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Burnout syndrome in Romanian medical residents in time of the COVID-19 pandemic
Open accessAbstract
Burnout is a state of physical or mental collapse caused by overwork or stress. Burnout during residency training has gained significant attention secondary to concerns regarding job performance and patient care. The new COVID-19 pandemic has raised public health problems around the world and required a reorganization of health services. In this context, burnout syndrome and physical exhaustion have become even more pronounced. Resident doctors, and especially those in certain specialties, seem even more exposed due to the higher workload, prolonged exposure and first contact with patients. This article is a short review of the literature and a presentation of some considerations regarding the activity of the medical residents in a non-Covid emergency hospital in Romania, based on the responses obtained via a questionnaire. Burnout prevalence is not equal in different specialties. We studied its impact and imagine the potential steps that can be taken in order to reduce the increasing rate of burnout syndrome in the pandemics.
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“Clinicians are prone to experience burnout more frequently than other occupations, as seen in the 2019 Medscape National Physician Burnout, Depression, & Suicide Report which mentioned around 44% of physician reported feeling burnout.3 , 4”
From Burnout syndrome among residents of different surgical specialties in a tertiary referral teaching hospital in Indonesia during COVID-19 pandemic (2022) · cites this paper as [3]
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“According to research, residents are especially vulnerable to the effects of chronic stress, anxiety, and burnout [4,5,6,7,8,9].”
From Validation of the Arabic Version of the Maslach Burnout Inventory-HSS Among Tunisian Medical Residents (A-MBI-MR): Factor Structure, Construct Validity, Reliability, and Gender Invariance (2025) · cites this paper as [8]
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“Moreover, burnout can also cause higher medical errors due to fatigue and reduced caution which may lead to negligence on personal safety measures and patient safety.3”
From Burnout syndrome among residents of different surgical specialties in a tertiary referral teaching hospital in Indonesia during COVID-19 pandemic (2022) · cites this paper as [3]
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“Residency may also contribute significantly to burnout, thereby affecting residents’ clinical judgment, ability to communicate, and deliver high-quality care for patients.”
From Burnout syndrome among residents of different surgical specialties in a tertiary referral teaching hospital in Indonesia during COVID-19 pandemic (2022) · cites this paper as [3]
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Cited by
Sorted by citations
COVID-19-Related Mental Health Effects in the Workplace: A Narrative Review
Giorgi, G., Lecca, L. I., Alessio, F., Finstad, G. L., Bondanini, G., Lulli, L. G., Arcangeli, G., & Mucci, N. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17217857 · Cited by 932
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BackgroundFilip, R., Gheorghita Puscaselu, R., Anchidin-Norocel, L., Dimian, M., & Savage, W. K. (2022) · Journal of Personalized Medicine · doi:10.3390/jpm12081295 · Cited by 802
Salari, N., Khazaie, H., Far, A. H., Khaledi‐Paveh, B., Kazeminia, M., Mohammadi, M., Shohaimi, S., Daneshkhah, A., & Eskandari, S. (2020) · Human Resources for Health · doi:10.1186/s12960-020-00544-1 · Cited by 623
Coping With Stress and Burnout Associated With Telecommunication and Online Learning
Mheidly, N., Fares, M. Y., & Fares, J. (2020) · Frontiers in Public Health · doi:10.3389/fpubh.2020.574969 · Cited by 355
Alrawashdeh, H. M., Al‐Tammemi, A. B., Alzawahreh, M. K., Al-Tamimi, A., Elkholy, M., Sarireh, F. A., Abusamak, M., Elehamer, N. M. K., Malkawi, A. M., Al-Dolat, W., et al. (2021) · BMC Public Health · doi:10.1186/s12889-021-10897-4 · Cited by 302
“during the COVID-19 pandemic, revealed that occupational burnout was found in 76% of physicians included in their study, reflecting an alerting level compared to prior studies [27].”
