在重症监护室和急诊科工作的医生和护士的职业倦怠：系统回顾与元分析》。

IF 2.3 4区医学 Q2 EMERGENCY MEDICINE

Journal of Emergency Nursing Pub Date : 2025-07-01 DOI:10.1016/j.jen.2025.02.007

Kuan-Han Lin PhD, Nandhini Selvanayagam BSc, Sneha Patnaik MD, Chun-Ya Kuo MD

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引用次数: 0

摘要

前言：本研究旨在了解重症监护室和急诊科的医生和护士职业倦怠的患病率及其危险因素。方法：本系统评价遵循系统评价和荟萃分析首选报告项目的报告指导。使用以下数据库进行文献检索：PubMed、MEDLINE、CINAHL和Embase。搜寻工作于2023年11月进行。确定了报告重症监护室和急诊医生和护士的倦怠患病率和风险因素的英语研究，并确定了主要结果。对有观察性设计的定量研究进行审查，由2名独立的审稿人筛选标题、摘要和全文以纳入。质量评估使用了乔安娜布里格斯研究所的关键评估工具。如果数据充足，进行荟萃分析。结果：本综述纳入17项研究。倦怠、高情绪耗竭、高去人格化和低个人成就感的总患病率分别为46%、48%、30%和47%。年龄、性别、吸烟/烟草使用、教育水平、经验年限、工作量和2019年冠状病毒病的影响等因素被确定为这一人群中职业倦怠的重要决定因素。讨论：结果有助于确定预防战略和确定未来研究的领域。

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Burnout Among Physicians and Nurses Working in Intensive Care Units and Emergency Departments: A Systematic Review and Meta-Analysis

Introduction

This study aimed to discover the prevalence and risk factors of burnout among physicians and nurses working in intensive care units and emergency departments.

Methods

This systematic review followed the reporting guidance from the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. A literature search was conducted using the following databases: PubMed, MEDLINE, CINAHL, and Embase. The search was conducted in November 2023. English-language studies reporting burnout prevalence and risk factors among intensive care units and emergency physicians and nurses, with primary outcomes, were identified. Quantitative studies with observational designs underwent review, with 2 independent reviewers screening titles, abstracts, and full texts for inclusion. Quality assessment used Joanna Briggs Institute critical appraisal tools. A meta-analysis was conducted if data were sufficient.

Results

This review included 17 studies. The pooled prevalence rates for burnout, high emotional exhaustion, high depersonalization, and low personal accomplishment were 46%, 48%, 30%, and 47%, respectively. Factors such as age, sex, smoking/tobacco use, education level, years of experience, workload, and the impact of coronavirus disease 2019 were identified as significant determinants of burnout in this population.

Discussion

The results assisted in determining preventive strategies and identified areas for future research.

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来源期刊

Journal of Emergency Nursing 医学-护理

CiteScore

3.10

自引率

11.80%

发文量

132

审稿时长

46 days

期刊介绍： The Journal of Emergency Nursing, the official journal of the Emergency Nurses Association (ENA), is committed to the dissemination of high quality, peer-reviewed manuscripts relevant to all areas of emergency nursing practice across the lifespan. Journal content includes clinical topics, integrative or systematic literature reviews, research, and practice improvement initiatives that provide emergency nurses globally with implications for translation of new knowledge into practice. The Journal also includes focused sections such as case studies, pharmacology/toxicology, injury prevention, trauma, triage, quality and safety, pediatrics and geriatrics. The Journal aims to mirror the goal of ENA to promote: community, governance and leadership, knowledge, quality and safety, and advocacy.