Wong Adrian, Olusanya Olusegun, Parulekar Prashant, Highfield Julie
King's College Hospital, London, UK.
Barts Health NHS Trust, London, UK.
J Intensive Care Soc. 2021 Nov;22(4):328-334. doi: 10.1177/1751143720968066. Epub 2020 Oct 28.
In the last 10 years, there has been increasing interest into the psychological wellbeing of healthcare providers. Within critical care, increasing attention is being paid to the concept of 'burnout' - a cluster of symptoms that adversely affect the health of critical care providers. Publications and statements from the major critical care societies have all addressed this syndrome and emphasised urgency in tackling it. The current COVID-19 pandemic has fundamentally changed the way we work, communicate and learn. Even before the pandemic, there have been growing concerns and acknowledgement that healthcare practitioners in intensive care are at increased risk of burnout and burnout syndrome. There has never been greater pressure on intensive care or indeed healthcare as a whole to look after so many patients during this pandemic and yet there is global acknowledgement that key to overcoming these challenges is to look after the care providers - both physically and psychologically. In this paper, we review the issue of burnout amongst healthcare practitioners during current pandemic. We present the impact of burnout on the individual and the system as a whole but perhaps most importantly, we provide a review of steps being taken to mitigate against these adverse outcomes in the short and longer term.
在过去十年中,人们对医疗保健提供者的心理健康越来越感兴趣。在重症监护领域,“职业倦怠”这一概念受到了越来越多的关注,职业倦怠是一组对重症监护提供者的健康产生不利影响的症状。主要重症监护学会的出版物和声明都提到了这一综合征,并强调了解决它的紧迫性。当前的新冠疫情从根本上改变了我们工作、沟通和学习的方式。甚至在疫情之前,人们就越来越担心并认识到,重症监护领域的医疗从业者面临职业倦怠和职业倦怠综合征的风险更高。在这场疫情期间,重症监护乃至整个医疗保健行业都从未面临过如此巨大的压力,需要照顾如此多的患者,但全球都认识到,克服这些挑战的关键在于照顾好医护人员——包括身体和心理方面。在本文中,我们回顾了当前疫情期间医疗从业者的职业倦怠问题。我们阐述了职业倦怠对个人和整个系统的影响,但或许最重要的是,我们综述了为在短期和长期内减轻这些不良后果而正在采取的措施。