Examining Burnout in Interprofessional Intensive Care Unit Clinicians Using Qualitative Analysis

Colbenson, Gretchen A.; Ridgeway, Jennifer L.; Benzo, Roberto; Kelm, Diana J.

doi:10.4037/ajcc2021423

Cited by 8 publications

(2 citation statements)

References 10 publications

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“…Research has shown that patient mistreatment is unfortunately a significant factor for Black, indigenous, and people of color (BIPOC) and/or White people partnered with BIPOC individuals. 9 Additionally, clinician burnout has been well documented in research studies 16 ; however, these 2 phenomena are not discussed as they should be. Patient mistreatment and clinician burnout are 2 sides of the same coin because the structures in which we attempt to provide care need reimagination.…”

Section: Patient Mistreatment and Clinician Burnoutmentioning

confidence: 99%

Using Retrofit, Reform, and Reimagine to Advance Toward Health Equity

McLemore¹

2022

Journal of Perinatal &Amp; Neonatal Nursing

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Objectives:The purpose of this commentary is to provide an overview of the current landscape for childbearing families and pregnancy-capable people and a call to action toward the courage to align health and human services that support improved health outcomes. The commentary is broken into 3 parts. Research: The framework of retrofit, reform, and reimagine is developed to provide a conceptual framework that supports a shared language. Methods:The current landscape is juxtaposed on the framework of retrofit, reform, and reimagine to connect the dots for health equity. Conclusions: The commentary ends with a call to action that demonstrates a bold roadmap for birth workers, clinicians, nurses, doulas, physicians, and other clinical health services providers to coconstruct paths to human services that should resolve health inequities.

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Section: Patient Mistreatment and Clinician Burnoutmentioning

confidence: 99%

Using Retrofit, Reform, and Reimagine to Advance Toward Health Equity

McLemore¹

2022

Journal of Perinatal &Amp; Neonatal Nursing

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“…Colbenson and colleagues describe the definition of burnout by the World Health Organization as a syndrome that develops when chronic stress isn't successfully managed 8. Nurses in the Cardiothoracic ICU were describing sentiments in which their core values and integrity were being dishonored, causing feelings of moral distress 9.…”

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confidence: 99%

Dueling burnout

Dorsey¹

2023

Nursing Management

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Dueling burnout:The dual-role nurse T hroughout history, the nursing profession has experienced fluctuations in turnover and retention and has experienced cycles of significant nurse shortages. 1 Before the COVID-19 pandemic, nursing turnover related to burnout, moral distress, compassion fatigue, and a desire to pursue advanced degrees and travel opportunities was a concern. 2,3 The COVID-19 pandemic has intensified these factors. 4 According to the 2022 NSI National Health Care Retention & RN Staffing Report, turnover has increased by 8.5% with a national average of 27.1%. 5 In addition, hospitals have had a 95.7% RN turnover rate in the past 5 years. 5 The United States Registered Nurse Workforce Report Card and Shortage Forecast projected that in 2020 there would be a shortage of clinical nurses totaling 154,018 and an additional shortage of 510,394 by 2030. 6 The US Bureau of Labor Statistics estimates the job outlook for nursing will average 194,500 openings per year over the next decade; many to fill the spots of team members leaving the workforce for other occupations or retirement. 7 The average turnover cost for an RN is estimated to be $46,100 (with a range from $33,900 to $58,300), and the average hospital could lose up to $7.1 million per year in turnover costs. 5 The report breaks this down further and describes that each percentage point lost in nursing turnover equals $262,300 lost from the organization per year. 5 The national data are telling, and illustrate what the Cardiothoracic ICU at the author's facility in 2018 was dealing with: an all-time high level of burnout.Colbenson and colleagues describe the definition of burnout by the World Health Organization as a syndrome that develops when chronic stress isn't successfully managed. 8 Nurses in the Cardiothoracic ICU were describing sentiments in which their core values and integrity were being dishonored, causing feelings of moral distress. 9 The nurses also described compassion fatigue or a feeling of hopelessness when caring for critically ill patients. 10,11 With these compounding factors, nursing KATERYNA KOVARZH/ISTOCK

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Einarbeitung in der Intensiv- und Notfallmedizin in Deutschland

Naendrup,

Hertrich,

Briegel

et al. 2024

Med Klin Intensivmed Notfmed

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Zusammenfassung Hintergrund Die Therapie akut lebensbedrohlicher Krankheitsverläufe in der Intensiv- und Notfallmedizin verlangt nach einer fundierten Aus- und Weiterbildung, wobei der Einarbeitung eine Schlüsselrolle zufällt. Fragestellung Wie sind die Struktur und Qualität der ärztlichen und pflegerischen Einarbeitung auf Intensivstationen und in Notaufnahmen in Deutschland? Methodik Mithilfe einer Befragungssoftware wurde ein deutschsprachiger Online-Fragebogen mit 40 Fragen zur genannten Thematik zur anonymisierten Datenerhebung entworfen. Die Verbreitung erfolgte über die Website der Deutschen Gesellschaft für Internistische Intensivmedizin und Notfallmedizin (DGIIN) und über Social-Media-Kanäle. Ergebnisse 103 Pflegefachpersonen und 125 Ärzt:innen nahmen an der Befragung teil. Die Berufserfahrung der Pflegefachpersonen lag bei durchschnittlich 8,5 ± 5,1 Jahren, die der Ärzt:innen bei 3,0 ± 3,1 Jahren. Die Teilnehmenden arbeiteten schwerpunktmäßig auf Intensivstationen (59 %) oder in Notaufnahmen (22 %). Die Einarbeitung der Pflegefachpersonen dauerte durchschnittlich 45 ± 27 Tage, die der Ärzt:innen 13 ± 13 Tage. Nur 20 % der Einarbeitung erfolgten losgelöst von der klinischen Routineversorgung als Seminar oder Praxistraining. 47 % der Teilnehmenden gaben an, dass sie die avisierte Einarbeitungszeit nicht vollständig absolvieren konnten. Nur 49 % wurden rechtskonform in die Geräte ihres Arbeitsbereichs eingewiesen. Nach der Einarbeitung gaben 35 % an, sich sicher oder eher sicher im Umgang mit planbaren Tätigkeiten zu fühlen, bei akuten Notfällen waren es 15 %. Diskussion Die Einarbeitung in der Intensiv- und Notfallmedizin ist vielerorts inadäquat und birgt sowohl Sicherheits- als auch Haftungsrisiken. Es bedarf neuer Konzepte, um die Einarbeitung klinikübergreifend zu verbessern.

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Examining Burnout in Interprofessional Intensive Care Unit Clinicians Using Qualitative Analysis

Cited by 8 publications

References 10 publications

Using Retrofit, Reform, and Reimagine to Advance Toward Health Equity

Using Retrofit, Reform, and Reimagine to Advance Toward Health Equity

Dueling burnout

Einarbeitung in der Intensiv- und Notfallmedizin in Deutschland

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