Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, 155 College Street, Toronto, ON, M5T 3M6, Canada.
Hospital for Sick Children, 555 University Avenue, Toronto, ON, M5G 1X8, Canada.
Hum Resour Health. 2020 Feb 11;18(1):9. doi: 10.1186/s12960-020-0451-8.
Burnout in healthcare providers has impacts at the level of the individual provider, patient, and organization. While there is a substantial body of literature on burnout in healthcare providers, burnout in pediatric nurses has received less attention. This subpopulation may be unique from adult care nurses because of the specialized nature of providing care to children who are typically seen as a vulnerable population, the high potential for empathetic engagement, and the inherent complexities in the relationships with families. Thus, the aim of this scoping review was to investigate, among pediatric nurses, (i) the prevalence and/or degree of burnout, (ii) the factors related to burnout, (iii) the outcomes of burnout, and (iv) the interventions that have been applied to prevent and/or mitigate burnout. This scoping review was performed according to the PRISMA Guidelines Scoping Review Extension. CINAHL, EMBASE, MEDLINE, PsycINFO, ASSIA, and The Cochrane Library were searched on 3 November 2018 to identify relevant quantitative, qualitative, and mixed-method studies on pediatric nurse burnout. Our search identified 78 studies for inclusion in the analysis. Across the included studies, burnout was prevalent in pediatric nurses. A number of factors were identified as impacting burnout including nurse demographics, work environment, and work attitudes. Similarly, a number of outcomes of burnout were identified including nurse retention, nurse well-being, patient safety, and patient-family satisfaction. Unfortunately, there was little evidence of effective interventions to address pediatric nurse burnout. Given the prevalence and impact of burnout on a variety of important outcomes, it is imperative that nursing schools, nursing management, healthcare organizations, and nursing professional associations work to develop and test the interventions to address key attitudinal and environmental factors that are most relevant to pediatric nurses.
医护人员的 burnout 会对个体医护人员、患者和组织产生影响。尽管有大量关于医护人员 burnout 的文献,但儿科护士的 burnout 却受到较少关注。由于为儿童提供护理的特殊性,儿科护士可能与成人护理护士不同,因为儿童通常被视为弱势群体,他们很容易产生共情,而且与家庭的关系也很复杂。因此,本 scoping 综述的目的是调查儿科护士中:(i) burnout 的流行程度和/或程度;(ii) 与 burnout 相关的因素;(iii) burnout 的结果;以及 (iv) 已应用于预防和/或减轻 burnout 的干预措施。本 scoping 综述根据 PRISMA 指南 scoping 综述扩展进行。2018 年 11 月 3 日,我们在 CINAHL、EMBASE、MEDLINE、PsycINFO、ASSIA 和 The Cochrane Library 中搜索了有关儿科护士 burnout 的定量、定性和混合方法研究,以确定相关研究。我们的搜索共确定了 78 项纳入分析的研究。在纳入的研究中,儿科护士 burnout 很普遍。有许多因素被认为会影响 burnout,包括护士的人口统计学特征、工作环境和工作态度。同样,也确定了 burnout 的许多结果,包括护士留职率、护士福祉、患者安全和患者-家庭满意度。不幸的是,几乎没有证据表明有效的干预措施可以解决儿科护士的 burnout 问题。鉴于 burnout 在许多重要结果上的普遍性和影响,护理学校、护理管理层、医疗保健组织和护理专业协会必须共同努力,开发和测试干预措施,以解决与儿科护士最相关的关键态度和环境因素。