Gender-based differences in burnout during the COVID-19 pandemic: Are female nurses more prone to burnout than males? A meta-analysis

https://doi.org/10.53730/ijhs.v6nS4.6557

Authors

  • Qasem Ahmed Ali Almulihi Master of science in medicine Maastricht University The Netherlands Emergency Resident -King Fahad University Hospital Al Khobar - Kingdom of Saudi Arabia
  • Fatimah Ahmed Ali Almulihi Bachelor of Nursing - King Faisal University - Kingdom of Saudi Arabia Registered nurse at Alomran General Hospital - Kingdom of Saudi Arabia
  • Sara khalid Saad Alobaidan Bachelor of Nursing - King Saud bin Abdulaziz University for Health Sciences (KSAU-HS) Registered nurse at Prince Saud Bin Jalawy Hospital - Kingdom of Saudi Arabia
  • Sarah Khalid Abdullah Alsultan Bachelor of Nursing - King Saud bin Abdulaziz University for Health Sciences (KSAU-HS) Case Manager Staff Nurse 1 - King Abdulaziz Hospital (NGHA) Kingdom of Saudi Arabia
  • Dalal Abdulrahman Hussein Alsultan Master of Science in Nursing at King Faisal University in Alahsa
  • Yaser Mohammed Hussain Alsultan Master of science in medicine Maastricht University the Netherlands

Keywords:

nurses, COVID-19, burnout, female, male

Abstract

The aim was to investigate the gender-based difference in burnout of nurses during the Covid-19 pandemic. Successful and valuable strategies can be designed to improve nurses’ well-being and to identify, treat, and prevent burnout by recognizing gender-related differences. A systemic search was conducted from electronic databases (PubMed/Medline, Cochrane Library, and Google Scholar) from the inception to 12th FEB 2022. All statistical analyses were conducted in Review Manager 5.4.1. Studies meeting inclusion criteria were selected. A random-effect model was used when heterogeneity was observed to pool the studies, and the results were reported via the standard mean difference (SMD) and corresponding 95% confidence interval (CI). Six cross-sectional studies were selected for meta-analysis. There was significant SMD for burnout in males compared with in females (SMD= −0.10 [−0.20, −0.00]; p= 0.04; I2= 84%). The results of the meta-analysis suggested that the overall burnout rate was more significant in male nurses than in female nurses during the COVID-19 pandemic. There was no difference in emotional exhaustion or personal achievement in both genders. The depersonalization score was more significant in males.

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References

Torales J, O'Higgins M, Castaldelli-Maia JM, Ventriglio A. The outbreak of COVID-19 coronavirus and its impact on global mental health. Int J Soc Psychiatry. 2020;66(4):317-320. doi:10.1177/0020764020915212

World Health Organization. 2021. Occupational safety and health in public health emergencies: a manual for protecting health workers and responders. [online] Available at: <https://www.who.int/occupational_health/publications/safety-health-public-health-emergencies/en/> [Accessed 24 November 2021].

Home. (n.d.). WHO | World Health Organization. https://www.who.int/

Shreffler J, Petrey J, Huecker M. The Impact of COVID-19 on Healthcare Worker Wellness: A Scoping Review. West J Emerg Med. 2020;21(5):1059-1066. Published 2020 Aug 17. doi:10.5811/westjem.2020.7.48684.

Maslach, C., Jackson, S. E., & Leiter, M. P. (1996). Maslach burnout inventory manual. Palo Alto, Calif: Consulting Psychologists Press.

Soto-Rubio A, Giménez-Espert MDC, Prado-Gascó V. Effect of Emotional Intelligence and Psychosocial Risks on Burnout, Job Satisfaction, and Nurses' Health during the COVID-19 Pandemic. Int J Environ Res Public Health. 2020;17(21):7998. Published 2020 Oct 30. doi:10.3390/ijerph17217998

Cañadas-De la Fuente GA, Ortega E, Ramirez-Baena L, De la Fuente-Solana EI, Vargas C, Gómez-Urquiza JL. Gender, Marital Status, and Children as Risk Factors for Burnout in Nurses: A Meta-Analytic Study. Int J Environ Res Public Health. 2018;15(10):2102. Published 2018 Sep 25. doi:10.3390/ijerph15102102

