Mullin Rebecca A, Hota Susy S, Bearman Gonzalo
Department of Internal Medicine, Virginia Commonwealth University Medical Center, Richmond, Virginia.
Infection Prevention and Control Department, University Health Network, Toronto, Canada.
Antimicrob Steward Healthc Epidemiol. 2023 Mar 15;3(1):e50. doi: 10.1017/ash.2022.25. eCollection 2023.
Mental fatigue and burnout are concerns for healthcare organizations, but their effects on leaders have not been thoroughly studied. Infectious diseases teams and leaders are at risk for mental fatigue and burnout due to the increased demands from the coronavirus disease 2019 (COVID-19) pandemic, additive effects of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) (omicron) and δ (delta) variant surges, and unique pre-existing pressures. No single intervention can reduce stress and burnout in healthcare workers. Work-hour limitations may have the biggest impact in physician burnout mitigation. Institutional and individual programs focused on mindfulness may improve well-being in the workplace. Leading during times of stress requires a multimodal approach and an understanding of goals and priorities. Greater awareness of burnout and fatigue across the healthcare spectrum and continued research are required to advance healthcare worker well-being.
精神疲劳和职业倦怠是医疗机构所关注的问题，但它们对领导者的影响尚未得到充分研究。由于2019冠状病毒病（COVID-19）大流行带来的需求增加、严重急性呼吸综合征冠状病毒2（SARS-CoV-2）（奥密克戎）和δ（德尔塔）变种激增的叠加效应以及独特的既有压力，传染病团队及其领导者面临精神疲劳和职业倦怠的风险。没有单一的干预措施能够减轻医护人员的压力和职业倦怠。限制工作时长可能对缓解医生的职业倦怠影响最大。专注于正念的机构和个人项目可能会改善工作场所的幸福感。在压力时期进行领导需要采取多模式方法并理解目标和优先事项。需要提高整个医疗领域对职业倦怠和疲劳的认识，并持续开展研究，以促进医护人员的幸福感。
