我们的目标是(1)在儿科重症监护病房(PICU)工作的西班牙工作人员样本中探索倦怠综合征(BOS)和创伤后应激障碍(PTSD)的患病率,并将这些比率与普通儿科工作人员的样本进行比较,应对策略,专业和人口统计学变量会影响BOS和PTSD。
这是一个多中心,横断面研究。数据是在PICU和9家医院的其他儿科病房收集的。参与者包括298名PICU工作人员(57名医生,177名护士和64名护理助理)和189名在非关键儿科单位工作的专业人员(53名医生,104名护士,和32名护理助理)。他们完成了简短的弹性量表,针对医疗保健提供者的应对策略问卷,Maslach倦怠清单,和创伤筛查问卷。
56%的PICU工作人员至少在一个维度上报告了职业倦怠(36.20%的人因情绪疲惫而得分超过了界限,去人格化占27.20%,和20.10%的低个人成就),20.1%的人报告了创伤后应激障碍。PICU和非PICU工作人员之间的倦怠和PTSD评分没有差异,无论是在医生中,护士,或护理助理。儿童死亡和/或与患者/家人或同事发生冲突后,出现了更高的倦怠和PTSD率。经常使用以情绪为中心的应对方式和不经常使用以问题为中心的应对方式,可以预测BOS和PTSD的差异约30%。
需要采取干预措施,预防和治疗儿科工作人员的痛苦,并应侧重于:(i)促进对创伤事件的积极情感处理并鼓励积极思考;(ii)培养独立的关注感;(iii)提高解决人际冲突的能力,(iv)提供临终关怀方面的适当培训。
Our aims were (1) to explore the prevalence of burnout syndrome (BOS) and posttraumatic stress disorder (PTSD) in a sample of Spanish staff working in the paediatric intensive care unit (PICU) and compare these rates with a sample of general paediatric staff and (2) to explore how resilience, coping strategies, and professional and demographic variables influence BOS and PTSD.
This is a multicentre, cross-sectional study. Data were collected in the PICU and in other paediatric wards of nine hospitals. Participants consisted of 298 PICU staff members (57 physicians, 177 nurses, and 64 nursing assistants) and 189 professionals working in non-critical paediatric units (53 physicians, 104 nurses, and 32 nursing assistants). They completed the Brief Resilience Scale, the Coping Strategies Questionnaire for healthcare providers, the Maslach Burnout Inventory, and the Trauma Screening Questionnaire.
Fifty-six percent of PICU working staff reported burnout in at least one dimension (36.20% scored over the cut-off for emotional exhaustion, 27.20% for depersonalisation, and 20.10% for low personal accomplishment), and 20.1% reported PTSD. There were no differences in burnout and PTSD scores between PICU and non-PICU staff members, either among physicians, nurses, or nursing assistants. Higher burnout and PTSD rates emerged after the death of a child and/or conflicts with patients/families or colleagues. Around 30% of the variance in BOS and PTSD is predicted by a frequent usage of the emotion-focused coping style and an infrequent usage of the problem-focused coping style.
Interventions to prevent and treat distress among paediatric staff members are needed and should be focused on: (i) promoting active emotional processing of traumatic events and encouraging positive thinking; (ii) developing a sense of detached concern; (iii) improving the ability to solve interpersonal conflicts, and (iv) providing adequate training in end-of-life care.