High level of burnout in intensivists: prevalence and associated factors
| Autor: | Elie Azoulay, Nathalie Embriaco, Karine Barrau, Laurent Papazian, Nancy Kentish, Anderson Loundou, Frédéric Pochard |
|---|---|
| Přispěvatelé: | Medical Intensive Care Unit, Université de la Méditerranée - Aix-Marseille 2-Hôpital Sainte-Marguerite [CHU - APHM] (Hôpitaux Sud ), Service de réanimation médicale, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Diderot - Paris 7 (UPD7)-Groupe Hospitalier Saint Louis - Lariboisière - Fernand Widal [Paris], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Santé Publique et maladies Chroniques : Qualité de vie Concepts, Usages et Limites, Déterminants (SPMC), Assistance Publique - Hôpitaux de Marseille (APHM)-Aix Marseille Université (AMU), Département de Sociologie, Université Bordeaux Segalen - Bordeaux 2, Maison de Solenn [CHU Cochin], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Cochin [AP-HP], Université Paris Diderot - Paris 7 (UPD7)-Groupe Hospitalier Saint Louis - Lariboisière - Fernand Widal [Paris], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Vesin, Aurélien |
| Jazyk: | angličtina |
| Rok vydání: | 2007 |
| Předmět: |
Male
health care facilities manpower and services Burnout Critical Care and Intensive Care Medicine MESH: Occupational Exposure 0302 clinical medicine MESH: Health Surveys Risk Factors MESH: Risk Factors Prevalence Medicine 030212 general & internal medicine Burnout Professional Response rate (survey) MESH: Middle Aged Middle Aged Occupational Diseases Female France Pulmonary and Respiratory Medicine Adult MESH: Occupational Diseases medicine.medical_specialty Critical Care Health Personnel education Intensivist Occupational burnout 03 medical and health sciences Nursing Intensive care Occupational Exposure Severity of illness MESH: Burnout Professional Humans MESH: Intensive Care MESH: Prevalence MESH: Humans business.industry Stressor 030208 emergency & critical care medicine MESH: Adult Odds ratio Health Surveys MESH: Male MESH: France [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie Family medicine MESH: Health Personnel [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie business MESH: Female |
| Zdroj: | American Journal of Respiratory and Critical Care Medicine American Journal of Respiratory and Critical Care Medicine, American Thoracic Society, 2007, 175 (7), pp.686-92. ⟨10.1164/rccm.200608-1184OC⟩ |
| ISSN: | 1073-449X 1535-4970 |
| Popis: | International audience; RATIONALE: Professional burnout is a psychological syndrome arising in response to chronic interpersonal stressors on the job. There is the perception that intensivists are particularly exposed to stress because lives are literally in their hands. OBJECTIVE: To evaluate the prevalence and associated factors (patients or organization) of burnout among physicians working in intensive care units (ICUs) (including interns, residents, fellows, and attending physicians). METHODS: A 1-day national survey was conducted in adult ICUs in French public hospitals. MEASUREMENTS: The level of burnout was evaluated on the basis of the Maslach Burnout Inventory (MBI). MAIN RESULTS: A total of 189 ICUs participated and 978 surveys were returned (82.3% response rate). A high level of burnout was identified in 46.5% of the respondents. Ordinal logistic regression showed that female sex (odds ratio, 1.58; 95% confidence interval, 1.09 to 2.30) was independently associated with a higher MBI score. Whereas no factor related to the severity of illness of patients was retained by the model, organizational factors were strongly associated with a higher MBI score. Workload (the number of night shifts per month, a long period of time from the last nonworking week, night shift the day before the survey) and impaired relationships (such as conflict with another colleague intensivist, and/or with a nurse) were the variables independently associated with a higher MBI score. In contrast, the quality of the relationships with chief nurses and nurses was associated with a lower MBI score. CONCLUSIONS: Approximately one-half of the intensivists presented a high level of burnout. Organizational factors, but not factors related to the patients, appeared to be associated with burnout. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|