Safety attitudes, burnout and well-being among healthcare workers during the COVID-19 pandemic: an Indo-Pacific regional cross-sectional study.

Abhiram Kanneganti; Benjamin Yong Qiang Tan; Nik Hisamuddin Nik AB Rahman; Aloysius Sheng-ting Leow; Max Denning; Ee Teng Goh; Lucas Jun Hao Lim; Ching-hui Sia; Ying Xian Chua; James Kinross; Melanie Tan; Li Feng Tan; Yi Min Wan; Arvind Sharma; Rivan Danuaji; R N Komal Kumar; Chew Keng Sheng; Cheah Phee Kheng; Sarah Shaikh Abdul Karim; Mohd Najib Abdul Ghani; Suhaimi Mahmud; Yiong Huak Chan; Vijay Kumar Sharma; Kang Sim; Shirley Beng Suat Ooi

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Safety attitudes, burnout and well-being among healthcare workers during the COVID-19 pandemic: an Indo-Pacific regional cross-sectional study.

Author: Abhiram KANNEGANTI ¹ ; Benjamin Yong Qiang TAN ² ; Nik Hisamuddin NIK AB RAHMAN ^{3
,

4} ; Aloysius Sheng-Ting LEOW ² ; Max DENNING ⁵ ; Ee Teng GOH ⁵ ; Lucas Jun HAO LIM ⁶ ; Ching-Hui SIA ^{7
,

8} ; Ying Xian CHUA ⁹ ; James KINROSS ⁵ ; Melanie TAN ¹⁰ ; Li Feng TAN ¹¹ ; Yi Min WAN ¹² ; Arvind SHARMA ¹³ ; Rivan DANUAJI ¹⁴ ; R N KOMAL KUMAR ¹⁵ ; Chew Keng SHENG ¹⁶ ; Cheah Phee KHENG ¹⁷ ; Sarah Shaikh ABDUL KARIM ¹⁸ ; Mohd Najib ABDUL GHANI ¹⁹ ; Suhaimi MAHMUD ²⁰ ; Yiong Huak CHAN ²¹ ; Vijay Kumar SHARMA ² ; Kang SIM ^{22
,

23} ; Shirley Beng SUAT OOI ^{24
,

25}
Author Information

1. Department of Obstetrics and Gynaecology, National University Hospital, Singapore.
2. Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
3. Department of Emergency & Trauma, Hospital Universiti Sains Malaysia
4. Department of Emergency Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia.
5. Department of Surgery and Cancer, Imperial College London, UK.
6. Early Psychosis Intervention Program, Institute of Mental Health, Singapore.
7. Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore
8. Department of Cardiology, National University Heart Centre Singapore, Singapore.
9. National University Polyclinics - Pioneer, National University Health System, Singapore.
10. Department of Geriatric Medicine, Ng Teng Fong General Hospital, Singapore.
11. Division of Healthy Ageing, Alexandra Hospital, Singapore.
12. Department of Psychiatry, Ng Teng Fong General Hospital, Singapore.
13. Department of Neurology, Zydus Hospitals and BJ Medical College, Ahmedabad, Gujarat, India.
14. Department of Neurology, Dr Moewardi Hospital, Kota Surakarta, Jawa Tengah, Indonesia.
15. Cerebrovascular Unit, Yashoda Institute of Neuroscience, Secunderabad, Telangana, India.
16. Department of Surgery, Faculty of Medicine & Health Sciences, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia.
17. Emergency and Trauma Department, Sabah Women and Children's Hospital, Kota Kinabalu, Sabah, Malaysia.
18. Emergency and Trauma Department, Hospital Sungai Buloh, Sungai Buloh, Selangor, Malaysia.
19. Emergency and Trauma Department, Hospital Raja Perempuan Zainab (II), Bandar Kota Bharu, Kelantan, Malaysia.
20. Emergency and Trauma Department, Hospital Tuanku Jaafar, Seremban, Negeri Sembilan, Malaysia.
21. Biostatistics Unit, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
22. West Region, Institute of Mental Health
23. Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
24. Emergency Medicine Department, National University Hospital
25. Department of Surgery, Yong Loo Lin School of Medicine, National University Singapore, Singapore.
Publication Type:Journal Article
Keywords: Burnout; COVID-19; pandemic; safety attitudes; safety culture
MeSH: Humans; Cross-Sectional Studies; Pandemics; COVID-19/epidemiology*; Burnout, Psychological; Health Personnel
From:Singapore medical journal 2023;64(11):667-676
CountrySingapore
Language:English
Abstract: INTRODUCTION:The coronavirus disease 2019 (COVID-19) pandemic has had an unprecedented impact in Asia and has placed significant burden on already stretched healthcare systems. We examined the impact of COVID-19 on the safety attitudes among healthcare workers (HCWs), as well as their associated demographic and occupational factors, and measures of burnout, depression and anxiety.
METHODS:A cross-sectional survey study utilising snowball sampling was performed involving doctors, nurses and allied health professions from 23 hospitals in Singapore, Malaysia, India and Indonesia between 29 May 2020 and 13 July 2020. This survey collated demographic data and workplace conditions and included three validated questionnaires: the Safety Attitudes Questionnaire (SAQ), Oldenburg Burnout Inventory and Hospital Anxiety and Depression Scale. We performed multivariate mixed-model regression to assess independent associations with the SAQ total percentage agree rate (PAR).
RESULTS:We obtained 3,163 responses. The SAQ total PARs were found to be 35.7%, 15.0%, 51.0% and 3.3% among the respondents from Singapore, Malaysia, India and Indonesia, respectively. Burnout scores were highest among respondents from Indonesia and lowest among respondents from India (70.9%-85.4% vs. 56.3%-63.6%, respectively). Multivariate analyses revealed that meeting burnout and depression thresholds and shifts lasting ≥12 h were significantly associated with lower SAQ total PAR.
CONCLUSION:Addressing the factors contributing to high burnout and depression and placing strict limits on work hours per shift may contribute significantly towards improving safety culture among HCWs and should remain priorities during the pandemic.