An Official Critical Care Societies Collaborative Statement—Burnout Syndrome in Critical Care Health-care Professionals

Moss, Marc; Good, Vicki S.; Gozal, David; Kleinpell, Ruth M.; Sessler, Curtis N.

doi:10.1016/j.chest.2016.02.649

Cited by 190 publications

(141 citation statements)

References 56 publications

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“…Studies have found that rotating shifts are significantly related to increased risk for psychological distress and acute fatigue (Baron & Reid, 2014;Han, Trinkoff, & Geiger-Brown, 2014). It has also been suggested that stress and work demands are associated with the development of dysfunctional gastrointestinal disorders, depression, poor sleep quality and burnout (Lin et al, 2014, Moss, Good, Gozal, Kleinpell, & Sessler, 2016.…”

mentioning

confidence: 99%

The effects of amplitude and stability of circadian rhythm and occupational stress on burnout syndrome and job dissatisfaction among irregular shift working nurses

Hosseinabadi

Ebrahimi

Khanjani

et al. 2019

Journal of Clinical Nursing

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Aim To investigate the relation between the circadian rhythm amplitude and stability, and occupational stress with burnout syndrome and job dissatisfaction among shift working nurses. Background Irregular shift working nurses are prone to burnout syndrome (BS) and job dissatisfaction (JD). circadian rhythm difference and occupational stress might be effective in causing burnout syndrome and dissatisfaction. Design In total, 684 nurses who worked in four teaching hospitals were selected by stratified random sampling in a cross‐sectional design based on STROBE guidelines. Methods The data were collected by the Circadian Type Inventory, Job Content Questionnaire, Minnesota Satisfaction Questionnaire and the Maslach Burnout Inventory. Multiple linear regression, one‐way ANOVA and independent t test were used for statistical analysis by SPSS v24. Results About 15% of the nurses suffered from high levels of burnout syndrome. Psychological demand (β = 0.022, CI 95% = 0.003‒0.047 and β = 0.016, CI 95% = 0.001‒0.032) and workplace support (β = −0.043, CI 95% = −0.097–0.003 and β = −0.025, CI 95% = −0.046–0.006) were significant predictors of BS and JD. Male nurses reported lower BS and higher JD compared to female nurses. Irregular shift working schedule was also related to a significantly higher odd of BS (p = 0.009) and JD (p = 0.011). Nurses classified as languid experienced significantly more BS and JD than vigorous nurses. Conclusion This study shows that BS and JD were strongly associated with psychological demand and workplace support; and vigorous nurses were less prone to BS and JD, and were more suitable for irregular shift work. Relevance to clinical practice In order to reduce burnout syndrome and job dissatisfaction among irregular shift working nurses, we need to identify the effect of risk factors such as individual differences on the circadian rhythm and job demand which can affect nurses who work in irregular schedules.

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mentioning

confidence: 99%

The effects of amplitude and stability of circadian rhythm and occupational stress on burnout syndrome and job dissatisfaction among irregular shift working nurses

Hosseinabadi

Ebrahimi

Khanjani

et al. 2019

Journal of Clinical Nursing

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“…In a more explicitly interprofessional effort to support social change, AACN has joined with medical societies in the Critical Care Societies Collaborative to participate in the Choosing Wisely education campaign to inform patients and clinicians about overutilization of health care resources . The CCSC has also worked jointly on burnout …”

Section: Essaysmentioning

confidence: 99%

From the Team to the Table: Nursing Societies and Health Care Organizational Ethics

Wiencek¹,

Lavandero²,

Berlinger³

2016

Hastings Center Report

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Health care work is interprofessional work. Nurses and physicians, members of the professions whose close collaboration is foundational to health care delivery, continue to be educated separately in most academic institutions. Their work also is organized in ways that challenge interprofessional collaboration. Understanding workplace realities faced by nurses and physicians, separately and jointly, is a starting place for exploring how to support ethically sound interprofessional work. In this essay, we look most closely at the work of nurses and physicians who care for seriously ill hospitalized patients, a patient population closely associated with ethical challenges.

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“…1,2 It affects physicians and ancillary healthcare providers on a national scale. [3][4][5][6][7][8] The prevalence of burnout is as high as 60% in hospital employees at one of our institutions, an urban, academic, Level One trauma center. 8 Those caring for critically ill patients are especially susceptible to burnout due to features speci c to the intensive care unit (ICU) such as high patient morbidity and mortality, long hours, and regular encounters with trauma and ethical issues.…”

Section: Introduction Background and Rationale {6a}mentioning

confidence: 99%

Death Cafes for Prevention of Burnout in Intensive Care Unit Employees: Study Protocol for a Randomized Controlled Trial (STOPTHEBURN)

Bateman

Hammer

Byrne

et al. 2020

Preprint

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Background: Burnout is an occupational syndrome that leads to mental health problems, job turnover, and patient safety events. Those caring for critically ill patients are especially susceptible due to high patient mortality, long hours, and regular encounters with trauma and ethical issues. Interventions to prevent burnout in this population are needed. Preliminary studies suggest debriefing sessions may reduce burnout. This study aims to assess whether participation in regular debriefing can prevent burnout in intensive care unit (ICU) clinicians.Methods: A randomized controlled trial will be conducted in two large academic medical centers. 200 ICU clinicians will be recruited with target enrollment of 100 physicians and 100 non-physicians (nurses, pharmacists, therapists). Participants must have worked in the ICU for the equivalent of at least 1 full time work week in the preceding 4 weeks. Enrolled subjects will be randomized to virtually attend biweekly debriefing sessions facilitated by a psychotherapist for 3 months or to a control arm without sessions. Our debriefs are modelled after Death Cafés, which are informal discussions focusing on death, dying, loss, grief and illness. These sessions allow for reflection on distressing events and offer community and collaboration among hospital employees outside of work. The primary outcome is clinician burnout as measured by the Maslach Burnout Inventory (MBI) Score. Secondary outcomes include depression and anxiety, as measured by the patient health questionnaire 8 (PHQ-8) and generalized anxiety disorder 7-item scale (GAD-7), respectively. Questionnaires will be administered prior to the intervention, at 1 month, at 3 months, and at 6 months after enrollment. These values will be compared between groups temporally. Qualitative feedback will also be collected and analyzed. This trial was registered prospectively with clinicaltrials.gov on April 15, 2020 (NCT04347811).Discussion: With ICU clinician burnout rates exceeding 50%, Death Café debriefing sessions may prove to be an effective tool to avert this debilitating syndrome. With COVID-19 limiting social interactions and overloading ICUs worldwide, the virtual administration of the Death Café for ICU clinicians provides an innovative strategy to potentially mitigate burnout in this vulnerable population.

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An Official Critical Care Societies Collaborative Statement—Burnout Syndrome in Critical Care Health-care Professionals

Cited by 190 publications

References 56 publications

The effects of amplitude and stability of circadian rhythm and occupational stress on burnout syndrome and job dissatisfaction among irregular shift working nurses

The effects of amplitude and stability of circadian rhythm and occupational stress on burnout syndrome and job dissatisfaction among irregular shift working nurses

From the Team to the Table: Nursing Societies and Health Care Organizational Ethics

Death Cafes for Prevention of Burnout in Intensive Care Unit Employees: Study Protocol for a Randomized Controlled Trial (STOPTHEBURN)

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