ResultThe impact of COVID-19 on physician burnout globally: a review
Amanullah, S., & Ramesh Shankar, R. (2020) · Healthcare · doi:10.3390/healthcare8040421 · Cited by 276
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MethodSanghera, J., Pattani, N., Hashmi, Y., Varley, K. F., Cheruvu, M. S., Bradley, A., & Burke, J. R. (2020) · Journal of Occupational Health · doi:10.1002/1348-9585.12175 · Cited by 274
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“Work stress also influenced burnout [69] and the lack of personal protective equipment affected emotional exhaustion [39,57].”
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Sharifi, M., Asadi‐Pooya, A. A., & Mousavi‐Roknabadi, R. S. (2021) · Archives of Academic Emergency Medicine · doi:10.22037/aaem.v9i1.1004 · Cited by 176
“ture and relieving workplace stress (9, 13, 20, 24, 26).”
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“As for the symptoms, in line with the long trajectory of COVID-19, our findings are in accord with previous studies that showed exhaustion as the major symptom experienced by burnt-out HCW, followed by cynicism and a reduced feeling of personal accomplishment [42,43].”
ResultXu, X., Ai, M., Hong, S., Wang, W., Chen, J., Zhang, Q., Hu, H., Xuemei, L., Lixia, W., Cao, J., et al. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.07.092 · Cited by 140
Factors Associated with Burnout Among Physicians: An Evaluation During a Period of COVID-19 Pandemic
Dinibutun, S. R. (2020) · Journal of Healthcare Leadership · doi:10.2147/jhl.s270440 · Cited by 134
Moitra, M., Rahman, M. A., Collins, P. Y., Gohar, F., Weaver, M. R., Kinuthia, J., Wulf Rössler, A., Petersen, S., Unützer, J., Saxena, S., et al. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.602614 · Cited by 140
Predictors of Burnout in Healthcare Workers during the COVID-19 Pandemic
Cotel, A., Golu, F., Stoian, A. P., Dimitriu, M. C. T., Socea, B., Cirstoveanu, C. G., Daviţoiu, A. M., Jacotă‐Alexe, F., & Oprea, B. (2021) · Healthcare · doi:10.3390/healthcare9030304 · Cited by 97
“As far as we know, only one study investigated the burnout of Romanian medical personnel during the pandemic, but it focused only on prevalence [30].”
BackgroundSelf-citationCOVID-19 Outbreak Can Change the Job Burnout in Health Care Professionals
Liu, X., Chen, J., Wang, D., Li, X., Wang, E., Jin, Y., Ma, Y., Yu, C. J., Luo, C., Zhang, L., et al. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.563781 · Cited by 88
“A cross-sectional study about burnout between normal ward workers and frontline workers in COVID wards in Romania showed that 76% of the sample reported burnout (40).”
BackgroundPsychological trauma, posttraumatic stress disorder and trauma-related depression: A mini-review
Wang, S., Feng, M., Yu, F., Lv, L., Gui-lan, S., Yang, S., Guo, P., Cheng, S.-F., Qian, M., & Chen, H. (2023) · World Journal of Psychiatry · doi:10.5498/wjp.v13.i6.331 · Cited by 100
Factors Associated with Burnout in Healthcare Professionals
Țăranu, S. M., Ilie, A. C., Turcu, A.-M., Ștefăniu, R., Sandu, I. A., Pîslaru, A. I., Alexa, I. D., Sandu, C. A., Rotaru, T., & Alexa‐Stratulat, T. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192214701 · Cited by 87
“However, each specialization can generate specific factors for maintaining mental tension [59].”
BackgroundPhysician’s Burnout during the COVID-19 Pandemic: A Systematic Review and Meta-Analysis
Alkhamees, A. A., Aljohani, M., Kalani, S., Ali, A. M., Almatham, F. A., Alwabili, A., Alsughier, N. A., & Rutledge, T. R. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20054598 · Cited by 79
“The majority (22/30) reported burnout using MBI or one of its adapted or modified versions such as Abbreviated Maslach Burnout Inventory (aMBI) (3/30) [31,32,57], 2 single‐item (MBI‐22) (2/30) [34,35], MBI‐HSS (7/30) [38,41,42,48,56], of them MBI HSS‐MP variation was used in two studies [44,52].”
