High level of burnout in intensivists - Prevalence and associated factors

被引:467
作者
Embriaco, Nathalie
Azoulay, Elie
Barrau, Karine
Kentish, Nancy
Pochard, Frederic
Loundou, Anderson
Papazian, Laurent [1 ]
机构
[1] Univ Mediterranee, Hop St Marguerite, Teaching Hosp, Med Intens Care Unit, F-13009 Marseille, France
[2] St Louis Teaching Hosp, Med Intens Care Unit, Paris, France
[3] Fac Med, Lab Sante Publ, Marseille, France
[4] Univ Victor Segalen, Dept Sociol, Bordeaux, France
[5] Cochin Port Royal Teaching Hosp, Maison Adolescents, Paris, France
关键词
intensive care unit; organizational management; conflict;
D O I
10.1164/rccm.200608-1184OC
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Rationale: Professional burnout is a psychological syndrome arising in response to chronic interpersonal stressors on the job. There is the perception that intensivists are particularly exposed to stress because lives are literally in their hands. Objective- To evaluate the prevalence and associated factors (patients or organization) of burnout among physicians working in intensive care units (ICUs) (including interns, residents, fellows, and attending physicians). Methods: A 1-day national survey was conducted in adult ICUs in French public hospitals. Measurements: The level of burnout was evaluated on the basis of the Maslach Burnout Inventory (MBI). Main Results: A total of 189 ICUs participated and 978 surveys were returned (82.3% response rate). A high level of burnout was identified in 46.5% of the respondents. Ordinal logistic regression showed that female sex (odds ratio, 1.58; 95% confidence interval, 1.09 to 2.30) was independently associated with a higher MBI score. Whereas no factor related to the severity of illness of patients was retained by the model, organizational factors were strongly associated with a higher MBI score. Workload (the number of night shifts per month, a long period of time from the last nonworking week, night shift the day before the survey) and impaired relationships (such as conflict with another colleague intensivist, and/or with a nurse) were the variables independently associated with a higher MBI score. In contrast, the quality of the relationships with chief nurses and nurses was associated with a lower MBI score. Conclusions: Approximately one-half of the intensivists presented a high level of burnout. Organizational factors, but not factors related to the patients, appeared to be associated with burnout.
引用
收藏
页码:686 / 692
页数:7
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