Burnout in the intensive care unit professionals: A systematic review.
Burnout in the intensive care unit professionals: A systematic review.
复制标题
重症监护病房专业人士的倦怠：系统评价。
DOI：
10.1097/md.0000000000005629
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发表时间：
2016-12
期刊：
影响因子：
1.6
通讯作者：
Chen YY
中科院分区：
文献类型：
--
作者：
Chuang CH;Tseng PC;Lin CY;Lin KH;Chen YY
倦怠被描述为对工作中慢性情绪和人际压力的长期反应，这通常是由于在工作中花费过多精力而几乎没有恢复时间的结果。在紧张的医疗环境中工作的医疗保健工作者，特别是在重症监护室（ICU）中，可能特别容易倦怠。在医疗保健工作者中，倦怠可能会影响他们的健康和他们提供的专业护理质量，因此可能对患者安全有害。本研究的目的是：确定ICU环境中职业倦怠的患病率，并确定与ICU专业人员职业倦怠相关的因素。观察性研究的原始文献于2016年6月使用以下MeSH术语从PubMed、MEDLINE和Web of Science中检索：“倦怠”和“重症监护室”。1996年1月至2016年6月期间以英语发表的文章符合纳入条件。在全文审查之前，两名审查员使用我们的检索标准对识别的摘要进行了评价。为了纳入最终分析，研究需要采用观察性研究设计，并检查ICU环境中任何危险因素与倦怠之间的关联。总体而言，在排除重复文献后，在电子数据库中识别出203篇全文文献。经过初步审查，25项研究符合纳入标准。在纳入的研究中，ICU专业人员的倦怠患病率范围为6%至47%。据报道，以下因素与倦怠有关：年龄，性别，婚姻状况，人格特质，ICU工作经验，工作环境，工作量和轮班工作，道德问题和临终决策。已确定的因素对倦怠的影响仍然知之甚少。然而，这篇综述提供了重要的信息，表明ICU专业人员可能会遭受高水平的倦怠，潜在地威胁到病人的护理。未来的工作应该解决对ICU专业人员产生负面影响的因素的有效管理。
Burnout has been described as a prolonged response to chronic emotional and interpersonal stress on the job that is often the result of a period of expending excessive effort at work while having too little recovery time. Healthcare workers who work in a stressful medical environment, especially in an intensive care unit (ICU), may be particularly susceptible to burnout. In healthcare workers, burnout may affect their well-being and the quality of professional care they provide and can, therefore, be detrimental to patient safety. The objectives of this study were: to determine the prevalence of burnout in the ICU setting; and to identify factors associated with burnout in ICU professionals. The original articles for observational studies were retrieved from PubMed, MEDLINE, and Web of Science in June 2016 using the following MeSH terms: “burnout” and “intensive care unit”. Articles that were published in English between January 1996 and June 2016 were eligible for inclusion. Two reviewers evaluated the abstracts identified using our search criteria prior to full text review. To be included in the final analysis, studies were required to have employed an observational study design and examined the associations between any risk factors and burnout in the ICU setting. Overall, 203 full text articles were identified in the electronic databases after the exclusion of duplicate articles. After the initial review, 25 studies fulfilled the inclusion criteria. The prevalence of burnout in ICU professionals in the included studies ranged from 6% to 47%. The following factors were reported to be associated with burnout: age, sex, marital status, personality traits, work experience in an ICU, work environment, workload and shift work, ethical issues, and end-of-life decision-making. The impact of the identified factors on burnout remains poorly understood. Nevertheless, this review presents important information, suggesting that ICU professionals may suffer from a high level of burnout, potentially threatening patient care. Future work should address the effective management of the factors negatively affecting ICU professionals.