Am J Respir Crit Care Med. 2016 Jul 1;194(1):106-13. doi: 10.1164/rccm.201604-0708ST.
Burnout syndrome (BOS) occurs in all types of health-care professionals and is especially common in individuals who care for critically ill patients. The development of BOS is related to an imbalance of personal characteristics of the employee and work-related issues or other organizational factors. BOS is associated with many deleterious consequences, including increased rates of job turnover, reduced patient satisfaction, and decreased quality of care. BOS also directly affects the mental health and physical well-being of the many critical care physicians, nurses, and other health-care professionals who practice worldwide. Until recently, BOS and other psychological disorders in critical care health-care professionals remained relatively unrecognized. To raise awareness of BOS, the Critical Care Societies Collaborative (CCSC) developed this call to action. The present article reviews the diagnostic criteria, prevalence, causative factors, and consequences of BOS. It also discusses potential interventions that may be used to prevent and treat BOS. Finally, we urge multiple stakeholders to help mitigate the development of BOS in critical care health-care professionals and diminish the harmful consequences of BOS, both for critical care health-care professionals and for patients.
burnout 综合征(BOS)发生在所有类型的医疗保健专业人员中,尤其常见于照顾重症患者的人员。BOS 的发展与员工个人特征与工作相关问题或其他组织因素之间的失衡有关。BOS 与许多有害后果相关,包括更高的离职率、降低的患者满意度和降低的护理质量。BOS 还直接影响到全球范围内从事重症监护的许多医师、护士和其他医疗保健专业人员的心理健康和身体健康。直到最近,重症监护医疗保健专业人员中的 BOS 和其他心理障碍仍然相对未被认识。为了提高对 BOS 的认识,重症监护学会协作组织(CCSC)发出了这一行动呼吁。本文回顾了 BOS 的诊断标准、患病率、致病因素和后果。它还讨论了可能用于预防和治疗 BOS 的潜在干预措施。最后,我们敦促多个利益相关者帮助减轻重症监护医疗保健专业人员中 BOS 的发展,并减少 BOS 对重症监护医疗保健专业人员和患者的有害后果。