The Cost of Caring: Emotion, Burnout, and Psychological Distress in Critical Care Clinicians

Costa, Deena Kelly; Moss, Marc

doi:10.1513/annalsats.201804-269ps

Cited by 70 publications

(70 citation statements)

References 14 publications

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“…Burnout syndrome, described nearly half a century ago, is defined as a work-related condition characterized by three symptoms: emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment [8,9]. Burnout syndrome manifests when an individual's perceived self-worth and expectations do not match those of the employers/organization [3,4]. Although the concept of burnout syndrome, applied to healthcare providers, is still evolving and its causes and manifestations have overlap with other concepts such as compassion fatigue, for the purpose of clarity, this stateof-the-art review will focus on burnout and burnout syndrome.…”

Section: Burnout Syndromementioning

confidence: 99%

“…1). healthcare professionals and critical care clinicians, in particular [3,4,[10][11][12][13][14][15][16][17][18].…”

Section: Burnout Syndromementioning

confidence: 99%

“…In cross-sectional studies, most critical care clinicians manifest one of the three classic features of burnout [3,4]. For example, in a United States study of university hospital ICU nurses, 81% of critical care nurses experienced one or more symptoms of burnout [12], and severe burnout syndrome was found in 33% of critical care nurses and nursing assistants studied in a large French survey study [14].…”

Section: Burnout Syndromementioning

confidence: 99%

“…The effects of clinician burnout syndrome are far reaching. In addition to adversely affecting the well-being of individual clinicians, burnout syndrome can have major adverse consequences for patient-care and the healthcare system [3,4,10].…”

Section: The Impact Of Icu Burnout Syndromementioning

confidence: 99%

“…The intensive care unit (ICU) can be a stressful environment for patients and families, with well-established long-term consequences [1,2]. The impact that this unique environment can have on healthcare professionals is being increasingly recognized [3][4][5]. Challenging ethical situations, exposure to high patient mortality and difficult daily workloads can lead to excessive stress for those caring for critically ill patients [3,6,7].…”

Section: Introductionmentioning

confidence: 99%

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Burnout and Joy in the Profession of Critical Care Medicine

2020

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Section: Burnout Syndromementioning

confidence: 99%

“…1). healthcare professionals and critical care clinicians, in particular [3,4,[10][11][12][13][14][15][16][17][18].…”

Section: Burnout Syndromementioning

confidence: 99%

Section: Burnout Syndromementioning

confidence: 99%

Section: The Impact Of Icu Burnout Syndromementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Burnout and Joy in the Profession of Critical Care Medicine

2020

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Silent Space

Barbash

2018

JAMA

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Exhausted at the end of a busy week on service in the intensive care unit (ICU), the fellow and I are on our way to the conference room to debrief the week. The overhead code alarm disrupts the temporary lull in activity that normally occurs at shift change. We rush toward the commotion coming from the room at the end of the hall. A staccato, high-priority sound fills the air with a jarring electronic noise. Up on the flashing monitor in the room, we see the unmistakable pattern of disorganized electrical activity indicating ventricular fibrillation. The patient's arterial line tracing is flat."Should we shock him?" asks the fellow.The resident and nurses in the room are silently wondering the same thing. As an intensivist, I spent years cultivating in myself and teaching others what should be the instinctual reaction-treat a shockable rhythm with electricity. It is one of the most effective interventions for a patient in cardiac arrest. But this time is different."No," I say, "he's DNR." His heart had a single-digit ejection fraction, and he was admitted to the unit weeks earlier with septic shock. He had suffered enough in his life. He did not want to spend the end of it on a ventilator or in the throes of cardiopulmonary resuscitation. The resident calls his friend and decision maker, who also instinctually wants us intervene but confirms "He didn't want that." She says she will come to the hospital; we all know he will be gone by the time she gets here.We had spoken to him on rounds that morning; he had managed to crack half a smile. His friend visited him at lunchtime. His nurse was in the room just before his heart finally failed for the last time. It all

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Reliability and validity of the Chinese version of Oldenburg Burnout Inventory for Chinese nurses

Yuan

Gong

et al. 2021

Nursing Open

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Burnout is a psychological response to long-term work stress. It is a process in which workers are constantly experienced stress that unable to cope with. This leaves them feeling exhausted, lacking in energy and mentally exhausted (Ecie, 2013). Although burnout exists in a wide range of occupations, health professionals (especially nurses) are one of the working groups that is most likely to develop it owing to the characteristic of their work. Additionally,

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The Cost of Caring: Emotion, Burnout, and Psychological Distress in Critical Care Clinicians

Abstract: Current Management and Prevention Approaches Fall Short The current management approaches for burnout and other forms of psychological distress focus on individual coping, resting

Cited by 70 publications

References 14 publications

Burnout and Joy in the Profession of Critical Care Medicine

Burnout and Joy in the Profession of Critical Care Medicine

Silent Space

Reliability and validity of the Chinese version of Oldenburg Burnout Inventory for Chinese nurses

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