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应对医疗保健专业人员的大流行病倦怠:超越人际间健康计划。

Addressing Pandemic Burnout Among Health Care Professionals: Beyond Intrapersonal Wellness Programming.

机构信息

Ryan Holliday is a clinical research psychologist at the Rocky Mountain Mental Illness Research, Education, and Clinical Center for Suicide Prevention, Aurora, Colorado, and an assistant professor at University of Colorado Anschutz Medical Campus, Aurora.

David J. Ricke is a nurse manager at University of Colorado Hospital, Aurora.

出版信息

Am J Crit Care. 2024 Jan 1;33(1):60-64. doi: 10.4037/ajcc2024614.

Abstract

The COVID-19 pandemic has been distressing to health care professionals, causing significant burnout. Burnout has resulted in notable rates of mental health symptoms and job turnover. Hospitals have incorporated programming to meet the needs of health care professionals. A previously reported intervention at the study institution was a cognitive behavioral narrative writing program to target job-related stress. On the basis of participant feedback, psychoeducational seminars, psychotherapy drop-in sessions, and complementary interventions (mindfulness, yoga, and acupuncture) were also implemented to alleviate stress. This article is an update based on these year 2 augmentations. Participation in brief psychoeducational seminars and acupuncture was high, but engagement in other programming (individual psychotherapy and mindfulness) was poor. Hospitals should consider multimodal approaches to address pandemic-related stress and burnout. In addition to educational seminars, programs that address lasting distress should be offered to health care professionals. Targeting job-related burnout at organizational and systemic levels may ameliorate distress. This article discusses methods of integrating organizational programs into clinics.

摘要

COVID-19 大流行给医疗保健专业人员带来了困扰,导致他们 burnout(精疲力竭)严重。 burnout(精疲力竭)导致了明显的心理健康症状和工作流失率。医院已经制定了计划来满足医疗保健专业人员的需求。之前在研究机构报告的一项干预措施是认知行为叙事写作计划,以针对与工作相关的压力。根据参与者的反馈,还实施了心理教育研讨会、心理治疗随时咨询和补充干预措施(正念、瑜伽和针灸)来减轻压力。本文是基于这些第二年的增加内容进行的更新。参加简短心理教育研讨会和针灸的人数很多,但参与其他计划(个体心理治疗和正念)的人数很少。医院应该考虑采用多模式方法来应对与大流行相关的压力和 burnout(精疲力竭)。除了教育研讨会外,还应该向医疗保健专业人员提供解决长期困扰的计划。针对组织和系统层面的与工作相关的 burnout(精疲力竭)可能会减轻压力。本文讨论了将组织计划整合到诊所的方法。

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