head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2023, vol. 29, issue3
Subject Area: Public Health
-
DOI: 10.5272/jimab.2023293.5057
Published online: 24 August 2023

Original article
J of IMAB. 2023 Jul-Sep;29(3):5057-5061
THE BURNOUT LEVEL AMONG HEALTH INSPECTORS - A COMPARATIVE ANALYSIS BEFORE AND DURING THE COVID-19 PANDEMIC IN BULGARIA
Yana ToshevaORCID logo, Tsvetelina TarpomanovaORCID logoCorresponding Autoremail, Antoaneta TsvetkovaORCID logo, Silvia MihaylovaORCID logo,
Medical College, Medical University - Varna, Bulgaria.

ABSTRACT:
The coronavirus pandemic has put unprecedented pressure on the healthcare system of Bulgaria, especially in the context of the shortage of professionals such as public health inspectors. As a result, additional obligations were added to their routines which increased their workload and put them at risk of developing burnout.
Purpose: To study the level of burnout among public health inspectors before and during the COVID-19 pandemic and to make a comparative analysis of the results in view of the inspectors’ increased workload in the time of the pandemic.  
Materials and methods: Three studies of public health inspectors from the system of the Regional Health Inspectorate were conducted: two burnout studies using the Maslach Burnout Inventory in 2019 and 2021 (respectively of 62 and 61 persons) and a questionnaire survey of 116 subjects in 2020-2021 on the workload level.
Results: During the pandemic, a considerable increase in the values of the three questionnaire aspects was observed. The highest level of emotional exhaustion was reported in the 31-44 age group with work experience of 11-20 years (88%), whereas the highest level of depersonalization and the lowest of personal accomplishment were identified in the over 55 age group (50% and 92%). In 2019 around 38.7 % of health inspectors were at a high risk of burnout, while in 2021, the number increased to 73.7%.
Conclusions: During the pandemic, the share of health inspectors at risk of burnout has significantly increased. Therefore, early intervention and prevention of the syndrome are needed.

Keywords: workload, burnout, public health inspectors, COVID-19,

pdf - Download FULL TEXT /PDF 564 KB/
Please cite this article as: Tosheva Y, Tarpomanova T, Tsvetkova A, Mihaylova S. The burnout level among health inspectors - a comparative analysis before and during the COVID-19 pandemic in Bulgaria. J of IMAB. 2023 Jul-Sep;29(3):5057-5061. [Crossref - 10.5272/jimab.2023293.5057]

Corresponding AutorCorrespondence to: Assoc. prof. Tsvetelina Tarpomanova, MD, PhD, Medical College, Medical University – Varna; 84, Tsar Osvoboditel Str., Varna, Bulgaria; E-mail: tsvetelina.tarpomanova@mu-varna.bg

REFERENCES:
1. European Agency for Safety and Health at Work. Promoting mental health and wellbeing in the workplace. EU-OSHA. 07/10/2021. [Internet]
2. Kok N, van Gurp J, Teerenstra S, van der Hoeven H, Fuchs M, Hoedemaekers C, et al. Coronavirus Disease 2019 Immediately Increases Burnout Symptoms in ICU Professionals: A Longitudinal Cohort Study. Crit Care Med. 2021 Mar 1;49(3):419-427. [PubMed]
3. Liu X, Chen J, Wang D, Li X, Wang E, Jin Y, et al. COVID-19 Outbreak Can Change the Job Burnout in Health Care Professionals. Front Psychiatry. 2020 Dec 8;11:563781. [PubMed]
4. Trumello C, Bramanti SM, Ballarotto G, Candelori C, Cerniglia L, Cimino S, et al. Psychological Adjustment of Healthcare Workers in Italy during the COVID-19 Pandemic: Differences in Stress, Anxiety, Depression, Burnout, Secondary Trauma, and Compassion Satisfaction between Frontline and Non-Frontline Professionals. Int J Environ Res Public Health. 2020 Nov 12;17(22):8358. [PubMed]
5. Maslach C, Leiter MP. Understanding the burnout experience: recent research and its implications for psychiatry. World Psychiatry. 2016 Jun;15(2):103-11. [PubMed]
6. Burnout an “occupational phenomenon”: International Classification of Diseases. WHO. 28 May 2019. [Internet]
7. Hristov Z, Tomev L, Kircheva D, Daskalova N, Mihailova T, Ivanova V, et al. [Occupational stress in during a time of transition (a pilot project for Bulgaria in three public sectors).] [in Bulgarian] Institute for Social and Trade Union Research at the Confederation of Independent Trade Unions in Bulgaria. 2002: 21-22.[Internet]
8. Lecheva Z, Georgieva L, Stoycheva M.  [Theoretical foundations of professional burnout and the burnout syndrome.] [in Bulgarian] Social Medicine, 2017; (1):31-35.
9. Nikolov N. Eyubova S. [Assessment of professional exhaustion with Burnout-Q.] In: Leadership and organization development. [in Bulgarian] University Press St. Kliment Ohridski, Sofia 2015: 1186-1192. [Internet]
10. Savova Z. [Prevention of stress and professional burnout.] [in Bulgarian] Simolini, Sofia. 2012: 83-105
11. Queen D, Harding K. Societal pandemic burnout: A COVID legacy. Int Wound J. 2020 Aug;17(4):873-874. [PubMed]
12. Guidance. The psychological needs of healthcare staff as a result of the Coronavirus pandemic. British Psychological Society Covid19 Staff Wellbeing Group. 31.03.2020. [Internet]
13. Ivanova M, Todorova A. Georgieva L. Burnout syndrome in Bulgarian pharmacists - pilot study. Proceedings of CBU in Medicine and Pharmacy. 2020 Nov 16;1:36-40. [Crossref]
14. Ivanova M, Todorova A, Pesheva M. Occupational burnout syndrome among community pharmacists during Covid-19 Pandemic. Proceedings of CBU in Medicine and Pharmacy. 2022 Dec 1;3:6-12.  [Crossref]
15. Baggett SM, Martin KL. Emergency Medicine Physician Lifestyle, Happiness&Burnout Report.  Medscape. February 18, 2022. [Internet]
16. Ivanova M. [Burnout syndrome in health professionals and the need for research among pharmacists.] [in Bulgarian]  Acad J Management Education. 2020; 16(6):26-31. [Internet]
17. Georgieva L, Popova S. [Healthcare occupations.]  [in Bulgarian] Steno Publishing House. Varna. 2016: 78-82.
18. Ministry of Health. [Organizational rules of the Regional Health Inspections.] [in Bulgarian ] 18 January 2011   [Internet]
19. Ministry of Health. [Ordinance 36  on the terms and conditions for exercising state health control.] 21 July 2009 [in Bulgarian] [Internet]
20. Regional Inspectorat of  Health - Varna. [Report about the activity in 2019. [in Bulgarian ] March 2020. [Internet]
21. Regional Inspectorat of  Health - Varna. [Report about the activity in 2020.] [in Bulgarian ] February 2021. [Internet]
22. Regional Inspectorat of  Health - Varna. [Report about the activity in 2018.] [in Bulgarian ] March 2019.
[Internet]
23. Milusheva V, Ivanov I. [The Conflicts in the Business Organization as Prerequisite for burnout.] [in Bulgarian]    Industrial Relations and Public Development  2020; 2: 59-60 [Internet].

Received: 03 February 2023
Published online: 24 August 2023

back to Online Journal