School of Nursing and Midwifery, Griffith University, Australia.
School of Nursing and Midwifery, Griffith University, Australia.
Intensive Crit Care Nurs. 2022 Aug;71:103248. doi: 10.1016/j.iccn.2022.103248. Epub 2022 Apr 6.
To identify, appraise, and synthesise current evidence on prevalence, correlates, and interventions to enhance compassion satisfaction, resilience, and passion for work among nurses and physicians working in intensive care units.
A mixed methods systematic review was conducted. The comprehensive search used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Seven databases (MEDLINE, EMBASE, CINAHL, JBI, ProQuest, PsycINFO, and Cochrane Library) were searched for literature published between January 2011 and June 2021. The Mixed Methods Appraisal Tool was used to assess methodological quality. Data from included studies were analysed using a convergent mixed methods design. The protocol was prospectively registered (PROSPERO 2021 CRD42021252051).
A total of 37 studies met the inclusion criteria. Most studies reported moderate levels of compassion satisfaction among intensive care health professionals, whereas levels of resilience varied. Compassion satisfaction and resilience were positively correlated, but relationships between compassion satisfaction and resilience and other correlates (personal factors, psychological factors, and work-related factors) were inconsistently reported. Only four interventions aimed to improve compassion satisfaction or resilience among intensive care health professionals. None of the included studies investigated passion for work.
Compassion satisfaction, resilience, and passion for work among staff in the intensive care unit are important in the current global COVID-19 pandemic. Health professionals report a moderate level of compassion satisfaction but findings in relation to resilience are mixed. No studies examined passion for work. Further research to determine ongoing psychological wellbeing and professional quality of life and evaluate tailored interventions to support intensive care staff well-being is recommended.
识别、评价和综合当前关于重症监护病房护士和医生的同情心满足感、韧性和工作热情的流行率、相关性和干预措施的证据。
进行了一项混合方法系统评价。全面检索采用了系统评价和荟萃分析的首选报告项目（Preferred Reporting Items for Systematic Reviews and Meta-Analyses）指南。在 2011 年 1 月至 2021 年 6 月期间，在 7 个数据库（MEDLINE、EMBASE、CINAHL、JBI、ProQuest、PsycINFO 和 Cochrane Library）中搜索文献。使用混合方法评价工具（Mixed Methods Appraisal Tool）评估方法学质量。使用收敛混合方法设计分析纳入研究的数据。该方案已预先注册（PROSPERO 2021 CRD42021252051）。
共有 37 项研究符合纳入标准。大多数研究报告了重症监护卫生专业人员的同情心满足感处于中等水平，而韧性水平则有所不同。同情心满足感和韧性呈正相关，但同情心满足感和韧性与其他相关性（个人因素、心理因素和工作相关因素）之间的关系不一致。只有四项干预措施旨在提高重症监护卫生专业人员的同情心满足感或韧性。没有一项纳入的研究调查了对工作的热情。
在当前的全球 COVID-19 大流行中，重症监护病房工作人员的同情心满足感、韧性和对工作的热情很重要。卫生专业人员报告了中等水平的同情心满足感，但关于韧性的发现却不一致。没有研究考察对工作的热情。建议进一步研究以确定持续的心理健康和职业生活质量，并评估针对重症监护人员的幸福感的定制干预措施。
