Nurses suffering in silence: Addressing the stigma of mental health in nursing and healthcare.
Nurses suffering in silence: Addressing the stigma of mental health in nursing and healthcare.
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DOI：
10.1097/01.numa.0000853148.17873.77
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发表时间：
2022-08-01
影响因子：
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通讯作者：
Boston-Leary, Katie
中科院分区：
文献类型：
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作者：
Rushton, Cynda Hylton;Boston-Leary, Katie
在大流行之前，患有职业倦怠的医疗保健专业人员的数量高得惊人，一些研究表明，这一数字高达45%至55%。职业倦怠仍然是一个谜，很难充分和准确地定义它。它被描述为“疲劳的基本信条”和“对任何努力的不容忍”，或者是不能和不愿意在工作中花费必要的努力来正确完成任务的组合，导致缺乏精力、减少承诺或脱离工作。2护士的职业倦怠和低调痛苦的证据比新冠肺炎大流行早了几十年。3完整的数据记录了护士暴露在与患者敏锐度高、缺乏资源、技术过载和暴露在道德痛苦情况下相关的压力源中的职业倦怠。4职业倦怠与焦虑症、抑郁症、酒精和药物使用障碍以及自杀的高发生率相关。60%的护士报告有职业倦怠的感觉。5对护理队伍老龄化的未来有更大的警觉，在35岁以下的护士中，66%的人报告感到焦虑；47%的人报告感到抑郁或因新冠肺炎而经历过极大的压力、暴力或创伤性事件，这表明我们需要对大量护士的潜在创伤后应激和自杀风险进行进一步评估。4.
Prior to the pandemic, there were alarmingly high numbers of healthcare professionals suffering from burnout, with some studies indicating numbers as high as 45 to 55%. 1 Burnout remains an enigma that's difficult to define adequately and accurately. It has been described as a “basic tenet of fatigue” and “the intolerance of any effort,” or as a combination of the inability and the unwillingness to expend the necessary effort at work for proper task completion, leading to lack of energy, reduced commitment, or disengagement. 2Evidence of burnout and understated suffering in nurses pre-dates the COVID-19 pandemic by decades. 3 Data are replete documenting burnout in nurses exposed to stressors associated with high patient acuity, lack of resources, technology overload, and exposure to morally distressing situations. 4 Burnout correlates with higher rates of anxiety disorders, depression, alcohol and substance use disorders, and suicide. Sixty percent of nurses reported feelings of burnout. 5 Of greater alarm for the future of an aging nursing workforce, 66% of nurses under 35 reported feeling anxious; 47% reported feelings of depression or having experienced an extremely stressful, violent, or traumatic event due to COVID-19, indicating a need for a large swathe of our nurses to be further evaluated for potential posttraumatic stress and suicide risk. 4