MethodFiest, K. M., Leigh, J. P., Krewulak, K. D., Plotnikoff, K. M., Kemp, L. G., Ng-Kamstra, J. S., & Stelfox, H. T. (2021) · BMC Psychiatry · doi:10.1186/s12888-021-03090-9 · Cited by 74
“Most COVID-19 studies reported on physicians from USA (n = 23) [41, 52, 66, 70, 77, 90– 107], China (n = 22) [15, 49, 54–56, 65, 68, 73, 86, 89, 102, 108–118] followed by India (n = 21) [40, 50, 58, 63, 67, 71, 102, 119–132] [41, 52, 66, 70, 77], Italy (n = 10) [32, 94, 102, 125, 133–138], and Turkey (n = 11) [35, 44,…”
Pappa, S., Sakkas, N., & Sakka, E. (2021) · Sleep Medicine · doi:10.1016/j.sleep.2021.07.009 · Cited by 84
Burnout among paediatric residents during the COVID-19 outbreak in France
Tréluyer, L., & Tourneux, P. (2021) · European Journal of Pediatrics · doi:10.1007/s00431-020-03907-x · Cited by 71
Abdelghani, M., Elgohary, H. M., Fouad, E. A., & Hassan, M. S. (2020) · Middle East Current Psychiatry · doi:10.1186/s43045-020-00079-0 · Cited by 71
“The younger physicians would be more vulnerable to BOS owing to the heavier workloads, unpredicted changes in duty schedules to accommodate the new needs, cancelation of vacations, and prolonged contact with COVID-19 patients [38].”
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Xie, Y., Seth, I., Hunter‐Smith, D. J., Rozen, W. M., & Seifman, M. A. (2024) · ANZ Journal of Surgery · doi:10.1111/ans.18666 · Cited by 55
Burnout and coping among healthcare providers working in Saudi Arabia during the COVID-19 pandemic
Aljhani, S., Alharbi, H. Y., Aljameli, S. M., Hameed, L. N., Alaql, K. B., & Alsulaimi, M. S. (2021) · Middle East Current Psychiatry · doi:10.1186/s43045-021-00108-6 · Cited by 59
The impact of the COVID-19 pandemic on the mental health of dentists in Wales
Owen, C., Seddon, C., Clarke, K., Bysouth, T., & Johnson, D. (2022) · BDJ · doi:10.1038/s41415-021-3756-7 · Cited by 54
“There was a further reduction of one-fifth (15) of participants”
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“Healthcare professionals have experienced high levels of burnout during the COVID-19 pandemic (Dimitriu et al., 2020).”
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“In addition, the pandemic has contributed to considerable psychological distress, with increased reports of anxiety, burnout, and depression among students and junior doctors [2, 3].”
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Romanian Short Version of the Burnout Assessment Tool: Psychometric Properties
Oprea, B., Iliescu, D., & Witte, H. D. (2021) · Evaluation & the Health Professions · doi:10.1177/01632787211048924 · Cited by 42
“, 2020), which created a context that led to high levels of burnout in physicians, nurses, and medical residents during and before the COVID-19 pandemic (Cotel et al, 2021; Dimitriu et al., 2020; Popa et al., 2010).”
BackgroundTracing the Influence of Large Language Models across the Most Impactful Scientific Works
Petroșanu, D.-M., Pîrjan, A., & Tăbușcă, A. (2023) · Electronics · doi:10.3390/electronics12244957 · Cited by 47
Shaikh, C. F., Kelly, E. P., Paro, A., Cloyd, J. M., Ejaz, A. M., Beal, E. W., & Pawlik, T. M. (2022) · Journal of surgical education · doi:10.1016/j.jsurg.2022.04.015 · Cited by 38
“0%.(21-23,25,31,33,36,38,40,44) Additionally, the 2 studies that used the Mini-Z burnout assessment scale reported rates of burnout of 14.”
InfluentialGambaro, E., Gramaglia, C. M., Marangon, D., Probo, M., Rudoni, M., & Zeppegno, P. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20126087 · Cited by 32
“Interestingly, some evidence from the literature [49,51,54] has shown that HWs, specifically those who normally operate in the emergency–urgency field and in critical conditions, were less vulnerable to the development of burnout in the current pandemic.”
