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Letter to the Editor
COVID-19 pandemic: Burnout syndrome in healthcare professionals working in field hospitals in Brazil
Pandemia de la COVID-19: síndrome de Burnout en profesionales sanitarios que trabajan en hospitales de campaña en Brasil
Raimundo Nonato Silva-Gomesa,
Corresponding author
raigomes.ufrj@gmail.com

Corresponding author.
, Vânia Thais Silva-Gomesb
a Escola de Enfermagem Anna Nery, Centro de Ciências da Saúde, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
b Departamento de Medicina, Faculdade de Medicina, Universidade de Gurupi, Gurupi, Brazil
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">In terms of mental health&#44; the COVID-19 pandemic has raised 2 major challenges&#58; the psychological impact of confinement on the population in general and the mental health impact on health professionals&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">The levels of emotional exhaustion of nurses and doctors was reported in studies in France&#44; Italy and Spain&#46; Among the Spanish and Italian health professionals&#44; studies revealed that emotional exhaustion and anxiety attacks were the main symptoms&#46; In Brazil&#44; despite the lack of data&#44; the Federal Board of Nursing &#40;COFEN for its initials in Spanish&#41; reported physical and mental exhaustion as the main symptoms of burnout&#46; The percentage of nurses with high levels of exhaustion was significantly high during the first phase of the COVID-19 pandemic&#44; compared with the previous pandemic period&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Stress&#44; anxiety and depression related disorders may be regarded as normal emotional reactions to a pandemic&#46; In this sense&#44; it is necessary to understand burnout syndrome as a potential problem&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Nurses and doctors are particularly exposed to burnout syndrome risks because their exposure to work is usually high&#44; with long working days and a high level of exigency and work overload&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">To ensure better care of Brazilians during the COVID-19 pandemic&#44; the Brazilian government&#44; following the worldwide trends&#44; created field hospitals in the main cities of the country&#46; This situation involved enormous efforts to adapt by professionals who were subjected to tough working conditions in an extreme situation&#46; Within this context&#44; many factors may interfere in the quality of patient care and in workloads of the professionals&#46; Among these factors&#44; patient care insecurity stands out&#44; as does the lack of awareness of the pathophysiological aspects of nursing&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;4</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">A recently conducted systematic review underlines that the level of mental health impairment of healthcare professionals who were in frontline teams for COVID-19 ranged between medium to high&#44; highlighting as the main symptoms&#58; anxiety&#44; depression&#44; worry and insomnia&#44; in addition to a high level of stress&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Despite the differences in the number of deaths&#47;patients in different countries&#44; burnout syndrome has to be a worldwide preoccupation&#44; since COVID-19 has seriously endangered the health systems and the professionals themselves&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Field hospitals function as relevant support in the fight against the pandemic&#46; However&#44; they require highly qualified professionals to be able to act in extreme situations&#44; such as COVID-19&#46; A study conducted in Romania with 50 resident doctors highlighted that 76&#37; of the population assessed had a high level of emotional exhaustion&#44; depersonalisation and a low rate of personal achievement&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">Another factor which leads to great apprehension between nurses and doctors is the number of deaths from COVID-19 among the professionals themselves&#46; According to that reported by the COFEN&#44; Brazil is one of the countries with the highest mortality among nurses from the COVID-19 pandemic&#46; Up until 28th May 2020&#44; there were 157 deaths and over 17&#44;000 confirmed cases&#46; The number is greater than the deaths of nurses in the United States &#40;U&#46;S&#46;A&#46;&#41;&#46; According to the National Nurses United&#44; there were 100 deaths in U&#46;S&#46;A&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">Poor working conditions&#44; work overload&#44; the feeling of impotence against a new and highly contagious disease are the main factors which have contributed to the decline in mental health of healthcare professionals who work in field hospitals in Brazil and worldwide&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">Taking as base the main problems identified in the field hospitals in Brazil&#44; possible solutions could be to&#58; contract nurses and doctors with specific training in catastrophe&#44; invest in training professionals who are frontline workers in COVID-19&#44; improve the infrastructure of field hospitals&#44; adjust working hours and guarantee hours of effective rest&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">Lastly&#44; it is of note that the main factors associated with burnout syndrome among healthcare professions working frontline in the fight against COVID-19 is probably directly related to organisation&#44; work structure and the ability to face up to and deal with stressful factors at work&#46; Burnout is therefore a genuine problem which may be apparent in many different ways and cause serious health problems&#46; Government leaders must therefore be aware of the risk to mental health and invest in new studies on this issue&#44; guarantee appropriate working conditions&#44; and offer specific training in order to effectively face the challenges generated by the COVID-19 pandemic&#46;</p></span>"
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Article information
ISSN: 24451479
Original language: English
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es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos