Inadequate preparedness for response to COVID-19 is associated with stress and burnout among healthcare workers in Ghana
https://doi.org/10.1371/journal. pone.0250294; http://ugspace.ug.edu.gh/handle/123456789/36281
Afulani, P.A.; Gyamerah, A.O.; Nutor, J.J.; Laar, A.; Aborigo, R.A.; Malechi, H.; Sterling, M.; Awoonor-Williams, J.K.
The COVID-19 pandemic has compounded the global crisis of stress and burnout among
healthcare workers. But few studies have empirically examined the factors driving these outcomes
in Africa. Our study examined associations between perceived preparedness to
respond to the COVID-19 pandemic and healthcare worker stress and burnout and identified
potential mediating factors among healthcare workers in Ghana.
Healthcare workers in Ghana completed a cross-sectional self-administered online survey
from April to May 2020; 414 and 409 completed stress and burnout questions, respectively.
Perceived preparedness, stress, and burnout were measured using validated psychosocial
scales. We assessed associations using linear regressions with robust standard errors.
The average score for preparedness was 24 (SD = 8.8), 16.3 (SD = 5.9) for stress, and 37.4
(SD = 15.5) for burnout. In multivariate analysis, healthcare workers who felt somewhat prepared
and prepared had lower stress (β = -1.89, 95% CI: -3.49 to -0.30 and β = -2.66, 95%
CI: -4.48 to -0.84) and burnout (β = -7.74, 95% CI: -11.8 to -3.64 and β = -9.25, 95% CI:
-14.1 to '4.41) scores than those who did not feel prepared. Appreciation from management
and family support were associated with lower stress and burnout, while fear of infection
was associated with higher stress and burnout. Fear of infection partially mediated the relationship between perceived preparedness and stress/burnout, accounting for about 16
to 17% of the effect.
Low perceived preparedness to respond to COVID-19 increases stress and burnout,
and this is partly through fear of infection. Interventions, incentives, and health systemic
changes to increase healthcare workers' morale and capacity to respond to the pandemic
COVID-19 pandemic; healthcare workers
Type of publication|
Accra - University of Ghana
Added to C-A: 2022-07-18;09:59:46|
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