Examining Burnout in Interprofessional Intensive Care Unit Clinicians Using Qualitative Analysis.

Examining Burnout in Interprofessional Intensive Care Unit Clinicians Using Qualitative Analysis.
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用定性分析检验跨专业重症监护病房临床医生的职业倦怠。

DOI:
10.4037/ajcc2021423
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发表时间:
2021-09-01
期刊:
American journal of critical care : an official publication, American Association of Critical-Care Nurses
影响因子:
--
通讯作者:
Kelm DJ
Kelm DJ
中科院分区:
其他
文献类型:
--
作者:
Colbenson GA;Ridgeway JL;Benzo RP;Kelm DJ

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在重症监护病房工作的医疗保健专业人员报告称其职业倦怠程度很高,但这一主题尚未从跨学科的角度进行广泛研究。描述跨专业重症监护病房团队成员的职业倦怠经历,并确定可能的影响因素。这项定性研究采访了在单个学术医疗中心的多个重症监护病房工作的注册护士、呼吸治疗师、医生、药剂师和个人护理助理,以评估工作压力源。团队组成是导致倦怠的一个因素,特别是当非医生团队成员认为他们的意见没有得到重视时,尽管该机构强调基于多学科团队的护理模式。当角色在代码情况一开始就没有很好地定义时尤其如此。几乎所有学科的成员都表示,一天中没有足够的时间来完成所有要求的任务。多种因素导致重症监护室不同职业的工作压力和倦怠。多学科团队成员之间改善沟通和提高对不同意见的接受度可能有助于减轻压力。
Health care professionals working in intensive care units report a high degree of burnout, but this topic has not been extensively studied from an interdisciplinary perspective. To characterize experiences of burnout among members of interprofessional intensive care unit teams and identify possible contributing factors. This qualitative study involved interviews of registered nurses, respiratory therapists, physicians, pharmacists, and a personal care assistant working in multiple intensive care units of a single academic medical center to assess work stressors. Team composition was a factor in burnout, particularly when nonphysician team members felt that their opinions were not valued despite the institution’s emphasis on a multidisciplinary team-based model of care. This was especially true when roles were not well defined at the outset of a code situation. Members of nearly all disciplines stated that there was not enough time in a day to complete all the required tasks. Multiple factors contribute to work-related stress and burnout across different professions in the intensive care unit. Improved communication and increased receptivity to diverse opinions among members of the multidisciplinary team may help reduce stress.
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