BackgroundWork stress and resident burnout, before and during the COVID-19 pandemia: An up-date
Navinés, R., Olivé, V., Fonseca, F., & Martín‐Santos, R. (2021) · Medicina Clínica (English Edition) · doi:10.1016/j.medcle.2021.04.005 · Cited by 35
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Çevik, H. S., & Ungan, M. (2021) · BMC Family Practice · doi:10.1186/s12875-021-01576-9 · Cited by 32
“Residents have the most prolonged direct contact with suspected or confirmed cases of COVID-19, resulting in enhanced mental and physical stressors [17] and it is impossible to ignore the adverse impact the COVID-19 pandemic has had on residents, residency training and primary health care services.”
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Somville, F. J. M. P., Bogaert, P. V., Wellens, B. T., Cauwer, H. G. D., & Franck, E. (2023) · Acta Clinica Belgica · doi:10.1080/17843286.2023.2273611 · Cited by 33
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Physician's Burnout and the COVID-19 Pandemic—A Nationwide Cross-Sectional Study in Austria
Kurzthaler, I., Kemmler, G., Holzner, B., & Hofer, A. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.784131 · Cited by 31
Chandawarkar, A. R., & Chaparro, J. D. (2021) · Current problems in pediatric and adolescent health care · doi:10.1016/j.cppeds.2021.101104 · Cited by 30
“However, two studies showed higher rates of burnout in normal ward workers than in frontline workers.(77,78) This was posited to potentially be due to less familiarity with COVID precautions and protocols thereby causing greater anxiety about possible exposures.”
BackgroundHan, S., Choi, S., Cho, S.-H., Lee, J., & Yun, J. (2021) · BMC Psychiatry · doi:10.1186/s12888-021-03291-2 · Cited by 32
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Daryanto, B., Rahmadiani, N., Amorga, R., Kautsarani, I., Susilo, H., & Persada Isma, S. P. (2022) · Clinical Epidemiology and Global Health · doi:10.1016/j.cegh.2022.100994 · Cited by 25
Gramaglia, C. M., Marangon, D., Azzolina, D., Guerriero, C., Lorenzini, L., Probo, M., Rudoni, M., Gambaro, E., & Zeppegno, P. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.667379 · Cited by 24
“Controversially, one study (13) reported significantly higher levels of burnout among physicians and nurses working in non-2019-nCOVID wards, compared to HCWs working in 2019-nCOVID wards, and, similarly, lower levels of burnout among first-line residents in training, than in those working at other wards have been des…”
BackgroundResultInfluentialBuenadicha-Mateos, M., Sánchez-Hernández, M., & González-López, Ó. R. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.792606 · Cited by 24
Frontline nurses' burnout and its associated factors during the COVID-19 pandemic in South Korea
Noh, E.-Y., Park, Y., Chai, Y. J., Kim, H. J., & Kim, E. (2022) · Applied Nursing Research · doi:10.1016/j.apnr.2022.151622 · Cited by 24
“Prolonged involvement in the COVID-19 pandemic could cause physical fatigue, psychological symptoms, and burnout among HCWs by lengthening contact with patients and increasing infection risk (Dimitriu et al., 2020).”
BackgroundInfluentialMouedden, I. E., Hellemans, C., Anthierens, S., Michels, N. R. M., & DeSmet, A. (2022) · BMC Medical Education · doi:10.1186/s12909-022-03694-z · Cited by 27
Wu, Y., Wei, Y., Li, Y., Pang, J., & Su, Y. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.952269 · Cited by 23
“This proportion was much lower than that in the data gathered in this study and certainly lower than that in the data collected in surveys involving medical practitioner counterparts in other countries during the same period (30, 61, 62).”
ResultPsychosocial Work Stress and Occupational Stressors in Emergency Medical Services
Bardhan, R., & Byrd, T. (2023) · Healthcare · doi:10.3390/healthcare11070976 · Cited by 31
Kuhlmann, E., Falkenbach, M., Brînzac, M. G., Correia, T., Panagioti, M., & Ungureanu, M. (2024) · The International Journal of Health Planning and Management · doi:10.1002/hpm.3752 · Cited by 24
Ferreira, S., Sousa, M. M., Moreira, P. S., Sousa, N., Picó‐Pérez, M., & Morgado, P. F. (2021) · JMIR Public Health and Surveillance · doi:10.2196/24312 · Cited by 21
“Previous studies have also reported increases in stress [36,37,46], distress [13], and burnout [11,12] symptoms among medical workers during the COVID-19 pandemic.”
