Unité INSERM U1296-Radiations: Défense, Santé, Environnement, Université Lumière-Lyon 2, 69500 Bron, France.
CHU de Lyon, Groupement Hospitalier Centre, Hospices Civils de Lyon, 69002 Lyon, France.
Int J Environ Res Public Health. 2023 Jun 1;20(11):6029. doi: 10.3390/ijerph20116029.
The health crisis has had a strong impact on intensive care units. The objective of this study was to investigate the experience of resuscitation physicians during the COVID-19 health crisis to understand the associated determinants of quality of life, burnout, and brownout. This qualitative, longitudinal study covered two periods (T1, February 2021, and T2, May 2021). The data were collected in individual semi-directed interviews with 17 intensive care physicians (ICPs) (T1). Nine of the latter also participated in a second interview (T2). The data were examined using grounded theory analysis. We identified a multiplication of burnout and brownout indicators and factors already known in intensive care. In addition, burnout and brownout indicators and factors specific to the COVID-19 crisis were added. The evolution of professional practices has disrupted the professional identity, the meaning of work, and the boundaries between private and professional life, leading to a brownout and blur-out syndrome. The added value of our study lies in identifying the positive effects of the crisis in the professional domain. Our study revealed indicators and factors of burnout and brownout associated with the crisis among ICPs. Finally, it highlights the beneficial effects of the COVID-19 crisis on work.
健康危机对重症监护病房产生了强烈影响。本研究的目的是调查在 COVID-19 健康危机期间复苏医师的经验，以了解与生活质量、倦怠和疲惫相关的决定因素。这项定性、纵向研究涵盖了两个时期（T1，2021 年 2 月和 T2，2021 年 5 月）。数据是通过对 17 名重症监护医师（ICPs）进行的个人半结构化访谈收集的（T1）。其中 9 人还参加了第二次访谈（T2）。使用扎根理论分析检查数据。我们发现，与 ICU 中已经知道的倦怠和疲惫指标和因素相比，倦怠和疲惫指标和因素呈倍数增加。此外，还增加了与 COVID-19 危机相关的倦怠和疲惫的指标和因素。专业实践的演变扰乱了职业身份、工作意义以及公私生活之间的界限，导致疲惫和模糊综合征。我们研究的附加值在于确定危机在专业领域的积极影响。我们的研究揭示了与 COVID-19 危机相关的 ICP 倦怠和疲惫的指标和因素。最后，它强调了 COVID-19 危机对工作的有益影响。
