Department of Anesthesiology, University of Vermont Medical Center, University of Vermont Larner College of Medicine, 111 Colchester Avenue, Burlington, VT 05401, USA.
Department of Intensive Care & Resuscitation, Anesthesiology Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, Mail Code G58, Cleveland, OH 44195, USA.
Anesthesiol Clin. 2023 Mar;41(1):303-316. doi: 10.1016/j.anclin.2022.10.009.
A second epidemic of burnout, fatigue, anxiety, and moral distress has emerged concurrently with the coronavirus disease 2019 (COVID-19) pandemic, and critical care physicians are especially affected. This article reviews the history of burnout in health care workers, presents the signs and symptoms, discusses the specific impact of the COVID-19 pandemic on intensive care unit caregivers, and attempts to identify potential strategies to combat the Great Resignation disproportionately affecting health care workers. The article also focuses on how the specialty can amplify the voices and highlight the leadership potential of underrepresented minorities, physicians with disabilities, and the aging physician population.
随着 2019 年冠状病毒病(COVID-19)大流行,倦怠、疲劳、焦虑和道德困境的第二次流行同时出现,重症监护医生尤其受到影响。本文回顾了医护人员倦怠的历史,介绍了其迹象和症状,讨论了 COVID-19 大流行对重症监护病房护理人员的具体影响,并试图确定潜在的策略来应对严重影响医护人员的离职潮。本文还重点介绍了该专业如何放大代表性不足的少数群体、残疾医生和老年医生群体的声音并突出其领导力潜力。