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Burnout syndrome in healthcare workers during the COVID-19 pandemic: a systematic review
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“Dimitriu et al.(41) Romania Resident Physicians April and May, 2020 100 MBI 76.”
BackgroundMenaldi, S. L., Raharjanti, N. W., Wahid, M. H., Ramadianto, A. S., Nugrahadi, N. R., Adhiguna, G. M. Y. P., & Kusumoningrum, D. A. (2023) · PLoS ONE · doi:10.1371/journal.pone.0280313 · Cited by 25
“Physical distancing and protective equipment requirements may impede communication with patients and colleagues [5, 6].”
BackgroundResultInfluentialWang, Z., & Zheng, B. (2023) · Medical Education Online · doi:10.1080/10872981.2023.2226888 · Cited by 30
“The high prevalence of burnout among medical students in both pre-clinical and clinical years has garnered attention from researchers, given its detrimental effect on students’ personal and professional development [21].”
BackgroundCOVID-19 in healthcare workers (literature review and own data)
Shpagina, L. A., Kuzmina, L. P., Сергеевна, К. О., Шпагин, И. С., Kamneva, N. V., Kuznetsova, G. V., & Владимировна, Л.-Л. К. (2021) · Russian Journal of Occupational Health and Industrial Ecology · doi:10.31089/1026-9428-2021-61-1-18-26 · Cited by 23
Burnout among physicians working in a pandemic hospital during the COVID-19 pandemic
Buran, F., & Altın, Z. (2021) · Legal Medicine · doi:10.1016/j.legalmed.2021.101881 · Cited by 28
“Current studies indicate that the burnout caused by a pandemic may lead to medical malpractice lawsuits, even an increase in the risk of patient safety [8,9].”
BackgroundMoscu, C.-A., Marina, V., Dragomir, L., Anghele, A.-D., & Anghele, M. (2022) · Medicina · doi:10.3390/medicina58111516 · Cited by 21
Surgical trainee burnout during the COVID-19 pandemic: a systematic review
Egbe, A., Abuelgasim, M., & Boghdady, M. E. (2023) · Annals of The Royal College of Surgeons of England · doi:10.1308/rcsann.2022.0135 · Cited by 21
Factors associated with mental health outcomes among medical residents exposed to COVID-19
Khoodoruth, M. A. S., Al-Nuaimi, S. K., Al‐Salihy, Z., Ghaffar, A., Khoodoruth, W. N. C., & Ouanes, S. (2021) · BJPsych Open · doi:10.1192/bjo.2021.12 · Cited by 21
Burnout Toll on Empathy Would Mediate the Missing Professional Support in the COVID-19 Outbreak
Bredicean, C. A., Tamasan, S. C., Lungeanu, D., Giurgi-Oncu, C., Stoica, I.-P., Panfil, A.-L., Vasilian, C. C., Secoșan, I., Ursoniu, S., & Pătrașcu, R. (2021) · Risk Management and Healthcare Policy · doi:10.2147/rmhp.s300578 · Cited by 20
“among Romanian healthcare workers has been identified.(62,63) We aimed to evaluate the psychological”
BackgroundAssociation between burnout and immunological and endocrine alterations
Ciobanu, A. M., Damian, A. C., & Neagu, C. (2021) · Romanian Journal of Morphology and Embryology · doi:10.47162/rjme.62.1.02 · Cited by 20
“size and volume of brain structures (the limbic system) [52, 53].”
BackgroundPlatania, S., Gruttadauria, S. V., & Morando, M. (2022) · European Journal of Investigation in Health Psychology and Education · doi:10.3390/ejihpe12090089 · Cited by 19
“Job stress also seems to significantly influence burnout [77] just as the lack of personal protective equipment influenced emotional exhaustion [78,79].”
