Moss Marc, Good Vicki S, Gozal David, Kleinpell Ruth, Sessler Curtis N
Marc Moss is from the Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado School of Medicine, Aurora, Colorado. Vicki S. Good is from Cox Health System, Springfield, Missouri. David Gozal is from the Sections of Pediatric Sleep Medicine and Pulmonology, Department of Pediatrics, Pritzker School of Medicine, Biological Sciences Division, The University of Chicago, Chicago, Illinois. Ruth Kleinpell is from the Center for Clinical Research and Scholarship, Rush University Medical Center, and Rush University College of Nursing, Chicago, Illinois. Curtis N. Sessler is from the Division of Pulmonary Disease and Critical Care Medicine, Virginia Commonwealth University Health System, Medical College of Virginia Hospitals and Physicians, Richmond, Virginia.
Am J Crit Care. 2016 Jul;25(4):368-76. doi: 10.4037/ajcc2016133.
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.
职业倦怠综合征（BOS）在各类医疗保健专业人员中均有发生，在照顾重症患者的个体中尤为常见。BOS的发生与员工个人特质和工作相关问题或其他组织因素的失衡有关。BOS会带来许多有害后果，包括离职率上升、患者满意度降低以及护理质量下降。BOS还直接影响着全球众多重症监护医生、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和其他心理障碍仍相对未得到充分认识。为提高对BOS的认识，重症监护协会协作组织（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方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。
