Burnout and resilience among intensive care workers facing the end of the COVID-19 pandemic: a cross-sectional study.

IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Sao Paulo Medical Journal Pub Date : 2025-08-11 eCollection Date: 2025-01-01 DOI:10.1590/1516-3180.2024.0244.R1.07032025
Ana Irene Carlos de Medeiros, Elizabeth De Francisco Daher, Xinaida Taligare Vasconcelos Lima, Antonio George de Matos Cavalcante, Marcelo Alcântara Holanda, Eanes Delgado Pereira
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引用次数: 0

Abstract

Background: Burnout is a global problem, and resilience may support the well-being of healthcare workers (HCWs) in stressful conditions.

Objectives: This study aimed to evaluate the association between burnout and resilience among HCWs in intensive care units (ICU) during the coronavirus disease 2019 (COVID-19) pandemic.

Design and setting: A cross-sectional study was conducted in the ICU of four public hospitals in Fortaleza, Brazil.

Methods: A face-to-face survey was conducted among HCWs in the ICUs of four public hospitals in Fortaleza between January and August 2023. The participants completed questionnaires on burnout and resilience.

Results: A total of 194 professionals, including physichians (24%), nurses (29%), nursing technicians (25%), and physiotherapists (22%), completed questionnaires on burnout and resilience through face-toface interviews. Most professionals (62%) presented with overall burnout symptoms, and an inverse association was observed between resilience and burnout. However, 16 of the 44 (34%) HCWs with the highest resilience scores experienced burnout. Furthermore, younger age and higher workload were associated with a higher prevalence of burnout.

Conclusion: Determinants of burnout were identified among ICU staff members during the last year of the COVID-19 pandemic. Resilience helped HCWs cope with burnout. However, some of the most resilient HCWs presented with high levels of burnout. Efforts are necessary to implement resilience-building tools, yet public health policies to improve ICU organizational issues are more important and urgent for promoting sustainable well-being among professionals, particularly during challenges such as pandemics. Introducing resilience-building tools and implementing public health policies are necessary to improve ICU management and promote sustainable well-being among healthcare workers in high workload settings.

面临COVID-19大流行结束的重症监护人员的倦怠和复原力:一项横断面研究
背景:职业倦怠是一个全球性的问题,在压力条件下,恢复力可以支持医护人员(HCWs)的福祉。目的:本研究旨在评估2019冠状病毒病(COVID-19)大流行期间重症监护病房(ICU)医护人员的倦怠与恢复力之间的关系。设计和环境:在巴西福塔莱萨的四家公立医院的ICU进行了一项横断面研究。方法:于2023年1 - 8月对福塔莱萨市4家公立医院icu的卫生保健员进行面对面调查。参与者完成了倦怠和恢复力的问卷调查。结果:共194名专业人员,包括医师(24%)、护士(29%)、护理技师(25%)和物理治疗师(22%),通过面对面访谈的方式完成了职业倦怠和心理弹性问卷。大多数专业人员(62%)表现出整体倦怠症状,并且在弹性和倦怠之间观察到负相关。然而,弹性得分最高的44名医护人员中有16名(34%)经历过职业倦怠。此外,年龄越小、工作量越大,职业倦怠的发生率越高。结论:在COVID-19大流行的最后一年,ICU工作人员确定了倦怠的决定因素。适应力帮助医护人员应对倦怠。然而,一些最具弹性的医护人员表现出高度的倦怠。必须努力实施复原力建设工具,但改善ICU组织问题的公共卫生政策对于促进专业人员的可持续福祉更为重要和紧迫,特别是在面临流行病等挑战时。引入复原力建设工具和实施公共卫生政策对于改善ICU管理和促进高工作量环境下卫生保健工作者的可持续福祉是必要的。
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来源期刊
Sao Paulo Medical Journal
Sao Paulo Medical Journal 医学-医学:内科
CiteScore
2.20
自引率
7.10%
发文量
210
审稿时长
6-12 weeks
期刊介绍: Published bimonthly by the Associação Paulista de Medicina, the journal accepts articles in the fields of clinical health science (internal medicine, gynecology and obstetrics, mental health, surgery, pediatrics and public health). Articles will be accepted in the form of original articles (clinical trials, cohort, case-control, prevalence, incidence, accuracy and cost-effectiveness studies and systematic reviews with or without meta-analysis), narrative reviews of the literature, case reports, short communications and letters to the editor. Papers with a commercial objective will not be accepted.
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