BackgroundVila, R. C. B., Burgos, L. M., Sigal, A. R., Costabel, J. P., & de Lima, A. A. (2021) · Current Problems in Cardiology · doi:10.1016/j.cpcardiol.2021.100873 · Cited by 19
“32 Depersonalization 12 (5-19) 15 (11-18.”
Aljuffali, L. A., Alshabanah, M. O., & Almalag, H. M. (2022) · Saudi Pharmaceutical Journal · doi:10.1016/j.jsps.2022.01.017 · Cited by 19
Rajwa, P., Przydacz, M., Krajewski, W. R., Kuffel, B., Zapała, P., Krzywon, A., Cortez, A. J., Dybowski, B. A., Stamirowski, R., Jarzemski, M., et al. (2020) · Archives of Medical Science · doi:10.5114/aoms.2020.98364 · Cited by 18
“lower COVID-19 fear level in Eastern Europeans), may also have played a role in our lower declines in ED attendance [19-21].”
BackgroundPooja, V., Khan, A., Patil, J., Chaudhari, B., Chaudhury, S., & Saldanha, D. (2021) · Industrial Psychiatry Journal · doi:10.4103/0972-6748.328792 · Cited by 18
“The resident doctors had higher prevalence of burnout since they did not get any time to adapt to the new reality and had to struggle to keep up with the constantly changing protocols of treatment.[18,19] The finding of much higher work related burnout in the clinical group corresponds to the above studies.”
ResultChávez, L., Marcet, G., Ramírez, E., Acosta, L., & Samudio, M. (2021) · Revista de salud publica del Paraguay · doi:10.18004/rspp.2021.junio.74 · Cited by 19
Shawahna, R., Maqboul, I., Ahmad, O., Al-Issawy, A., & Abed, B. (2022) · BMC Medical Education · doi:10.1186/s12909-022-03386-8 · Cited by 22
“The heavy workload during this period could have led to more burnout [49, 50].”
BackgroundClemens, V., Beschoner, P., Jarczok, M., Weimer, K., Kempf, M., Morawa, E., Geiser, F., Albus, C., Steudte-Schmiedgen, S., Gündel, H., et al. (2021) · European Journal of Psychotraumatology · doi:10.1080/20008198.2021.1976441 · Cited by 14
COVID-19 pandemic: Burnout syndrome in healthcare professionals working in field hospitals in Brazil
Gomes, R. N. S., & Gomes, V. T. S. (2021) · Enfermería Clínica (English Edition) · doi:10.1016/j.enfcle.2020.10.002 · Cited by 23
Boland, J. W., Kabir, M., Spilg, E. G., Webber, C., Bush, S. H., Murtagh, F., & Lawlor, P. G. (2023) · Palliative Medicine · doi:10.1177/02692163231153067 · Cited by 16
“18 22 In Canada, the incidence rate of physician visits to psychiatry and primary care providers for mental health and substance use related issues increased on average by 13% per physician during the pandemic.”
Burnout and resilience during the COVID-19 outbreak: differences between male and female students
Rusandi, M. A., Liza, L. O., & Situmorang, D. D. B. (2022) · Heliyon · doi:10.1016/j.heliyon.2022.e10019 · Cited by 20
“Preliminary research on burnout during the pandemic focused more on subjects of medical personnel such as doctors and nurses (Dimitriu et al., 2020; Fessell and Cherniss, 2020; Launer, 2020; Wu et al., 2020).”
Rezaei, S., Hoseinipalangi, Z., Rafiei, S., Dolati, Y., Hosseinifard, H., Asl, M. T., Mejareh, Z. N., Deylami, S., Abdollahi, B., Ardakani, M. F., et al. (2022) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2022.100326 · Cited by 16
Burnout and quality of life of medical residents: a mixed-method study
Nurikhwan, P. W., Felaza, E., & Soemantri, D. (2022) · Korean journal of medical education · doi:10.3946/kjme.2022.217 · Cited by 15
“[22] showing that optimism, high motivation, and extrovert personality are able to reduce personal anxiety and consequently prevent burnout.”
BackgroundRashid, F., Uddin, R. A. M. E., Mehedi, H. M. H., Dhar, S., Bhuiyan, N. H., Sattar, M. A., & Chowdhury, S. (2022) · PLoS ONE · doi:10.1371/journal.pone.0277875 · Cited by 15
“A low level of burnout in frontline COVID unit medical professionals was observed in several studies compared to non-COVID wards in different centers [21, 27, 45].”
ResultPinho, R. D. N. L., Costa, T. F., Silva, N. M., Areal, A. F. B., Salles, A. D. M., Oliveira, A. P. R. A., Rassi, C. H. R. E., Gomes, C. M., da Silva, D. L. M., de Oliveira, F. A. R., et al. (2022) · PLoS ONE · doi:10.1371/journal.pone.0267530 · Cited by 16
“In the context of the pandemic, the prolonged and uncomfortable use of personal protective equipment (PPE), irregular hydration and feeding and sleep deprivation increased fatigue and the risk of burnout [3].”
BackgroundDabbah, N. A. E., & Elhadi, Y. (2023) · Scientific Reports · doi:10.1038/s41598-023-33399-2 · Cited by 12
Compassion fatigue and compassion satisfaction among Romanian emergency medicine personnel
Hăisan, A., Hogas, S. M., Măirean, C., PUNEI, M. O., Volovăț, S. R., Hogas, M. M., Kantor, C., & Cimpoesu, D. C. (2023) · Frontiers in Medicine · doi:10.3389/fmed.2023.1189294 · Cited by 17
Valladares-Garrido, M. J., Zapata-Castro, L. E., Picón-Reátegui, C. K., Mesta-Pintado, A. P., Picón-Reátegui, R. A., Huaman-Garcia, M., Pereira-Victorio, C. J., Valladares-Garrido, D., & Failoc‐Rojas, V. E. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192013614 · Cited by 14
Diaz, J. O., Görgen, A. R. H., da Silva, A. G. T., Paludo, A. D. O., de Oliveira, R. T., Rosito, N. C., Barroso, U., Corbetta, J. P., Pedro-José Lopez, E., Tavares, P. M., et al. (2021) · Journal of Pediatric Urology · doi:10.1016/j.jpurol.2021.01.015 · Cited by 16
Problem gambling during Covid-19
Frisone, F., Alibrandi, A., & Settineri, S. (2020) · Mediterranean Journal of Clinical Psychology · doi:10.6092/2282-1619/mjcp-2457 · Cited by 30
El síndrome de burnout en los profesionales de salud en la pandemia por la COVID-19.
Lozano-Vargas, A. (2021) · Revista de Neuro-Psiquiatría · doi:10.20453/rnp.v84i1.3930 · Cited by 14
Burnout Syndrome among Staff at an Emergency Department during the COVID-19 Pandemic
Corlade-Andrei, M., Măirean, C., Nedelea, P. L., Grigorasi, G. R., & Cimpoesu, D. C. (2022) · Healthcare · doi:10.3390/healthcare10020258 · Cited by 14
“The research took place within a university hospital in the city of Iasi, Romania, in the emergency department during the summer of 2021.”
BackgroundResultInfluentialLuangapichart, P., Saisavoey, N., & Viravan, N. (2022) · Healthcare · doi:10.3390/healthcare10122532 · Cited by 14
Osei, H. V., Konadu, I. A., & Osei-Kwame, D. (2022) · International Journal of Healthcare Management · doi:10.1080/20479700.2022.2085847 · Cited by 16
“mental collapse caused by overwork or stress [29].”
BackgroundGambaro, E., Gramaglia, C. M., Marangon, D., Azzolina, D., Probo, M., Rudoni, M., & Zeppegno, P. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182413083 · Cited by 14
“Moreover, because of the COVID-19 pandemic, surgeries or other lifesaving treatments were cancelled or postponed, leading to anguish among recovered COVID-19 patients, an emotional experience shared by the attending physicians [12,13].”