Maeusli M, Lee B, Miller S, et al. Horizontal Gene Transfer of Antibiotic Resistance from Acinetobacter baylyi to Escherichia coli on Lettuce and Subsequent Antibiotic Resistance Transmission to the Gut Microbiome. mSphere. 2020;5(3):e00329-20. Published 2020 May 27. doi:10.1128/mSphere.00329-20

Giorgi G, Lecca LI, Alessio F, et al. COVID-19-Related Mental Health Effects in the Workplace: A Narrative Review. Int J Environ Res Public Health. 2020;17(21):7857. Published 2020 Oct 27. doi:10.3390/ijerph17217857

Rahman J, Muralidharan A, Quazi SJ, Saleem H, Khan S. Neurological and Psychological Effects of Coronavirus (COVID-19): An Overview of the Current Era Pandemic. Cureus. 2020;12(6):e8460. Published 2020 Jun 5. doi:10.7759/cureus.8460

Xie W, Wang J, Zhang Y, et al. The levels, prevalence and related factors of compassion fatigue among oncology nurses: a systematic review and meta-analysis. J Clin Nurs. 2021;30(5-6):615-632. doi:10.1111/jocn.15565

Hutton B, Salanti G, Caldwell DM, et al. The PRISMA extension statement for reporting of systematic reviews incorporating network meta-analyses of health care interventions: checklist and explanations. Ann Intern Med. 2015;162(11):777-784. doi:10.7326/M14-2385

Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. BMJ. 2003;327(7414):557-560. doi:10.1136/bmj.327.7414.557

. Chen, R., Sun, C., Chen, J. J., Jen, H. J., Kang, X. L., Kao, C. C., & Chou, K. R. (2021). A Large-Scale Survey on Trauma, Burnout, and Posttraumatic Growth among Nurses during the COVID-19 Pandemic. International journal of mental health nursing, 30(1), 102–116. https://doi.org/10.1111/inm.12796

Aydin Sayilan, A., Kulakaç, N., & Uzun, S. (2021). Burnout levels and sleep quality of COVID-19 heroes. Perspectives in psychiatric care, 57(3), 1231–1236. https://doi.org/10.1111/ppc.12678

Brera, A. S., Arrigoni, C., Dellafiore, F., Odone, A., Magon, A., Nania, T., Pittella, F., Palamenghi, L., Barello, S., & Caruso, R. (2021). Burnout syndrome and its determinants among healthcare workers during the first wave of the Covid-19 outbreak in Italy: a cross-sectional study to identify sex-related differences. La Medicina del lavoro, 112(4), 306–319. https://doi.org/10.23749/mdl.v112i4.11316

Hu, D., Kong, Y., Li, W., Han, Q., Zhang, X., Zhu, L. X., Wan, S. W., Liu, Z., Shen, Q., Yang, J., He, H. G., & Zhu, J. (2020). Frontline nurses' burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: A large-scale cross-sectional study. EClinicalMedicine, 24, 100424. https://doi.org/10.1016/j.eclinm.2020.100424

Jiang, W., Zhao, X., Jiang, J., Zhou, Q., Yang, J., Chen, Y., Goldsamt, L., Williams, A. B., & Li, X. (2021). Hospital ethical climate associated with the professional quality of life among nurses during the early stage of COVID-19 pandemic in Wuhan, China: A cross-sectional study. International journal of nursing sciences, 8(3), 310–317. https://doi.org/10.1016/j.ijnss.2021.05.002

Murat, M., Köse, S., & Savaşer, S. (2021). Determination of stress, depression and burnout levels of front-line nurses during the COVID-19 pandemic. International journal of mental health nursing, 30(2), 533–543. https://doi.org/10.1111/inm.12818

Spoorthy, M. S., Pratapa, S. K., & Mahant, S. (2020). Mental health problems faced by healthcare workers due to the COVID-19 pandemic-A review. Asian journal of psychiatry, 51, 102119. https://doi.org/10.1016/j.ajp.2020.102119

