STOPTHEBURN: A Randomized Controlled Trial of Death Cafes for Burnout Prevention in Intensive Care Unit Employees

被引：0

作者：

Bateman, Marjorie E. ^{[1
,5
]}

Chung, Cheng Han ^{[1
,6
]}

Mascarenhas, Erica ^{[1
]}

Hammer, Rachel ^{[2
,4
]}

Ravindran, Nithya ^{[2
,7
]}

Panjshiri, Farhanaz ^{[1
]}

Mehta, Prakriti ^{[1
,8
]}

Byrne, Abigail ^{[1
]}

Lasky, Sasha ^{[1
,9
]}

Denson, Rebecca ^{[1
]}

Brown, Margo ^{[1
]}

Halton, Barley ^{[2
]}

Chiurco, Jennifer ^{[1
,10
]}

Ferrell, Stephanie ^{[11
]}

Ruiz, Brent ^{[11
]}

Wentowski, Cathy ^{[11
]}

Shukla, Ira ^{[3
,12
]}

Bauer, Hannah ^{[12
]}

Sarma, Arunava ^{[3
,12
]}

Bhyravabhotla, Kshama ^{[1
]}

Zu, Yuanhao ^{[1
,13
]}

Peacock, Erin ^{[4
]}

Lefante, John ^{[13
]}

Epere, Jessica ^{[1
]}

Denson, Joshua L. ^{[1
,14
]}

机构：

[1] Tulane Univ, Sch Med, Dept Med, Sect Pulm Dis Crit Care & Environm Med, New Orleans, LA USA

[2] Tulane Univ, Sch Med, Dept Psychiat, New Orleans, LA USA

[3] Tulane Univ, Sch Med, Dept Pediat, New Orleans, LA USA

[4] Tulane Univ, Dept Med, Sch Med, New Orleans, LA USA

[5] Brigham & Womens Hosp, Dept Med, Div Pulm & Crit Care Med, Boston, MA USA

[6] Indiana Univ Hlth, Dept Med, Lafayette, IN USA

[7] Charles R Drew Univ Med & Sci, Dept Psychiat, Los Angeles, CA USA

[8] Rush Univ, Med Coll, Chicago, IL USA

[9] Univ Calif Los Angeles, Sch Med, Los Angeles, CA USA

[10] Univ Maryland, Dept Med, Baltimore, MD USA

[11] Ochsner Med Ctr, New Orleans, LA USA

[12] Childrens Hosp New Orleans, New Orleans, LA USA

[13] Tulane Univ, Sch Publ Hlth & Trop Med, New Orleans, LA USA

[14] Tulane Univ, Sch Med, Div Pulm Dis Crit Care & Environm Med, 1430 Tulane Ave,8509, New Orleans, LA 70112 USA

来源：

ANNALS OF THE AMERICAN THORACIC SOCIETY | 2024年 / 21卷 / 11期

基金：

美国国家卫生研究院;

关键词：

burnout; critical care; healthcare workers; death cafe; virtual debriefing; MORAL DISTRESS; ICU PROFESSIONALS; PHYSICIANS; HEALTH; PREVALENCE; SYMPTOMS; STAFF;

D O I：

10.1513/AnnalsATS.202312-1024OC

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Rationale: Effective interventions to prevent burnout among intensive care unit (ICU) clinicians are urgently needed. Death cafes, group discussions about death, build a sense of community and create a space for reflection on distressing events. Objective: To assess whether participation in regular death cafes can prevent burnout in ICU clinicians (physicians, nurses, pharmacists, therapists). Methods: A randomized clinical trial was conducted from July 2020 to December 2022 in 10 ICUs in Louisiana. Subjects were randomized to attend four psychotherapist-facilitated virtual death cafes or to a control arm. The primary outcome was burnout defined by the Maslach Burnout Inventory-Human Services Survey at 6 months. Depression and anxiety scores were measured, as were qualitative data on stressors, coping, and death cafe experience. Results: Among 340 clinicians who were screened and gave consent (171 physicians, 169 nonphysicians), 251 participated (mean age, 31.0 6 6.8 years; 63% female; 72% White; 37% nurses, 27% residents, 25% interns, 11% other). Burnout prevalence was 19% at baseline. Of 136 participants who completed the 6-month follow-up, no significant differences were found between intervention and control for the primary outcome (18% vs. 25%; unadjusted odds ratio, 0.64; 95% confidence interval, 0.26-1.57; P = 0.33). There were no differences in anxiety or depression. Notably, the study was limited by an inability to achieve target enrollment and a high attrition rate (46%). Conclusions: Virtual death cafes were unable to reduce burnout, although the study was underpowered to detect differences between groups.

引用

页码：1572 / 1582

页数：11

共 42 条

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