Longitudinal trends in burnout among healthcare professionals during the COVID-19 pandemic: a 4-year prospective cohort study in a tertiary medical centre in Taiwan
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| Publicado en: | BMJ Open vol. 15, no. 11 (2025), p. e095648 |
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| Otros Autores: | , , , , , , , , |
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| Acceso en línea: | Citation/Abstract Full Text + Graphics Full Text - PDF |
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| 001 | 3276152572 | ||
| 003 | UK-CbPIL | ||
| 022 | |a 2044-6055 | ||
| 024 | 7 | |a 10.1136/bmjopen-2024-095648 |2 doi | |
| 035 | |a 3276152572 | ||
| 045 | 2 | |b d20250101 |b d20251231 | |
| 084 | |a 269834 |2 nlm | ||
| 100 | 1 | |a Shao-Yun, Lee |u Department of Family Medicine , Taichung Veterans General Hospital , Taichung , Taiwan | |
| 245 | 1 | |a Longitudinal trends in burnout among healthcare professionals during the COVID-19 pandemic: a 4-year prospective cohort study in a tertiary medical centre in Taiwan | |
| 260 | |b BMJ Publishing Group LTD |c 2025 | ||
| 513 | |a Journal Article | ||
| 520 | 3 | |a ObjectivesThis study aimed to investigate the evolution of burnout levels and cardiovascular risk among healthcare professionals during the COVID-19 pandemic, identifying associated risk factors, with a particular focus on the impact of working hours, job roles and working units.DesignA longitudinal, observational study was conducted.SettingThe study was carried out in a medical centre in central Taiwan, encompassing various healthcare settings.ParticipantsA total of 1502 healthcare workers participated, including nurses, medical technicians, resident doctors, attending physicians and administrative staff. Participants were selected based on consistent completion of a 4-year questionnaire, with exclusion criteria for those who did not complete.Primary and secondary outcome measuresThe primary outcome measured was burnout levels using the Chinese version of the Copenhagen Burnout Inventory. The secondary outcome was cardiovascular risk calculated from employees’ health check-up data using the Framingham Risk Score.ResultsCardiovascular risk showed an upward trend over 4 years. Personal and work-related burnout significantly decreased from 2019 to 2020 but increased from 2020 to 2022, aligning with changes in weekly working hours. Nurses exhibited the most pronounced fluctuations, likely due to their younger average age, shorter professional tenure and frequent direct patient contact, which may heighten vulnerability to pandemic-related stressors. In contrast, attending physicians demonstrated age as a protective factor against burnout, as greater seniority, clinical experience and professional maturity may buffer stress and foster resilience. Participants who worked in COVID-related units generally had elevated burnout levels and working hours. During the initial outbreak in 2020, employees working in COVID-related units had reduced working hours but stable burnout levels, while employees in non-COVID-related units experienced decreased burnout.ConclusionsThis study highlights the critical impact of long working hours on burnout among healthcare professionals during the COVID-19 pandemic. Nurses emerged as a vulnerable group, sensitive to pandemic-induced changes, while attending physicians exhibited more resilience. COVID-related units face greater stress and are less likely to benefit from reductions in patient numbers and working hours during the pandemic. Our findings underscore the urgent need for tailored interventions, such as regulated work hours, flexible scheduling and enhanced organisational and peer support, to protect healthcare workers’ well-being. These strategies can strengthen workforce resilience and sustainability in future public health crises. | |
| 610 | 4 | |a Occupational Safety & Health Administration--OSHA | |
| 651 | 4 | |a Taiwan | |
| 653 | |a Job titles | ||
| 653 | |a Trends | ||
| 653 | |a Medical personnel | ||
| 653 | |a Questionnaires | ||
| 653 | |a Occupational safety | ||
| 653 | |a Seniority | ||
| 653 | |a Workloads | ||
| 653 | |a Nurses | ||
| 653 | |a Longitudinal studies | ||
| 653 | |a Statistical analysis | ||
| 653 | |a COVID-19 | ||
| 653 | |a Working hours | ||
| 653 | |a Stress | ||
| 653 | |a Employees | ||
| 653 | |a Pandemics | ||
| 653 | |a Epidemics | ||
| 653 | |a Working conditions | ||
| 653 | |a Cardiovascular disease | ||
| 653 | |a Burnout | ||
| 653 | |a Hospitals | ||
| 653 | |a Variables | ||
| 653 | |a Lifestyles | ||
| 653 | |a Cohort analysis | ||
| 700 | 1 | |a Wan-Ting, Hsu |u Department of Family Medicine , Taichung Veterans General Hospital , Taichung , Taiwan | |
| 700 | 1 | |a Ho Wen Chao |u School of Public Health , China Medical University , Taichung , Taiwan | |
| 700 | 1 | |a Yu-Li, Lin |u School of Medicine, National Yang Ming Chiao Tung University , Taipei , Taiwan | |
| 700 | 1 | |a Cheng-Fu, Lin |u Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University , Taichung , Taiwan | |
| 700 | 1 | |a Chun-Li, Wang |u Department of Family Medicine , Taichung Veterans General Hospital , Taichung , Taiwan | |
| 700 | 1 | |a Ho Hsin-En |u Department of Family medicine , Taichung Armed Forces General Hospital , Taichung , Taiwan | |
| 700 | 1 | |a Fu Pin-Kuei |u Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University , Taichung , Taiwan | |
| 700 | 1 | |a Wei-Min, Chu |u Department of Family Medicine , Taichung Veterans General Hospital , Taichung , Taiwan | |
| 700 | 1 | |a Yu-Tse, Tsan |u Division of Occupational Medicine, Department of Emergency Medicine , Taichung Veterans General Hospital , Taichung , Taiwan | |
| 773 | 0 | |t BMJ Open |g vol. 15, no. 11 (2025), p. e095648 | |
| 786 | 0 | |d ProQuest |t Consumer Health Database | |
| 856 | 4 | 1 | |3 Citation/Abstract |u https://www.proquest.com/docview/3276152572/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch |
| 856 | 4 | 0 | |3 Full Text + Graphics |u https://www.proquest.com/docview/3276152572/fulltextwithgraphics/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch |
| 856 | 4 | 0 | |3 Full Text - PDF |u https://www.proquest.com/docview/3276152572/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch |