Edmonds Claire, Lockwood Gina M, Bezjak Andrea, Nyhof-Young Joyce
Canadian Partnership Against Cancer, Toronto, ON, Canada.
J Cancer Educ. 2012 Mar;27(1):27-36. doi: 10.1007/s13187-011-0278-z.
A high level of burnout has been demonstrated in oncologists, nurses, and other health professionals. Interventions developed in response demonstrate mixed results. Wellspring, a community cancer support organization, has developed a 1-day session called Care for the Professional Caregiver Program (CPCP) and has delivered it to over 700 healthcare workers. The present study assessed the effects of the CPCP on three groups of oncology nurses (pediatric, surgical, and general oncology staff) and one group of nurse managers. Subjects completed the Maslach burnout inventory (MBI), the General health questionnaire (GHQ) and the short form of the Marlowe-Crowne social desirability scale (M-C) prior to receiving the intervention. They then completed the MBI and GHQ at 1-month and 7-month follow-ups. Six months after the original session, a small subset of subjects was randomly selected to participate in a 1-day CPCP booster session. At baseline, one third of the nurses showed high burnout on the MBI. The nurses demonstrated a significant decrease in emotional exhaustion and an improvement on the GHQ, at the 1-month follow-up testing (p = 0.003 and 0.001, respectively) and 7-month follow-up testing (p = 0.002 and 0.001). The booster session proved difficult to deliver because of institutional scheduling problems due to nurse shortages, so only a small percentage (22%) of the sample participated; however, it was well received. Thus, the CPCP is effective in ameliorating emotional exhaustion, an intrinsic aspect of burnout.
肿瘤学家、护士和其他医疗专业人员中已证实存在高度的职业倦怠。为此开发的干预措施效果参差不齐。社区癌症支持组织“源泉”(Wellspring)开发了一个名为“关爱专业护理人员计划”(CPCP)的为期一天的课程,并已向700多名医护人员提供了该课程。本研究评估了CPCP对三组肿瘤护士(儿科、外科和普通肿瘤科室工作人员)和一组护士长的影响。受试者在接受干预前完成了马氏职业倦怠量表(MBI)、一般健康问卷(GHQ)和马洛-克劳恩社会赞许性量表简版(M-C)。然后,他们在1个月和7个月的随访中完成了MBI和GHQ。在原课程结束六个月后,一小部分受试者被随机选中参加为期一天的CPCP强化课程。在基线时,三分之一的护士在MBI上表现出高度倦怠。在1个月随访测试(分别为p = 0.003和0.001)和7个月随访测试(p = 0.002和0.001)时,护士们的情感耗竭显著降低,GHQ有所改善。由于护士短缺导致机构排班问题,强化课程难以实施,因此只有一小部分(22%)的样本参与;然而,它受到了好评。因此,CPCP在改善情感耗竭方面有效,情感耗竭是职业倦怠的一个内在方面。