Using Large Language Models to Assess Burnout Among Health Care Workers in the Context of COVID-19 Vaccine Decisions and Health Beliefs: Retrospective Cohort Study
Notice bibliographique
Résumé
Background: Burnout among health care workers affects their well-being and decision-making, influencing patient and public health outcomes. Health care workers' health beliefs and COVID-19 vaccine decisions may affect the risks of burnout. Therefore, understanding the interplay between these crucial factors is essential for identifying at-risk staff, providing targeted support, and addressing workplace challenges to prevent further escalation of burnout-related issues. Objective: This study examines how burnout is impacted by health beliefs and COVID-19 vaccine decisions among health care workers. Building on our previously developed Health Belief Model (HBM) classifier based on the HBM framework, which explains how individual perceptions of health risks and benefits influence behavior, we focused on key HBM constructs, including the perceived severity of COVID-19, perceived barriers to vaccination, and their relationship to burnout. We aim to leverage natural language processing techniques to automatically identify theoretically grounded burnout symptoms from comments authored by nurses in a large-scale, national survey and assess their associations with vaccine hesitancy and health beliefs. Methods: We analyzed 1944 open-ended comments written by 1501 vaccine-hesitant nurses, using data from the Nurses' Health Study surveys. We fine-tuned LLaMA 3, an open-source large language model with few-shot prompts and enhanced performance with structured annotation guidance and reasoning-aware inference. Comments were classified into burnout dimensions-Emotional Exhaustion, Depersonalization, and Inefficacy-based on the Maslach Burnout Inventory framework. Results: The model achieved a high weighted accuracy of 92% and an F1-score of 91% for Depersonalization. Emotional Exhaustion was identified in 52% (1003/1944) of comments, correlating strongly with perceived severity (189/323, 59%) and barriers to vaccination (281/650, 43%). Demographic analyses revealed significant variations in burnout prevalence, with older age groups reporting greater burnout. Conclusions: This study highlights the relationship between burnout and vaccine decision-making among health care workers, uncovering areas for further exploration. By exploring the complex interplay between psychological strain and vaccine hesitancy, this study sets the stage for developing transformative interventions and policies that could redefine workforce resilience and public health strategies.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».