Professional burnout among physicians and nurses in Asian intensive care units: a multinational survey

被引：81

作者：

See, Kay Choong ^{[1
]}

Zhao, Ming Yan ^{[2
]}

Nakataki, Emiko ^{[3
]}

Chittawatanarat, Kaweesak ^{[4
,20
]}

Fang, Wen-Feng ^{[5
,6
]}

Faruq, Mohammad Omar ^{[7
]}

Wahjuprajitno, Bambang ^{[8
]}

Arabi, Yaseen M. ^{[9
,10
]}

Wong, Wai Tat ^{[11
]}

Divatia, Jigeeshu V. ^{[12
]}

Palo, Jose Emmanuel ^{[13
]}

Shrestha, Babu Raja ^{[14
]}

Nafees, Khalid M. K. ^{[15
]}

Nguyen Gia Binh ^{[16
]}

Al Rahma, Hussain Nasser ^{[17
]}

Detleuxay, Khamsay ^{[18
]}

Ong, Venetia ^{[19
]}

Phua, Jason ^{[1
]}

机构：

[1] Natl Univ Hlth Syst, Natl Univ Hosp, Univ Med Cluster, Div Resp & Crit Care Med, 1E Kent Ridge Rd,NUHS Tower Block Level 10, Singapore 119228, Singapore

[2] Harbin Med Univ, Dept Crit Care Med, Hosp 1, Harbin, Heilongjiang, Peoples R China

[3] Tokushima Univ Hosp, Dept Emergency & Crit Care Med, Tokushima, Japan

[4] Chiang Mai Univ, Dept Surg, Fac Med, Chiang Mai, Thailand

[5] Chang Gung Univ, Kaohsiung Chang Gung Mem Hosp, Div Pulm & Crit Care Med, Coll Med, Kaohsiung, Taiwan

[6] Chang Gung Univ Sci & Technol, Kaohsiung, Taiwan

[7] BIRDEM Gen Hosp, Dept Crit Care Med, Dhaka, Bangladesh

[8] Univ Airlangga, Dept Anesthesiol & Reanimat, Surabaya, Indonesia

[9] King Saud bin Abdulaziz Univ Hlth Sci, Dept Intens Care, Riyadh, Saudi Arabia

[10] King Abdullah Int Med Res Ctr, Riyadh, Saudi Arabia

[11] Chinese Univ Hong Kong, Dept Anesthesia & Intens Care, Hong Kong, Hong Kong, Peoples R China

[12] Tata Mem Hosp, Dept Anaesthesia Crit Care & Pain, Bombay, Maharashtra, India

[13] Med City, Dept Med, Pasig, Philippines

[14] Kathmandu Med Coll Teaching Hosp, Dept Anaesthesiol & Intens Care, Kathmandu, Nepal

[15] RIPAS Hosp, Dept Crit Care Med, Bandar Seri Begawan, Brunei

[16] Bach Mai Hosp, Dept Intens Care, Hanoi, Vietnam

[17] Dubai Hosp, Dept Intens Care, Dubai, U Arab Emirates

[18] Mahosot Hosp, Dept Intens Care, Viangchan, Laos

[19] Natl Univ Singapore Hosp, Med Affairs Educ, Singapore, Singapore

[20] Thai Soc Crit Care Med, Bangkok, Thailand

来源：

INTENSIVE CARE MEDICINE | 2018年 / 44卷 / 12期

关键词：

Critical care; Intensive care units; Nurses; Physicians; Professional burnout; HEALTH-CARE; JOB DEMANDS; PREVALENCE; STRESS; PERSPECTIVE; DEPRESSION; STUDENTS; DOCTORS; RESPECT; CULTURE;

D O I：

10.1007/s00134-018-5432-1

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

PurposeProfessional burnout is a multidimensional syndrome comprising emotional exhaustion, depersonalization, and diminished sense of personal accomplishment, and is associated with poor staff health and decreased quality of medical care. We investigated burnout prevalence and its associated risk factors among Asian intensive care unit (ICU) physicians and nurses.MethodsWe conducted a cross-sectional survey of 159 ICUs in 16 Asian countries and regions. The main outcome measure was burnout as assessed by the Maslach Burnout Inventory-Human Services Survey. Multivariate random effects logistic regression analyses of predictors for physician and nurse burnout were performed.ResultsA total of 992 ICU physicians (response rate 76.5%) and 3100 ICU nurses (response rate 63.3%) were studied. Both physicians and nurses had high levels of burnout (50.3% versus 52.0%, P=0.362). Among countries or regions, burnout rates ranged from 34.6 to 61.5%. Among physicians, religiosity (i.e. having a religious background or belief), years of working in the current department, shift work (versus no shift work) and number of stay-home night calls had a protective effect (negative association) against burnout, while work days per month had a harmful effect (positive association). Among nurses, religiosity and better work-life balance had a protective effect against burnout, while having a bachelor's degree (compared to having a non-degree qualification) had a harmful effect.ConclusionsA large proportion of Asian ICU physicians and nurses experience professional burnout. Our study results suggest that individual-level interventions could include religious/spiritual practice, and organizational-level interventions could include employing shift-based coverage, stay-home night calls, and regulating the number of work days per month.

引用

页码：2079 / 2090

页数：12

共 40 条

[31] Burnout syndrome in critical care nursing staff [J].