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大学医院重症监护人员的完全职业倦怠及职业倦怠风险

Fully developed burnout and burnout risk in intensive care personnel at a university hospital.

作者信息

Lederer W, Kinzl J F, Traweger C, Dosch J, Sumann G

机构信息

Department of Anaesthesiology and Critical Care Medicine, Innsbruck Medical University Hospital, Innsbruck Medical University, Innsbruck, Austria.

出版信息

Anaesth Intensive Care. 2008 Mar;36(2):208-13. doi: 10.1177/0310057X0803600211.

Abstract

We assessed the prevalence of fully developed burnout, burnout risk and the influence of work and employment related factors in five intensive care units at a university hospital. A cross-sectional study was conducted using self-reporting questionnaires for the evaluation of the frequency and intensity of burnout syndrome (Maslach Burnout Inventory) and work and employment related factors. From a total of 320 eligible intensive care personnel, 33 physicians and 150 nurses participated in the study (59% response rate). Applying the process model for burnout, 63 participants (34.4%) were at risk for burnout and another 11 respondents (6.0%) revealed evidence of fully developed burnout (emotional exhaustion > or =4.0 and lack of personal accomplishment < or =4.0). No statistically significant difference in prevalence of fully developed burnout or burnout risk was detected in sub-groups according to age, gender level of training, years of employment and family status. The desire to choose the same profession again was significantly less in respondents with fully developed burnout (P=0.006). The opportunity to regularly attend facilitation was significantly lower for participants with fully developed burnout (P=0.002) compared to participants with no burnout. Fully developed burnout and burnout risk are common in intensive care personnel. Support from facilitators appeared to be an important preventive factor

摘要

我们评估了某大学医院五个重症监护病房中职业倦怠完全形成的患病率、职业倦怠风险以及工作和就业相关因素的影响。采用自填问卷进行横断面研究,以评估职业倦怠综合征的频率和强度(马氏职业倦怠量表)以及工作和就业相关因素。在总共320名符合条件的重症监护人员中,33名医生和150名护士参与了研究(回复率为59%)。应用职业倦怠过程模型,63名参与者(34.4%)存在职业倦怠风险,另有11名受访者(6.0%)显示出职业倦怠完全形成的证据(情感耗竭≥4.0且个人成就感缺失≤4.0)。在根据年龄、性别、培训水平、工作年限和家庭状况划分的亚组中,未检测到职业倦怠完全形成或职业倦怠风险患病率的统计学显著差异。职业倦怠完全形成的受访者再次选择相同职业的意愿明显较低(P = 0.006)。与无职业倦怠的参与者相比,职业倦怠完全形成的参与者定期参加疏导的机会显著更低(P = 0.002)。职业倦怠完全形成和职业倦怠风险在重症监护人员中很常见。疏导者的支持似乎是一个重要的预防因素

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