Dimitriu, M., Pantea-Stoian, A., Smaranda, A. C., Nica, A. A., Carap, A. C., Constantin, V. D., Davitoiu, A. M., Cirstoveanu, C., Bacalbasa, N., Bratu, O. G., Jacota-Alexe, F., Badiu, C. D., Smarandache, C. G., & Socea, B. (2020). Burnout syndrome in Romanian medical residents in time of the COVID-19 pandemic. Medical hypotheses, 144, 109972. https://doi.org/10.1016/j.mehy.2020.109972

Panari, C., Caricati, L., Pelosi, A., & Rossi, C. (2019). Emotional exhaustion among healthcare professionals: the effects of role ambiguity, work engagement and professional commitment. Acta bio-medica : Atenei Parmensis, 90(6-S), 60–67. https://doi.org/10.23750/abm.v90i6-S.8481

Wu, Y., Wang, J., Luo, C., Hu, S., Lin, X., Anderson, A. E., Bruera, E., Yang, X., Wei, S., & Qian, Y. (2020). A Comparison of Burnout Frequency Among Oncology Physicians and Nurses Working on the Frontline and Usual Wards During the COVID-19 Epidemic in Wuhan, China. Journal of pain and symptom management, 60(1), e60–e65. https://doi.org/10.1016/j.jpainsymman.2020.04.008

. Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., Wu, J., Du, H., Chen, T., Li, R., Tan, H., Kang, L., Yao, L., Huang, M., Wang, H., Wang, G., Liu, Z., & Hu, S. (2020). Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA network open, 3(3), e203976. https://doi.org/10.1001/jamanetworkopen.2020.3976

Maslach, C., Schaufeli, W. B., & Leiter, M. P. (2001). Job burnout. Annual review of psychology, 52, 397–422. https://doi.org/10.1146/annurev.psych.52.1.397

Worldometers.info. 2021. Italy COVID: 4,942,135 Cases and 133,330 Deaths - Worldometer. [online] Available at: <https://www.worldometers.info/coronavirus/country/italy/> [Accessed 24 November 2021].

Worldometers.info. 2021. China COVID: 98,546 Cases and 4,636 Deaths - Worldometer. [online] Available at: <https://www.worldometers.info/coronavirus/country/china/> [Accessed 24 November 2021].

Worldometers.info. 2021. Turkey COVID: 8,624,580 Cases and 75,443 Deaths - Worldometer. [online] Available at: <https://www.worldometers.info/coronavirus/country/turkey/> [Accessed 24 November 2021].

Hwang, H., Hur, W. M., & Shin, Y. (2021). Emotional exhaustion among the South Korean workforce before and after COVID-19. Psychology and psychotherapy, 94(2), 371–381. https://doi.org/10.1111/papt.12309

Salazar de Pablo, G., Vaquerizo-Serrano, J., Catalan, A., Arango, C., Moreno, C., Ferre, F., Shin, J. I., Sullivan, S., Brondino, N., Solmi, M., & Fusar-Poli, P. (2020). Impact of coronavirus syndromes on physical and mental health of health care workers: Systematic review and meta-analysis. Journal of affective disorders, 275, 48–57. https://doi.org/10.1016/j.jad.2020.06.022

Galanis, P., Vraka, I., Fragkou, D., Bilali, A., & Kaitelidou, D. (2021). Nurses' burnout and associated risk factors during the COVID-19 pandemic: A systematic review and meta-analysis. Journal of advanced nursing, 77(8), 3286–3302. https://doi.org/10.1111/jan.14839

Batra, K., Singh, T. P., Sharma, M., Batra, R., & Schvaneveldt, N. (2020). Investigating the Psychological Impact of COVID-19 among Healthcare Workers: A Meta-Analysis. International journal of environmental research and public health, 17(23), 9096.

Published

25-04-2022

How to Cite

Almulihi, Q. A. A., Almulihi, F. A. A., Alobaidan, S. khalid S., Alsultan, S. K. A., Alsultan, D. A. H., & Alsultan, Y. M. H. (2022). Gender-based differences in burnout during the COVID-19 pandemic: Are female nurses more prone to burnout than males? A meta-analysis. International Journal of Health Sciences, 6(S4), 2061–2073. https://doi.org/10.53730/ijhs.v6nS4.6557

Issue

Section

Peer Review Articles