Jose Sinu, Dhandapani Manju, Cyriac Maneesha C
Department of Nursing, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
National Institute of Nursing Education, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Indian J Crit Care Med. 2020 Nov;24(11):1081-1088. doi: 10.5005/jp-journals-10071-23667.
The COVID-19 pandemic had a massive impact on healthcare systems, increasing the risks of psychological distress in health professionals. Burnout is a prolonged response to chronic emotional and interpersonal stressors on the job and is defined by the three dimensions of emotional exhaustion, cynicism, and personal inefficacy.
A cross-sectional descriptive design was used to assess the burnout and resilience among frontline nurses in the emergency department of a tertiary care center in North India during COVID-19 pandemic. The sample consisted of 120 frontline nurses working in the emergency department, selected by a simple random sampling method. Data were collected using the Maslach burnout inventory-general survey and the Connor-Davidson Resilience Scale.
The nurses in the emergency during pandemic experienced a moderate-to-severe level of burnout in emotional exhaustion (29.13 ± 10.30) and depersonalization (12.90 ± 4.67) but mild-to-moderate level of burnout in reduced personal accomplishment (37.68 ± 5.17) and showed a moderate to a high level of resilience (77.77 ± 12.41). The two metrics of burnout ., emotional exhaustion and personal inefficacy had a significantly negative correlation with resilience among the frontline nurses in the emergency ( = 0.25, < 0.05 and = 0.31, < 0.01, respectively). A significant negative correlation has been identified between burnout and resilience that informs the role of resilience in alleviating burnout during this pandemic.
Effective interventions for improving resilience are needed to relieve nurses' burnout and workplace stressors. Also, the administration should ensure a healthy workplace and adopt a positive attitude and harmonious relationship with the frontline workers in the mitigation of the pandemic.
Jose S, Dhandapani M, Cyriac MC. Burnout and Resilience among Frontline Nurses during COVID-19 Pandemic: A Cross-sectional Study in the Emergency Department of a Tertiary Care Center, North India. Indian J Crit Care Med 2020;24(11):1081-1088.
新冠疫情对医疗系统产生了巨大影响,增加了医护人员出现心理困扰的风险。职业倦怠是对工作中慢性情绪和人际压力源的长期反应,由情感耗竭、玩世不恭和个人效能感降低这三个维度来定义。
采用横断面描述性设计,对印度北部一家三级护理中心急诊科的一线护士在新冠疫情期间的职业倦怠和心理韧性进行评估。样本由120名在急诊科工作的一线护士组成,通过简单随机抽样方法选取。使用马氏职业倦怠量表通用版和康纳-戴维森心理韧性量表收集数据。
疫情期间急诊科护士在情感耗竭(29.13±10.30)和去个性化(12.90±4.67)方面经历了中度至重度的职业倦怠,但在个人成就感降低方面为轻度至中度(37.68±5.17),并表现出中度至高程度的心理韧性(77.77±12.41)。职业倦怠的两个指标,即情感耗竭和个人效能感降低,与急诊科一线护士的心理韧性呈显著负相关(分别为r = 0.25,P < 0.05和r = 0.31,P < 0.01)。已确定职业倦怠与心理韧性之间存在显著负相关,这表明心理韧性在缓解疫情期间的职业倦怠中发挥着作用。
需要采取有效的干预措施来提高心理韧性,以缓解护士的职业倦怠和工作场所压力源。此外,管理层应确保工作场所健康,并在应对疫情时与一线工作人员保持积极态度和和谐关系。
Jose S, Dhandapani M, Cyriac MC. 新冠疫情期间一线护士的职业倦怠和心理韧性:印度北部一家三级护理中心急诊科的横断面研究。《印度重症监护医学杂志》2020;24(11):1081 - 1088。