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

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 de...

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Main Authors: 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, RN 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
Format: Article
Language:English
Published: Wolters Kluwer – Medknow Publications 2023-11-01
Series:Singapore Medical Journal
Subjects:
Online Access:https://journals.lww.com/10.11622/smedj.2022014
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author 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
RN 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
author_facet 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
RN 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
author_sort Abhiram Kanneganti
collection DOAJ
description 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.
format Article
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institution Kabale University
issn 0037-5675
2737-5935
language English
publishDate 2023-11-01
publisher Wolters Kluwer – Medknow Publications
record_format Article
series Singapore Medical Journal
spelling doaj-art-0b3cc541681842249cc97ea741d634182025-02-09T14:41:10ZengWolters Kluwer – Medknow PublicationsSingapore Medical Journal0037-56752737-59352023-11-01641166767610.11622/smedj.2022014Safety attitudes, burnout and well-being among healthcare workers during the COVID-19 pandemic: an Indo-Pacific regional cross-sectional studyAbhiram KannegantiBenjamin Yong Qiang TanNik Hisamuddin Nik Ab RahmanAloysius Sheng-Ting LeowMax DenningEe Teng GohLucas Jun Hao LimChing-Hui SiaYing Xian ChuaJames KinrossMelanie TanLi Feng TanYi Min WanArvind SharmaRivan DanuajiRN Komal KumarChew Keng ShengCheah Phee KhengSarah Shaikh Abdul KarimMohd Najib Abdul GhaniSuhaimi MahmudYiong Huak ChanVijay Kumar SharmaKang SimShirley Beng Suat OoiIntroduction: 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.https://journals.lww.com/10.11622/smedj.2022014burnoutcovid-19pandemicsafety attitudessafety culture
spellingShingle 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
RN 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
Safety attitudes, burnout and well-being among healthcare workers during the COVID-19 pandemic: an Indo-Pacific regional cross-sectional study
Singapore Medical Journal
burnout
covid-19
pandemic
safety attitudes
safety culture
title Safety attitudes, burnout and well-being among healthcare workers during the COVID-19 pandemic: an Indo-Pacific regional cross-sectional study
title_full Safety attitudes, burnout and well-being among healthcare workers during the COVID-19 pandemic: an Indo-Pacific regional cross-sectional study
title_fullStr Safety attitudes, burnout and well-being among healthcare workers during the COVID-19 pandemic: an Indo-Pacific regional cross-sectional study
title_full_unstemmed Safety attitudes, burnout and well-being among healthcare workers during the COVID-19 pandemic: an Indo-Pacific regional cross-sectional study
title_short Safety attitudes, burnout and well-being among healthcare workers during the COVID-19 pandemic: an Indo-Pacific regional cross-sectional study
title_sort safety attitudes burnout and well being among healthcare workers during the covid 19 pandemic an indo pacific regional cross sectional study
topic burnout
covid-19
pandemic
safety attitudes
safety culture
url https://journals.lww.com/10.11622/smedj.2022014
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