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促进同伴支持会议对儿科重症监护病房医护人员的倦怠和悲伤管理的影响:一项试点研究。

The effect of facilitated peer support sessions on burnout and grief management among health care providers in pediatric intensive care units: a pilot study.

机构信息

Children's Hospital of New Orleans, New Orleans, LA 70118, USA.

出版信息

J Palliat Med. 2012 Nov;15(11):1178-80. doi: 10.1089/jpm.2012.0231. Epub 2012 Aug 21.

Abstract

BACKGROUND

Children admitted to pediatric intensive care units (PICUs) face potentially life limiting conditions. The toll on heath care professionals caring for these children is significant and often overlooked. There is a potential need for increased staff support, and facilitated peer support sessions could be an effective management tool, but few studies specifically evaluate this multidisciplinary population. The purpose of this pilot study is to evaluate the current rates of grief and burnout among health care professionals in our PICU, and explore facilitated support sessions as a method of reducing grief perceptions and burnout among providers.

METHODS

A convenience sample of approximately 50 interdisciplinary professionals was invited to participate. The Copenhagen Burnout Inventory (CBI) and Hogan Grief Reaction Checklist (HGRC) were administered before and after two interactive, facilitated peer support sessions in a pretest/posttest design.

RESULTS

The results of pretest/posttest CBI and HGRC instruments did not indicate statistically significant changes. It is notable that the instruments indicated low levels of grief and burnout among participants pre-/post-implementation.

CONCLUSIONS

While facilitated peer support did not reduce grief and burnout scores among our PICU interdisciplinary staff, many factors could have affected results, including small sample size, potentially different participants across sessions, timing of sessions, and the timing of administration of posttest instruments. Additionally, even though not statistically significant, the area of personal growth showed a trend toward improvement, indicating an area for further research.

摘要

背景

入住儿科重症监护病房(PICU)的儿童面临着潜在的危及生命的情况。照顾这些儿童的医护人员承受着巨大的压力,而这种压力往往被忽视。他们可能需要更多的员工支持,而促进同行支持会议可能是一种有效的管理工具,但很少有研究专门评估这一多学科人群。本研究的目的是评估我们 PICU 医护人员目前的悲伤和倦怠率,并探讨促进支持会议作为减少提供者悲伤感和倦怠感的方法。

方法

邀请了大约 50 名跨学科专业人员参加方便抽样。在两次互动式促进同行支持会议之前和之后,使用哥本哈根倦怠量表(CBI)和霍根悲伤反应检查表(HGRC)进行了预测试/后测试设计。

结果

CBI 和 HGRC 仪器的预测试/后测试结果并未显示出统计学上的显著变化。值得注意的是,仪器表明参与者在实施前后的悲伤和倦怠程度较低。

结论

虽然促进同行支持并没有降低我们 PICU 跨学科工作人员的悲伤和倦怠评分,但许多因素可能影响了结果,包括样本量小、不同会议的潜在参与者、会议时间和后测仪器的管理时间。此外,尽管没有统计学意义,但个人成长领域显示出改善的趋势,表明这是进一步研究的一个领域。

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