{"title":"关于肺部、重症监护和睡眠医学中睡眠和倦怠的初步自我报告数据：美国胸科学会睡眠和呼吸神经生物学大会的一项倡议。","authors":"Sushmita Pamidi, Reena Mehra, Indira Gurubhagavatula, Mihaela Teodorescu","doi":"10.1186/s12931-025-03112-0","DOIUrl":null,"url":null,"abstract":"<p><strong>Rationale: </strong>Health worker burnout has reached crisis proportions, threatening workforce sustainability. Limited data exist on the burden of burnout in pulmonary, critical care and sleep medicine (PCCSM), a high-demand and strained specialty.</p><p><strong>Objective: </strong>At the Assembly of Sleep and Respiratory Neurobiology of the American Thoracic Society, we aimed to gather exploratory data on burnout in this group.</p><p><strong>Methods: </strong>During a dedicated series of five virtual town halls (THs), we polled the audience regarding self-reported burnout. Topics included the scope of the problem, role of sleep, impact on clinical and academic operations, contributors in vulnerable groups, and mitigation strategies.</p><p><strong>Results: </strong>A high proportion experienced burnout (45%) and 58% considered premature retirement. Insufficient sleep (53%) was common, most often due to excessive workload (57%) curtailing sleep through early morning meetings and electronic medical record (EMR) documentation. 36% also reported having a sleep disorder. Sleepiness (69%) and fatigue (58%) impaired work performance and patient care, and 54% reported a fatigue-related, personal-safety incident. Contributors to burnout in vulnerable communities included bias/discrimination (81%), harassment (44%) and assault (12%). Respondents predominantly endorsed organizational mitigating strategies: promoting a culture of \"recovery time\" (96%) and healthy sleep (86%), and periodic evaluation and accountability of leadership (86%).</p><p><strong>Conclusions: </strong>In this convenience sample of participants in a TH series regarding burnout in PCCSM, self-reported burnout was common. Sleep disturbance is a prevalent, under-recognized, but potentially modifiable contributor. The high reported rates of discrimination and harassment suggest that vulnerable groups may be at particular risk. To reduce burnout, system-level interventions aimed at transforming organizational culture and promoting leadership accountability were strongly endorsed.</p>","PeriodicalId":49131,"journal":{"name":"Respiratory Research","volume":"26 1","pages":"100"},"PeriodicalIF":5.8000,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909963/pdf/","citationCount":"0","resultStr":"{\"title\":\"Initial self-reported data on sleep and burnout in pulmonary, critical care and sleep medicine: an initiative from the Assembly on Sleep and Respiratory Neurobiology of the American Thoracic Society.\",\"authors\":\"Sushmita Pamidi, Reena Mehra, Indira Gurubhagavatula, Mihaela Teodorescu\",\"doi\":\"10.1186/s12931-025-03112-0\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Rationale: </strong>Health worker burnout has reached crisis proportions, threatening workforce sustainability. Limited data exist on the burden of burnout in pulmonary, critical care and sleep medicine (PCCSM), a high-demand and strained specialty.</p><p><strong>Objective: </strong>At the Assembly of Sleep and Respiratory Neurobiology of the American Thoracic Society, we aimed to gather exploratory data on burnout in this group.</p><p><strong>Methods: </strong>During a dedicated series of five virtual town halls (THs), we polled the audience regarding self-reported burnout. Topics included the scope of the problem, role of sleep, impact on clinical and academic operations, contributors in vulnerable groups, and mitigation strategies.</p><p><strong>Results: </strong>A high proportion experienced burnout (45%) and 58% considered premature retirement. Insufficient sleep (53%) was common, most often due to excessive workload (57%) curtailing sleep through early morning meetings and electronic medical record (EMR) documentation. 36% also reported having a sleep disorder. Sleepiness (69%) and fatigue (58%) impaired work performance and patient care, and 54% reported a fatigue-related, personal-safety incident. Contributors to burnout in vulnerable communities included bias/discrimination (81%), harassment (44%) and assault (12%). Respondents predominantly endorsed organizational mitigating strategies: promoting a culture of \\\"recovery time\\\" (96%) and healthy sleep (86%), and periodic evaluation and accountability of leadership (86%).</p><p><strong>Conclusions: </strong>In this convenience sample of participants in a TH series regarding burnout in PCCSM, self-reported burnout was common. Sleep disturbance is a prevalent, under-recognized, but potentially modifiable contributor. The high reported rates of discrimination and harassment suggest that vulnerable groups may be at particular risk. To reduce burnout, system-level interventions aimed at transforming organizational culture and promoting leadership accountability were strongly endorsed.</p>\",\"PeriodicalId\":49131,\"journal\":{\"name\":\"Respiratory Research\",\"volume\":\"26 1\",\"pages\":\"100\"},\"PeriodicalIF\":5.8000,\"publicationDate\":\"2025-03-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909963/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Respiratory Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s12931-025-03112-0\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Respiratory Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12931-025-03112-0","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"Medicine","Score":null,"Total":0}
Initial self-reported data on sleep and burnout in pulmonary, critical care and sleep medicine: an initiative from the Assembly on Sleep and Respiratory Neurobiology of the American Thoracic Society.
Rationale: Health worker burnout has reached crisis proportions, threatening workforce sustainability. Limited data exist on the burden of burnout in pulmonary, critical care and sleep medicine (PCCSM), a high-demand and strained specialty.
Objective: At the Assembly of Sleep and Respiratory Neurobiology of the American Thoracic Society, we aimed to gather exploratory data on burnout in this group.
Methods: During a dedicated series of five virtual town halls (THs), we polled the audience regarding self-reported burnout. Topics included the scope of the problem, role of sleep, impact on clinical and academic operations, contributors in vulnerable groups, and mitigation strategies.
Results: A high proportion experienced burnout (45%) and 58% considered premature retirement. Insufficient sleep (53%) was common, most often due to excessive workload (57%) curtailing sleep through early morning meetings and electronic medical record (EMR) documentation. 36% also reported having a sleep disorder. Sleepiness (69%) and fatigue (58%) impaired work performance and patient care, and 54% reported a fatigue-related, personal-safety incident. Contributors to burnout in vulnerable communities included bias/discrimination (81%), harassment (44%) and assault (12%). Respondents predominantly endorsed organizational mitigating strategies: promoting a culture of "recovery time" (96%) and healthy sleep (86%), and periodic evaluation and accountability of leadership (86%).
Conclusions: In this convenience sample of participants in a TH series regarding burnout in PCCSM, self-reported burnout was common. Sleep disturbance is a prevalent, under-recognized, but potentially modifiable contributor. The high reported rates of discrimination and harassment suggest that vulnerable groups may be at particular risk. To reduce burnout, system-level interventions aimed at transforming organizational culture and promoting leadership accountability were strongly endorsed.
期刊介绍：
Respiratory Research publishes high-quality clinical and basic research, review and commentary articles on all aspects of respiratory medicine and related diseases.
As the leading fully open access journal in the field, Respiratory Research provides an essential resource for pulmonologists, allergists, immunologists and other physicians, researchers, healthcare workers and medical students with worldwide dissemination of articles resulting in high visibility and generating international discussion.
Topics of specific interest include asthma, chronic obstructive pulmonary disease, cystic fibrosis, genetics, infectious diseases, interstitial lung diseases, lung development, lung tumors, occupational and environmental factors, pulmonary circulation, pulmonary pharmacology and therapeutics, respiratory immunology, respiratory physiology, and sleep-related respiratory problems.
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