The importance of the team composition in ICUs

 

New York, N.Y., USA (August 23, 2011) – A higher proportion of female nurses among intensive care teams may decrease individuals’ risk of professional burnout, according to Swiss researchers who studied the factors related to burnout in the high-stress setting of the intensive care unit (ICU).

 

The research was published online in the articles-in-press section of the American Thoracic Society’s American Journal of Respiratory and Critical Care Medicine.

 

Burnout is believed to be a psychological response to chronic stress. It can lead to emotional instability, feelings of failure and low production or an urge to leave the job.

 

"Avoiding and understanding burnout is especially important now, given the projected shortage of ICU caregivers, in addition to the intensity and costliness of training these specialized professionals," noted Paolo Merlani, MD, attending physician at the University Hospital of Geneva.

 

To evaluate risk of burnout among different individual in different settings, the researchers used a self-administered questionnaire that captured demographic data, personal characteristics, subjective stress and risk of burnout. They evaluated more than 3,000 individuals in 72 Swiss ICUs. In addition to individual characteristics, they analyzed center-level factors (e.g., proportion of female caregivers among nurses and physicians) and patient-related factors.

 

In addition to the finding that a higher proportion of female nurses reduced overall risk of burnout, the researchers found more gender-related differences. While female caregivers were more likely to say that they experienced stress, they were more resistant to burnout than their male colleagues.

 

"This could be due to a methodological bias," said Dr. Merlani. "Indeed, female caregivers may have found it easier to admit their distress than did males….Men may be less inclined to express their distress."

 

Interestingly, the researchers also found that stress was not always associated with burnout. "One explanation may be that that being burned out may lessen the resistance to stress and therefore may contribute to a vicious cycle where the role of each factor might be confounding," wrote Dr. Merlani.

 

Of all the professions examined, nurse-assistants were at highest risk for burnout. "Since the participation to end-of-life and post-mortem care is known in the literature to increase the psychological burden and the risk of burnout and since these caregivers are usually less numerous in ICUs, the unavoidable consequence is that they are more frequently confronted to these difficult situations than others. This could be one of the causes of the increased risk of burnout in nurse-assistants," said Dr. Merlani.

 

Finally, Dr. Merlani and colleagues found that among women caregivers, those who were young, single and without children were at the highest risk for burnout.

 

"Our study could open a new frontier concerning burnout in ICUs, highlighting the importance of the team composition," said Dr. Merlani. "Of course, our results should be confirmed in a prospective multicenter, multinational study. Whether the results can be exported to other medical settings where team-working is pivotal remains for the moment an interesting question to be investigated."

 

"In the meanwhile," he continued, "ICU heads should ascertain that personnel at higher risk would be especially taken care of, and that resources should be provided to afford psychological support and promote a team culture. This could finally also increase the number of women staying in ICUs, thereby reducing the overall risk of burnout."

 

 

About the American Journal of Respiratory Research and Critical Care Medicine

 

With an impact factor of 10.191, the AJRRCM is a peer-reviewed journal published by the American Thoracic Society. It aims to publish the most innovative science and the highest quality reviews, practice guidelines, and statements in the pulmonary, critical care, and sleep-related fields.

Founded in 1905, the American Thoracic Society is the world’s leading medical association dedicated to advancing pulmonary, critical care and sleep medicine. The Society’s 15,000 members prevent and fight respiratory disease around the globe through research, education, patient care and advocacy.

 


 

American Thoracic Society, 23.08.2011 Nursing News (tB).

MEDICAL NEWS

Fitness watches generate useful information, but increase patient anxiety
A new device provides added protection against COVID-19 during endoscopic…
81 million Americans lacking space or bathrooms to follow COVID…
Front-line physicians stressed and anxious at work and home
EULAR: High-Dose Glucocorticoids and IL-6 Receptor inhibition can reduce COVID-19…

SCHMERZ PAINCARE

Morbus Fabry mittels Datenanalysen aus dem PraxisRegister Schmerz aufspüren
Neandertaler besaßen niedrigere Schmerzschwelle
Deutscher Schmerz- und Palliativtag 2020 – ONLINE
Deutsche Gesellschaft für Schmerzmedizin fordert Anerkennung von Nicht-Psychologen in der…
DBfK: Besondere Rolle für Pflegeexpert/innen Schmerz – nicht nur in…

DIABETES

“Körperstolz”: Michael Krauser managt seinen Diabetes digital
Der richtige Sensor – von Anfang an
Diabetes mellitus: Ein Risikofaktor für frühe Darmkrebserkrankungen
Fastenmonat Ramadan: Alte und neue Herausforderung für chronisch Erkrankte während…
Sanofi setzt sich für die Bedürfnisse von Menschen mit Diabetes…

ERNÄHRUNG

Corona-Erkrankung: Fehl- und Mangelernährung sind unterschätze Risikofaktoren
Gesundheitliche Auswirkungen des Salzkonsums bleiben unklar: Weder der Nutzen noch…
Fast Food, Bio-Lebensmittel, Energydrinks: neue Daten zum Ernährungsverhalten in Deutschland
Neue Daten zur Ernährungssituation in deutschen Krankenhäusern und Pflegeheimen: Mangelernährung…
Baxter: Parenterale Ernährung von Patienten mit hohem Aminosäurenbedarf

ONKOLOGIE

Darolutamid bei Prostatakarzinom: Hinweis auf beträchtlichen Zusatznutzen
Multiples Myelom: Wissenschaftler überprüfen den Stellenwert der Blutstammzelltransplantation
Neues zur onkologischen Supportiv- und Misteltherapie und aktuelle Kongress-Highlights zum…
Finanzierung der ambulanten Krebsberatung weiterhin nicht gesichert
Lungenkrebsscreening mittels Low-Dose-CT

MULTIPLE SKLEROSE

Geschützt: Multiple Sklerose: Novartis’ Siponimod verzögert Krankheitsprogression und Hirnatrophie bei…
Neurofilamente als Diagnose- und Prognosemarker für Multiple Sklerose
Bedeutung der Langzeittherapie bei Multipler Sklerose – mehr Sicherheit und…
Bristol Myers Squibb erhält Zulassung der Europäischen Kommission für Ozanimod…
Einige MS-Medikamente könnten vor SARS-CoV-2/COVID-19 schützen

PARKINSON

Neue Studie zur tiefen Hirnstimulation bei Parkinson-Erkrankung als Meilenstein der…
Putzfimmel im Gehirn
Parkinson-Patienten in der Coronakrise: Versorgungssituation und ein neuer Ratgeber
Neuer Test: Frühzeitige Differenzialdiagose der Parkinson-Erkrankung
Gegen das Zittern: Parkinson- und essentiellen Tremor mit Ultraschall behandeln…