Health Economics, Hospital Management and Nursing Research Dept, School of Public Health, Université Libre de Bruxelles, Belgium; SIZ Nursing, A Society of Intensive Care Nurses, Belgium.
Institute of Health and Society (IRSS), Université Catholique de Louvain, Brussels, Belgium.
Intensive Crit Care Nurs. 2021 Aug;65:103059. doi: 10.1016/j.iccn.2021.103059. Epub 2021 Apr 17.
Burnout is a global work-related phenomenon. Intensive care unit (ICU) nurses are at risk of burnout and the COVID-19 pandemic may increase this risk. The objectives of this study were to assess the prevalence of burnout risk and identify risk factors among ICU nurses during the COVID-19 pandemic.
Web-based survey performed during the first wave of the COVID-19 pandemic in French speaking Belgium.
Risk of burnout was assessed with the Maslach Burnout Inventory scale.
A total of 1135 ICU nurses responded to the questionnaire. The overall prevalence of burnout risk was 68%. A total of 29% of ICU nurses were at risk of depersonalisation (DP), 31% of reduced personal accomplishment (PA), and 38% of emotional exhaustion (EE). A 1:3 nurse-to-patient ratio increased the risk of EE (OR = 1.77, 95% CI: 1.07-2.95) and DP (OR = 1.38, 95% CI: 1.09-2.40). Those who reported having a higher perceived workload during the COVID-19 pandemic were at higher risk for all dimensions of burnout. Shortage of personal protective equipment increased the risk of EE (OR = 1.78, 95% CI: 1.35-3.34) and nurses who reported having symptoms of COVID-19 without being tested were at higher risk of EE (OR = 1.40, 95% CI: 1.68-1.87).
Two-thirds of ICU nurses were at risk of burnout and this risk was associated with their working conditions during the first wave of the COVID-19 pandemic. We recommend monitoring the risk of burnout and implementing interventions to prevent and manage it, taking into account the factors identified in this study.
倦怠是一种全球性的与工作相关的现象。重症监护病房（ICU）护士有倦怠的风险，而 COVID-19 大流行可能会增加这种风险。本研究的目的是评估 COVID-19 大流行期间 ICU 护士的倦怠风险的流行率，并确定其危险因素。
在 COVID-19 大流行在比利时法语区的第一波期间进行的基于网络的调查。
使用 Maslach 倦怠量表评估倦怠风险。
共有 1135 名 ICU 护士对问卷做出了回应。倦怠风险的总体流行率为 68%。共有 29%的 ICU 护士存在去人格化风险，31%的个人成就感降低，38%的情绪耗竭。护士与患者的比例为 1:3 增加了情绪耗竭（OR=1.77，95%CI：1.07-2.95）和去人格化（OR=1.38，95%CI：1.09-2.40）的风险。那些报告在 COVID-19 大流行期间工作负荷较高的人，所有倦怠维度的风险都较高。个人防护设备短缺增加了情绪耗竭的风险（OR=1.78，95%CI：1.35-3.34），报告有 COVID-19 症状但未接受检测的护士发生情绪耗竭的风险更高（OR=1.40，95%CI：1.68-1.87）。
三分之二的 ICU 护士有倦怠的风险，这种风险与他们在 COVID-19 大流行第一波期间的工作条件有关。我们建议监测倦怠风险，并根据本研究确定的因素实施预防和管理倦怠的干预措施。
