Burnout in ICU Caregivers A Multicenter Study of Factors Associated to Centers

被引：118

作者：

Merlani, Paolo ^{[1
,2
]}

Verdon, Melanie ^{[1
,2
]}

Businger, Adrian ^{[3
]}

Domenighetti, Guido ^{[4
]}

Pargger, Hans ^{[3
]}

Ricou, Bara ^{[1
,2
]}

机构：

[1] Univ Hosp Geneva, Dept Anesthesiol Pharmacol & Intens Care, Serv Intens Care, CH-1211 Geneva 14, Switzerland

[2] Univ Geneva, Geneva, Switzerland

[3] Univ Basel Hosp, Dept Anesthesia & Intens Care, Div Operat Intens Care, CH-4031 Basel, Switzerland

[4] Reg Hosp Locarno, Locarno, Switzerland

来源：

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE | 2011年 / 184卷 / 10期

关键词：

critical care; job satisfaction; multicenter; intensive care unit management; intensive care unit organization; INTENSIVE-CARE-UNIT; NURSING STAFF; PATIENT; PREVALENCE; NURSES; MORTALITY; SYMPTOMS; PROGRAM; COHORT; SAPS-3;

D O I：

10.1164/rccm.201101-0068OC

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Rationale: The stressful work environment of ICUs can lead to burnout. Burnout can impact on the welfare and performance of caregivers, and may lead them to resign their job. The shortage of ICU caregivers is becoming a real threat for health care leaders. Objectives: To investigate the factors associated with burnout on a national level in order to determine potential important factors. Methods: Prospective, multicenter, observational survey of all caregivers from 74 of the 92 Swiss ICUs, measuring the prevalence of burnout among the caregivers and the pre-specified center-, patient- and caregiver-related factors influencing its prevalence. Measurements and Main Results: Out of the 4322 questionnaires distributed from March 2006 to April 2007, 3052 (71%) were returned, with a response rate of 72% by center, 69% from nurse-assistants, 73% from nurses and 69% from physicians. A high proportion of female nurses among the team was associated with a decreased individual risk of high burnout (OR 0.98, 95% CI: 0.97-0.99 for every %). The caregiver-related factors associated with a high risk of burnout were being a nurse-assistant, being a male, having no children and being under 40 years old. Conclusions: The findings of this study seem to open a new frontier concerning burnout in ICUs, highlighting the importance of team composition. Our results should be confirmed in a prospective multicenter, multinational study. Whether our results can be exported to other medical settings where team-working is pivotal remains to be investigated.

引用

页码：1140 / 1146

页数：7

共 43 条

[1] Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction [J].

Aiken, LH ;

Clarke, SP ;

Sloane, DM ;

Sochalski, J ;

Silber, JH .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2002, 288 (16) :1987-1993

[2] Prevalence and Factors of Intensive Care Unit Conflicts The Conflicus Study [J].

Azoulay, Elie ;

Timsit, Jean-Francois ;

Sprung, Charles L. ;

Soares, Marcio ;

Rusinova, Katerina ;

Lafabrie, Ariane ;

Abizanda, Ricardo ;

Svantesson, Mia ;

Rubulotta, Francesca ;

Ricou, Bara ;

Benoit, Dominique ;

Heyland, Daren ;

Joynt, Gavin ;

Francais, Adrien ;

Azeivedo-Maia, Paulo ;

Owczuk, Radoslaw ;

Benbenishty, Julie ;

de Vita, Michael ;

Valentin, Andreas ;

Ksomos, Akos ;

Cohen, Simon ;

Kompan, Lidija ;

Ho, Kwok ;

Abroug, Fekri ;

Kaarlola, Anne ;

Gerlach, Herwig ;

Kyprianou, Theodoros ;

Michalsen, Andrej ;

Chevret, Sylvie ;

Schlemmer, Benoit .

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2009, 180 (09) :853-860

[3] Is the current shortage of hospital nurses ending? [J].

Buerhaus, PI ;

Staiger, DO ;

Auerbach, DI .

HEALTH AFFAIRS, 2003, 22 (06) :191-198

[4]

Butterworth T., 1997, It is good to talk. An evaluation of clinical supervision and mentorship in England and Scotland

[5]

Canoui P, 2001, Le syndrome d'epuisement professionnel des soignants: De l'analyse du burn out aux reponses

[6]

Chen S M, 2001, J Nurs Res, V9, P152

[7] Narrative possibilities - using mindfulness in clinical practice [J].

Connelly, JE .

PERSPECTIVES IN BIOLOGY AND MEDICINE, 2005, 48 (01) :84-94

[8] Stress in UK intensive care unit doctors [J].

Coomber, S ;

Todd, C ;

Park, G ;

Baxter, P ;

Firth-Cozens, J ;

Shore, S .

BRITISH JOURNAL OF ANAESTHESIA, 2002, 89 (06) :873-881

[9] Improving outcomes: focus on workplace issues [J].

Elpern, Ellen H. ;

Silver, Michael R. .

CURRENT OPINION IN CRITICAL CARE, 2006, 12 (05) :395-398

[10] High level of burnout in intensivists - Prevalence and associated factors [J].

Embriaco, Nathalie ;

Azoulay, Elie ;

Barrau, Karine ;

Kentish, Nancy ;

Pochard, Frederic ;

Loundou, Anderson ;

Papazian, Laurent .

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2007, 175 (07) :686-692

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