BackgroundTang, R., Feng, O., Chong, J. J., & Wang, A. (2022) · Proceedings of Singapore Healthcare · doi:10.1177/20101058221117390 · Cited by 13
Szczerbińska, K. E., Barańska, I., Kijowska, V., Stodolska, A., Wójcik, G., Różańska, A., & Wójkowska‐Mach, J. (2023) · Journal of Clinical Nursing · doi:10.1111/jocn.16654 · Cited by 15
Daneshvar, E., & Otterbach, S. (2025) · Scientific Reports · doi:10.1038/s41598-025-21540-2 · Cited by 19
Chen, R., & Liu, W. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2022.1050867 · Cited by 20
“Although the emergence of COVID-19 has accelerated the BO rate among HCW worldwide (7, 8), the National Academy of Medicine had already specified that BO in the healthcare system had reached a crisis level (9, 10).”
BackgroundBurnout in the disaster response workforce: The impact of work roles and the COVID-19 pandemic
Merlo, K. L., Conen, K. M., Scott, B., Jones, K. C., Dunn, E., & Marshall, J. T. (2021) · Journal of Emergency Management · doi:10.5055/jem.0593 · Cited by 12
Sidiq, M., Sai Jaya Prakash, C. H., Janakiraman, B., Chahal, A., Khan, I., Kaura, S., Kashoo, F. Z., Khan, F., Khan, S., Sehgal, C. A., et al. (2024) · PeerJ · doi:10.7717/peerj.18039 · Cited by 13
“Similar, results from Romanian medical students ( Dimitriu et al., 2020 ), healthcare professionals in Spain ( Torrente et al., 2021 ), medical staff ( Huo et al., 2021 ), physicians in teaching hospitals ( Appiani et al., 2021 ), and intensive care unit specialists ( Azoulay et al., 2020 ).”
ResultExhaustion in Healthcare Workers after the First Three Waves of the COVID-19 Pandemic
Oțelea, M. R., Rașcu, A., Staicu, C. A., Călugăreanu, L., Ipate, M., Teodorescu, S., Persecă, O., Voinoiu, A., Neamțu, A., Calotă, V. C., et al. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19148871 · Cited by 11
“Several national studies support this statement, for example, hospital-based research found that burnout was more frequent in non-COVID-19 wards [9].”
ResultCalcagnile, T., Sighinolfi, M. C., Sarchi, L., Assumma, S., Filippi, B., Bonfante, G., Cassani, A., Spandri, V., Turri, F. M., Puliatti, S., et al. (2021) · Urologia Journal · doi:10.1177/03915603211001253 · Cited by 11
Singh, V., Young, J. Q., Malhotra, P., Pineo, M. M., Rasul, R., Corley, S. S., Yacht, A. C., Friedman, K. A., Barone, S. R., & Schwartz, R. M. (2022) · Archives of Environmental & Occupational Health · doi:10.1080/19338244.2021.2023084 · Cited by 10
“There are no direct redeployment studies with which to compare our findings but results of studies evaluating burnout among healthcare workers involved with direct COVID-19 patient care to those who did not have direct COVID-19 patient care were mixed in terms of which group was associated with higher levels of burnou…”
Result
Metadata
- Authors
- Dimitriu, M. C. T., 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.
- Affiliations
- Carol Davila University of Medicine and Pharmacy (RO)
- ORCID
- Venue
- Medical Hypotheses
- Publisher
- Elsevier BV
- Published
- 2020-11
- Volume
- 144
- Pages
- 109972
- ISSN
- 0306-9877 (ISSN-L)
- PMC
- PMC7276114
- OpenAlex
- W3033303496
- Cited by
- 319
- References
- 33
- Citations by year
- 2026: 5 · 2025: 18 · 2024: 33 · 2023: 58 · 2022: 87 · 2021: 100 · 2020: 18
- FWCI
- 68.65
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Medical Hypotheses (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Universitatea de Medicină şi Farmacie "Carol Davila" Bucureşti
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Burnout
- Keywords
- burnout, medical residents, COVID-19 pandemic, physician burnout, resident workload, physical fatigue, Romania
- MeSH terms
- Personal Protective Equipment, COVID-19, Adult, Attitude of Health Personnel, Burnout, Professional, Emergency Service, Hospital, Female, Hospital Departments, Humans, Intensive Care Units, Internship and Residency, Male, Physician-Patient Relations, Physicians, Surveys and Questionnaires, Romania, Stress, Psychological, Workload, Young Adult, Pandemics
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