Wade Dorothy, Georgieva Milena, Gunnewicht Hein, Finnigan Jacqui, MacCallum Niall
Critical Care Department, University College Hospital, University College London Hospitals NHS Foundation Trust, London, UK.
National Institute for Health Research, University College London Hospital Biomedical Research Centre, London, UK.
J Intensive Care Soc. 2021 Feb;22(1):52-59. doi: 10.1177/1751143719884855. Epub 2020 Jan 26.
Intensive care staff have high levels of stress. We conducted a service improvement initiative to assess workplace stress levels among staff in one adult general intensive care unit and deliver a stress management intervention.
A psychological intervention of four stress management sessions, and fortnightly staff support drop-in groups, was developed and delivered within a year. Pre- and post-intervention, workplace stress in the unit was assessed using a Health and Safety Executive tool.
Pre-intervention assessment of 76 (47.2%) staff indicated that improvement was needed in all domains of workplace stress. 125 staff (77.6%) participated in the intervention and gave positive ratings for content, relevance, practicality and personal value (median 4 (1-5); interquartile range 3.8-4.6). Post-intervention assessment of 71 staff (41.3%) demonstrated improvements in all workplace stress domains.
A reduction in workplace stress was observed following a service improvement intervention in one intensive care unit although no causality can be assumed. Similar interventions should be evaluated using robust study designs.
重症监护室工作人员承受着高水平的压力。我们开展了一项服务改进举措，以评估一家成人综合重症监护病房工作人员的工作场所压力水平，并实施压力管理干预措施。
在一年内制定并实施了一项心理干预措施，包括四次压力管理课程以及每两周一次的员工支持临时小组活动。在干预前后，使用健康与安全执行局的工具对该病房的工作场所压力进行评估。
对76名（47.2%）工作人员进行的干预前评估表明，工作场所压力的各个领域都需要改进。125名工作人员（77.6%）参与了干预，并对内容、相关性、实用性和个人价值给予了积极评价（中位数为4（1 - 5）；四分位间距为3.8 - 4.6）。对71名工作人员（41.3%）进行的干预后评估显示，工作场所压力的所有领域都有所改善。
在一家重症监护病房实施服务改进干预措施后，观察到工作场所压力有所降低，不过不能假定存在因果关系。应使用稳健的研究设计对类似干预措施进行评估。
