialities, the most frequent being cardiology (22.8%), with no age restriction. They voluntarily answered an online survey with questions on demographic and socioeconomic characteristics, quality of life (WHOQOL-brief), spirituality (WHOQOL-SRPB), and statements from the Oldenburg Burnout Inventory. Statistical analysis used the R software, beta regression, classification trees, and polychoric correlation matrix, with a 5% of significance level.
Results:
Of the 769 respondents, 61.6% reported signs of burnout. About 64% reported wage loss of up to 50% during the pandemic. Some reported lack of energy for daily tasks, frequent negative feelings, dissatisfaction with capability for work, and caring for others not adding meaning to their lives. Negative feelings correlated negatively with satisfaction with sexual life and personal relations, and energy for daily tasks. The inability to remain optimistic in times of uncertainty correlated positively with feeling unsafe daily and not acknowledging that caring for others brings meaning to life.
Conclusion:
This study showed a high frequency of burnout among Brazilian women physicians who answered the survey during the COVID-19 pandemic. Nevertheless, they presented with a relatively good quality of life and believed that spirituality comforted and reassured them in hard times.
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