[Resilience in the intensive care team: its significance, determinants, and strategies for enhancement].

Abstract

Resilience in the intensive care context describes the ability both of an individual and on a team level to cope adaptively with stressors while maintaining mental health and performance. Despite definitional inconsistency in current scientific discourse, in general, resilience is understood either as a personality trait or as a dynamic process that is shaped by individual resources such as self-efficacy and self-regulation, proactive team strategies as well as supportive leadership and organizational structures. To promote individual and team resilience, training based on established behavioral therapy approaches as well as resilience interventions are increasingly being used in the intensive care setting. In addition, organizational approaches aim to reduce known structural risk factors and to improve teamwork and team communication. Overall, increased individual and team resilience is associated with better mental health, higher job satisfaction, reduced sickness-related absenteeism, and improved quality of care. Therefore, resilience is key to sustainable, high-quality intensive care.