Department of Cardiothoracic Surgery/Cardiac Anaesthesia & ICU, Heart Hospital, 36977Hamad Medical Corporation, Doha, Qatar.
Department of Critical Care Medicine, 158406Beni Suef University, Beni Suef, Egypt.
J Intensive Care Med. 2022 Dec;37(12):1553-1562. doi: 10.1177/08850666221086208. Epub 2022 Mar 14.
Burnout syndrome (BOS) is a job-related stress disorder featured by three main cardinal manifestations: emotional exhaustion (EE), reduced personal accomplishment (PA), and depersonalization (DP).
We aimed to report the prevalence of burnout and the impact of leadership and work condition on the burnout among respiratory therapists (RT) are front-line practitioners in many critical settings.
We surveyed RT in eight intensive care units (ICU) at five tertiary hospitals, under one medical corporation, using three instruments: the Maslach Burnout Inventory Human Services Survey for Medical Personnel, Condition of Work Effectiveness Questionnaire (CWEQ), and Leadership behaviours scale. We used a group of other health care practitioners (ie, physicians and nurses) as the control group.
Of a sampling frame of 1222 ICU practitioners, 445 (36.4%) responded with completed surveys. Eighty-four (17.3%) and 361 (82.7%) participants were in the RT and the control group, respectively. The overall burnout score was significantly lower in the RT group (53.6% vs. 67%, p = 0.02). The EE and DP scores were significantly lower in the RT group [(26.2% vs. 37.7, p = 0.048) and (9.5% vs. 19.9%, p = 0.025), respectively], but the PA score did not show significant difference between the groups. A significant negative relationship was found between CWEQ score and both EE and DP scores (r = -0. 0.557, p < 0.001) and (r = -0.372, p < 0.001), respectively, while a significant positive correlation was found between CWEQ and the PA score (r = 0.225, p < 0.042). A significant negative relationship was found between the leadership attitude and EE scores (r = -0.414, p < 0.001).
The results of this study suggest a high burnout rate among RT. The reported rate was significantly correlated to work conditions and leadership behaviours. Organizational efforts should be directed to combating burnout through the identification and adequate management of the key precipitating factors.
CLINICALTRIALS.GOV IDENTIFIER: NCT04620005.
burnout 综合征（BOS）是一种与工作相关的压力障碍，其主要有三个表现：情绪耗竭（EE）、个人成就感降低（PA）和去人格化（DP）。
我们旨在报告 burnout 在呼吸治疗师（RT）中的流行程度，以及领导和工作条件对 burnout 的影响。RT 是许多关键环境中的一线从业者。
我们使用 Maslach Burnout Inventory Human Services Survey for Medical Personnel、Condition of Work Effectiveness Questionnaire（CWEQ）和 Leadership behaviours scale 对一家医疗公司下属的五家三级医院的八个重症监护病房（ICU）中的 RT 进行了调查。我们使用了一组其他卫生保健从业者（即医生和护士）作为对照组。
在 1222 名 ICU 从业者的抽样框架中，有 445 名（36.4%）人完成了调查。84 人和 361 人分别属于 RT 组和对照组，占比分别为 17.3%和 82.7%。RT 组的总体 burnout 评分明显较低（53.6%比 67%，p=0.02）。EE 和 DP 评分在 RT 组中明显较低[（26.2%比 37.7%，p=0.048）和（9.5%比 19.9%，p=0.025）]，但两组的 PA 评分没有显著差异。CWEQ 评分与 EE 和 DP 评分呈显著负相关（r=-0.0.557，p<0.001）和（r=-0.372，p<0.001），而与 PA 评分呈显著正相关（r=0.225，p<0.042）。领导态度与 EE 评分呈显著负相关（r=-0.414，p<0.001）。
这项研究的结果表明，RT 中 burnout 的发生率很高。报告的比率与工作条件和领导行为显著相关。应通过识别和适当管理关键促成因素，努力组织起来应对 burnout。
NCT04620005。
