Intensive Care Unit, Sir Charles Gairdner Hospital; Curtin University, Perth, Western Australia.
Department of Anesthesiology, Critical Care and Pain Medicine, Hadassah Medical Center and Faculty of Medicine, Hebrew University of Jerusalem, Israel.
Australas Psychiatry. 2022 Apr;30(2):247-253. doi: 10.1177/10398562211047211. Epub 2021 Nov 27.
The stressful nature of the intensive care unit (ICU) environment is increasingly well characterised. The aim of this paper was to explore modifiers, coping strategies and support pathways identified by experienced Intensivists, in response to these stressors.
Prospective qualitative study employing interviews with Intensivists in two countries. Participants were asked how they mitigated their emotional responses to the stressors of the ICU. Audio-recordings were transcribed and analysed by all researchers who agreed upon emerging themes and subthemes.
A wide range of strategies were reported. Although several participants had sought professional help and all supported its utility, few disclosed accessing such help to others indicating stigma. Many felt a sense of responsibility for the well-being of other staff but identified barriers that suggest alternate support pathways are required. Further implications of these findings to training considerations are described.
Several approaches were described as regularly employed by Intensivists to mitigate ICU environmental stressors. Intensivists perceive themselves to have limited training to provide support to others; they also perceive stigma in seeking professional help.
重症监护病房（ICU）环境的压力性质越来越明显。本文旨在探讨经验丰富的重症监护医师在面对这些压力源时识别出的修饰语、应对策略和支持途径。
采用前瞻性定性研究，对两个国家的重症监护医师进行访谈。参与者被要求说明他们如何减轻对 ICU 压力源的情绪反应。对音频记录进行转录，由所有研究人员分析，确定出现的主题和子主题。
报告了多种策略。尽管一些参与者寻求过专业帮助，并且所有人都支持其效用，但很少有人向他人透露自己寻求过这种帮助，表明存在耻辱感。许多人对其他员工的福祉感到有责任感，但发现存在障碍，表明需要替代支持途径。还描述了这些发现对培训考虑因素的进一步影响。
描述了几种重症监护医师经常用来减轻 ICU 环境压力源的方法。重症监护医师认为自己在为他人提供支持方面的培训有限；他们也认为寻求专业帮助存在耻辱感。
