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为在重症监护病房工作或计划工作的医生提供建议:定性研究的总结。

Advice for doctors working or planning to work in intensive care: summation from a qualitative study.

机构信息

Department of Intensive Care and Physiotherapy, Sir Charles Gairdner Hospital, Perth 6009, Western Australia, Australia.

Faculty of Health Sciences, Curtin University, Perth 6102, Western Australia, Australia.

出版信息

Anaesthesiol Intensive Ther. 2022;54(1):85-90. doi: 10.5114/ait.2022.113278.

DOI:10.5114/ait.2022.113278
PMID:35193328
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10156479/
Abstract

Healthcare personnel who work for prolonged periods in highly stressful environments are susceptible to the effects of these stressors and the cumulative nature of their exposure. The term 'burnout' has been coined to describe a constellation of symptoms related to work, organisational and personal issues occurring in individuals with no prior history [1]. Burnout has been described as particularly prevalent in the critical care setting [2-4]; it affects not only the health and wellbeing of those individuals experiencing the deleterious consequences, but also the quality of the care they provide [1]. There is significant literature that supports the worthiness of mentorship [5-7] throughout medical training. Following on from our paper exploring the behavioural responses of intensivists to stressors encountered working in the intensive care environment [8], the aim of this study was to elicit the advice senior intensivists might offer others on dealing with the stresses of a career in intensive care.

摘要

从事高强度压力环境下的工作的医护人员容易受到这些压力源的影响,以及他们接触的累积性质的影响。“ burnout”一词被用来描述一种与工作、组织和个人问题相关的症状组合,这些症状发生在没有先前病史的个体中[1]。 burnout 被描述为在重症监护环境中尤为普遍[2-4];它不仅影响到那些经历不良后果的人的健康和福祉,也影响到他们提供的护理质量[1]。有大量文献支持在整个医学培训过程中导师制的价值[5-7]。在我们探讨了在重症监护环境中工作时遇到的压力源对重症监护医师的行为反应的论文之后[8],本研究的目的是了解资深重症监护医师可能会就如何应对重症监护职业压力提供给他人的建议。

相似文献

1
Advice for doctors working or planning to work in intensive care: summation from a qualitative study.为在重症监护病房工作或计划工作的医生提供建议:定性研究的总结。
Anaesthesiol Intensive Ther. 2022;54(1):85-90. doi: 10.5114/ait.2022.113278.
2
Behavioural responses of Intensivists to stressors in Intensive Care.重症监护医师对重症监护应激源的行为反应。
Occup Med (Lond). 2021 Nov 6;71(8):343-345. doi: 10.1093/occmed/kqab112.
3
Gender differences in career satisfaction, moral distress, and incivility: a national, cross-sectional survey of Canadian critical care physicians.性别差异对职业满意度、道德困境和不文明行为的影响:一项对加拿大重症监护医生的全国性横断面调查。
Can J Anaesth. 2019 May;66(5):503-511. doi: 10.1007/s12630-019-01321-y. Epub 2019 Feb 20.
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The effectiveness of mindfulness based programs in reducing stress experienced by nurses in adult hospital settings: a systematic review of quantitative evidence protocol.基于正念的项目在减轻成人医院环境中护士所经历压力方面的有效性:定量证据协议的系统评价
JBI Database System Rev Implement Rep. 2015 Oct;13(10):21-9. doi: 10.11124/jbisrir-2015-2380.
5
[Burnout in Intensive Care].[重症监护中的职业倦怠]
Dtsch Med Wochenschr. 2018 Jan;143(1):21-26. doi: 10.1055/s-0043-109258. Epub 2018 Jan 9.
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Risk of burnout among early career mental health professionals.早期职业心理健康专业人员的职业倦怠风险。
J Psychiatr Ment Health Nurs. 2014;21(9):774-81. doi: 10.1111/jpm.12137. Epub 2014 Feb 20.
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Survey of in-house coverage by pediatric intensivists: characterization of 24/7 in-hospital pediatric critical care faculty coverage*.儿科重症监护医师内部覆盖范围调查:24/7 院内儿科危重病学教师覆盖范围的特征*。
Pediatr Crit Care Med. 2014 Feb;15(2):97-104. doi: 10.1097/PCC.0000000000000032.
8
Burnout syndrome among critical care healthcare workers.重症监护医护人员的职业倦怠综合征
Curr Opin Crit Care. 2007 Oct;13(5):482-8. doi: 10.1097/MCC.0b013e3282efd28a.
9
[Burnout in anesthesiology and intensive care : is there a problem in Germany?].[麻醉学与重症监护中的职业倦怠:德国存在问题吗?]
Anaesthesist. 2011 Dec;60(12):1109-18. doi: 10.1007/s00101-011-1947-3. Epub 2011 Nov 11.
10
The nature and sources of the emotional distress felt by intensivists and the burdens that are carried: A qualitative study.重症监护医生所感受到的情绪困扰的性质、来源及所承受的负担:一项定性研究。
Aust Crit Care. 2023 Jan;36(1):52-58. doi: 10.1016/j.aucc.2021.11.006. Epub 2021 Dec 28.

本文引用的文献

1
Behavioural responses of Intensivists to stressors in Intensive Care.重症监护医师对重症监护应激源的行为反应。
Occup Med (Lond). 2021 Nov 6;71(8):343-345. doi: 10.1093/occmed/kqab112.
2
Burnout Among Anesthesiologists and Intensive Care Physicians: Results From an Italian National Survey.麻醉师和重症监护医师的倦怠:来自意大利全国性调查的结果。
Inquiry. 2020 Jan-Dec;57:46958020919263. doi: 10.1177/0046958020919263.
3
Mentorship in the health professions: a review.卫生专业中的导师制:一项综述。
Clin Teach. 2018 Jun;15(3):197-202. doi: 10.1111/tct.12756. Epub 2018 Jan 10.
4
Stress and burnout in intensive care medicine: an Australian perspective.重症医学中的压力与职业倦怠:澳大利亚视角
Med J Aust. 2017 Feb 20;206(3):107-108. doi: 10.5694/mja16.00626.
5
Burnout in the intensive care unit professionals: A systematic review.重症监护病房专业人员的职业倦怠:一项系统综述。
Medicine (Baltimore). 2016 Dec;95(50):e5629. doi: 10.1097/MD.0000000000005629.
6
An Official Critical Care Societies Collaborative Statement: Burnout Syndrome in Critical Care Health Care Professionals: A Call for Action.重症监护学会协作组官方声明:重症监护医护人员的职业倦怠综合征:行动呼吁。
Am J Crit Care. 2016 Jul;25(4):368-76. doi: 10.4037/ajcc2016133.
7
Excellence in Intensive Care Medicine.重症医学卓越成就。
Crit Care Med. 2016 Jan;44(1):202-6. doi: 10.1097/CCM.0000000000001435.
8
Using the framework method for the analysis of qualitative data in multi-disciplinary health research.运用多学科健康研究中定性数据分析的框架方法。
BMC Med Res Methodol. 2013 Sep 18;13:117. doi: 10.1186/1471-2288-13-117.
9
The influence of mentorship and role modeling on developing physician-leaders: views of aspiring and established physician-leaders.导师制和榜样作用对培养医师领导者的影响:有抱负的和已确立的医师领导者的观点。
J Gen Intern Med. 2009 Oct;24(10):1130-4. doi: 10.1007/s11606-009-1091-9. Epub 2009 Aug 27.