Stress and burnout among critical care fellows: preliminary evaluation of an educational intervention

Autor: Kianoush Kashani, Perliveh Carrera, Alice Gallo De Moraes, Amit Sood, James A. Onigkeit, Kannan Ramar
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Medical Education Online, Vol 20, Iss 0, Pp 1-5 (2015)
Druh dokumentu: article
ISSN: 1087-2981
DOI: 10.3402/meo.v20.27840
Popis: Background: Despite a demanding work environment, information on stress and burnout of critical care fellows is limited. Objectives: To assess 1) levels of burnout, perceived stress, and quality of life in critical care fellows, and 2) the impact of a brief stress management training on these outcomes. Methods: In a tertiary care academic medical center, 58 critical care fellows of varying subspecialties and training levels were surveyed to assess baseline levels of stress and burnout. Twenty-one of the 58 critical care fellows who were in the first year of training at the time of this initial survey participated in a pre-test and 1-year post-test to determine the effects of a brief, 90-min stress management intervention. Results: Based on responses (n=58) to the abbreviated Maslach Burnout Inventory, reported burnout was significantly lower in Asian fellows (p=0.04) and substantially higher among graduating fellows (versus new and transitioning fellows) (p=0.02). Among the intervention cohort, burnout did not significantly improve – though two-thirds of fellows reported using the interventional techniques to deal with stressful situations. Fellows who participated in the intervention rated the effectiveness of the course as 4 (IQR=3.75–5) using the 5-point Likert scale. Conclusions: In comparison with the new and transitioning trainees, burnout was highest among graduating critical care fellows. Although no significant improvements were found in first-year fellows’ burnout scores following the single, 90-min training intervention, participants felt the training did provide them with tools to apply during stressful situations.
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