Burnout Syndrome Common in Critical Care ProfessionalsLast Updated: July 13, 2016. Critical care health care professionals have one of the highest rates of burnout syndrome (BOS), compared to other health care professionals, according to a call-to-action statement published in the July 1 issue of the American Journal of Respiratory and Critical Care Medicine.
WEDNESDAY, July 13, 2016 (HealthDay News) -- Critical care health care professionals have one of the highest rates of burnout syndrome (BOS), compared to other health care professionals, according to a call-to-action statement published in the July 1 issue of the American Journal of Respiratory and Critical Care Medicine.
Marc Moss, M.D., and colleagues from the Critical Care Societies Collaborative define BOS as a state of emotional, mental, and physical exhaustion caused by excessive and prolonged stress. In the statement, they review the diagnostic criteria, prevalence, causative factors, and consequences of BOS, and explore potential interventions to prevent and treat BOS.
The authors note that between 25 and 33 percent of critical care nurses manifest symptoms of severe BOS, as do about 45 percent of critical care physicians. Risk factors for BOS can be categorized by personal characteristics, organizational factors, quality of working relationships, and exposure to end-of-life issues. BOS can lead to personal issues in critical care health care professionals, such as posttraumatic stress disorder, alcohol abuse, and suicidal ideation. BOS also leads to turnover, decreased effectiveness, and poor work performance, which have a direct impact on patient care. While there are no large randomized controlled trials that have examined potential interventions, potential strategies can be categorized as those focused on enhancing the intensive care unit environment, and those focused on helping individuals cope with their environment.
"Everyone has a part to play in decreasing burnout syndrome," Moss said in a statement. "A full collaborative effort is required among researchers, educators, professional societies, patient advocacy groups, funding agencies, policy makers, and ourselves as critical care health care professionals."
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Yes, the emperor has no clothes, meaning half your staff is burned out on any given practice day—no matter how diligently we try to ignore the signs and soldier on. In my experience with over 1700 hours of one on one coaching with burned out doctors, I can tell you each provider’s burnout is multifactorial and unique to the individual. The best starting point to prevent burnout is education for your entire department. You must fill in the gaping hole in everyone’s education around stress, stress management and burnout prevention first, before adding in anything else. Then each individual requires their own ongoing prevention strategy for the best outcome. Burnout is not a problem you can solve, it is a dilemma that requires an ongoing strategy for prevention.
Dike Drumomnd MD