Shenoi Asha N, Kalyanaraman Meena, Pillai Aravind, Raghava Preethi S, Day Scottie
Department of Pediatrics, University of Kentucky, Lexington, KY.
Department of Pediatrics, Children's Hospital of New Jersey at Newark Beth Israel Medical Center, Newark, DE.
Crit Care Med. 2018 Jan;46(1):116-122. doi: 10.1097/CCM.0000000000002751.
To estimate the prevalence of physician burnout, psychological distress, and its association with selected personal and practice characteristics among pediatric critical care physicians and to evaluate the relationship between burnout and psychological distress.
Cross-sectional, online survey.
Pediatric critical care practices in the United States.
Pediatric critical care physicians.
None.
A nonrandom sample of 253 physicians completed an online survey consisting of personal and practice characteristics, the Maslach Burnout Inventory, and the General Health Questionnaire. Nearly half of the participants (49%; 95% CI, 43-55%; n = 124) scored high burnout in at least one of the three subscales of the Maslach Burnout Inventory and 21% reported severe burnout. The risk of any burnout was about two times more in women physicians (odds ratio, 1.97; 95% CI, 1.2-3.4). Association between other personal or practice characteristics and burnout was not evident in this study, while regular physical exercise appeared to be protective. One third of all participants (30.5%) and 69% of those who experienced severe burnout screened positive for psychological distress. About 90% of the physicians reporting severe burnout have considered leaving their practice.
Burnout is high among pediatric critical care physicians in the United States. About two thirds of the physicians with severe burnout met the screening criteria for psychological distress that suggests possible common mental disorders. Significant percentages of physicians experiencing burnout and considering to leave the profession has major implications for the critical care workforce.
评估儿科重症监护医师职业倦怠、心理困扰的患病率及其与特定个人和执业特征之间的关联，并评估职业倦怠与心理困扰之间的关系。
横断面在线调查。
美国的儿科重症监护机构。
儿科重症监护医师。
无。
253名医师的非随机样本完成了一项在线调查，内容包括个人和执业特征、马氏职业倦怠量表以及一般健康问卷。近一半的参与者（49%；95%置信区间，43 - 55%；n = 124）在马氏职业倦怠量表的三个子量表中至少有一个得分显示出高度职业倦怠，21%报告有严重职业倦怠。女医师出现任何职业倦怠的风险约为男医师的两倍（比值比，1.97；95%置信区间，1.2 - 3.4）。在本研究中，其他个人或执业特征与职业倦怠之间的关联不明显，而经常进行体育锻炼似乎具有保护作用。所有参与者中有三分之一（30.5%）以及经历严重职业倦怠的参与者中有69%心理困扰筛查呈阳性。报告有严重职业倦怠的医师中约90%曾考虑离开其工作岗位。
美国儿科重症监护医师职业倦怠程度较高。约三分之二有严重职业倦怠的医师符合心理困扰的筛查标准，这表明可能存在常见精神障碍。经历职业倦怠并考虑离开该职业的医师比例相当高，这对重症监护医护人员队伍有重大影响。
