Psychological 'burnout' in healthcare professionals: Updating our understanding, and not making it worse.
Psychological 'burnout' in healthcare professionals: Updating our understanding, and not making it worse.
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DOI：
10.1177/1751143719842794
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发表时间：
2019-11-01
影响因子：
2.7
通讯作者：
Hawryluck, Laura
中科院分区：
文献类型：
--
作者：
Brindley, Peter G;Olusanya, Segun;Hawryluck, Laura
许多医疗保健专业人士和专业协会要求采取行动，以对抗“倦怠”，特别是在急性护理医学专业。本次审查旨在加强这一值得称赞的"武装呼吁“，同时也验证了人们对我们通常如何定义、衡量和应对这一重要问题的关切。本文旨在推进讨论，消除常见的误解，增加重要的细微差别，并确定共同点。我们还鼓励军事术语“职业压力伤害”中所包含的思想，其中包括从指责和污名化到共同责任和同情的文化转变。我们还概述了为什么强制性测试可能是麻烦的，为什么干预措施应该针对个人。尽管立即采取行动的必要性似乎是不言而喻的，但我们希望减少善意可能使危险局势恶化的真实的可能性。“倦怠”很重要，但个人和组织如何前进更重要。
Many healthcare professionals and professional societies are demanding action to counter 'burnout', especially in the acute care medical specialties. This review is intended to empower this laudable 'call to arms', while also validating concerns that have been raised about how we typically define, measure and counter this important issue. This review aims to advance the discussion, dispel common misconceptions, add important nuance, and identify common ground. We also encourage the ideas contained within the military term 'occupational stress injury', which include a cultural shift away from blame and stigmatization, and towards shared responsibility and empathy. We also outline why mandatory testing can be troublesome and why interventions should be tailored to individuals. While the need for immediate action may seem self-evident, we wish to mitigate the real possibility that good intentions could make a perilous situation worse. 'Burnout' matters, but how individuals and organizations go forward matters even more.