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Investigating burn-out contributors and mitigators among intensive care unit nurses during COVID-19: a focus group interview study

OBJECTIVE: Past literature establishes high prevalence of burn-out among intensive care unit (ICU) nurses, and the influence of the COVID-19 pandemic in intensifying burn-out. However, the specific pandemic-related contributors and practical approaches to address burn-out have not been thoroughly ex...

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Autores principales: Saravanan, Pratima, Masud, Faisal, Kash, Bita A, Sasangohar, Farzan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9764100/
https://www.ncbi.nlm.nih.gov/pubmed/36526313
http://dx.doi.org/10.1136/bmjopen-2022-065989
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author Saravanan, Pratima
Masud, Faisal
Kash, Bita A
Sasangohar, Farzan
author_facet Saravanan, Pratima
Masud, Faisal
Kash, Bita A
Sasangohar, Farzan
author_sort Saravanan, Pratima
collection PubMed
description OBJECTIVE: Past literature establishes high prevalence of burn-out among intensive care unit (ICU) nurses, and the influence of the COVID-19 pandemic in intensifying burn-out. However, the specific pandemic-related contributors and practical approaches to address burn-out have not been thoroughly explored. To address this gap, this work focuses on investigating the effect of the COVID-19 pandemic on the burn-out experiences of ICU nurses and identifying practical approaches for burn-out mitigation. DESIGN: Semistructured focus group interviews were conducted via convenience sampling and qualitatively analysed to identify burn-out contributors and mitigators. Maslach Burnout Inventory for Medical Personnel (MBI-MP) and Post-traumatic Stress Disorder Checklist (PCL-5) were employed to quantify the prevalence of burn-out of the participants at the time of study. SETTING: Two ICUs designated as COVID-19 ICUs in a large metropolitan tertiary care hospital in the Greater Houston area (Texas, USA). PARTICIPANTS: Twenty registered ICU nurses (10 from each unit). RESULTS: Participants experienced high emotional exhaustion (MBI-MP mean score 32.35, SD 10.66), moderate depersonalisation (M 9.75, SD 7.10) and moderate personal achievement (M 32.05, SD 7.59) during the pandemic. Ten out of the 20 participants exhibited post-traumatic stress disorder symptoms (PCL-5 score >33). Regarding contributors to burn-out in nurses during the pandemic, five thematic levels emerged—personal, patient related, coworker related, organisational and societal—with each factor comprising several subthemes (eg, emotional detachment from patients, constant need to justify motives to patients’ family, lack of staffing and resources, and politicisation of COVID-19 and vaccination). Participants revealed several practical interventions to help overcome burn-out, ranging from mental health coverage to educating public on the severity of the pandemic and importance of vaccination. CONCLUSIONS: By identifying the contributors to burn-out in ICU nurses at a systems level, the study findings inform the design and implementation of effective interventions to prevent or mitigate pandemic-related burn-out among nurses.
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spelling pubmed-97641002022-12-20 Investigating burn-out contributors and mitigators among intensive care unit nurses during COVID-19: a focus group interview study Saravanan, Pratima Masud, Faisal Kash, Bita A Sasangohar, Farzan BMJ Open Intensive Care OBJECTIVE: Past literature establishes high prevalence of burn-out among intensive care unit (ICU) nurses, and the influence of the COVID-19 pandemic in intensifying burn-out. However, the specific pandemic-related contributors and practical approaches to address burn-out have not been thoroughly explored. To address this gap, this work focuses on investigating the effect of the COVID-19 pandemic on the burn-out experiences of ICU nurses and identifying practical approaches for burn-out mitigation. DESIGN: Semistructured focus group interviews were conducted via convenience sampling and qualitatively analysed to identify burn-out contributors and mitigators. Maslach Burnout Inventory for Medical Personnel (MBI-MP) and Post-traumatic Stress Disorder Checklist (PCL-5) were employed to quantify the prevalence of burn-out of the participants at the time of study. SETTING: Two ICUs designated as COVID-19 ICUs in a large metropolitan tertiary care hospital in the Greater Houston area (Texas, USA). PARTICIPANTS: Twenty registered ICU nurses (10 from each unit). RESULTS: Participants experienced high emotional exhaustion (MBI-MP mean score 32.35, SD 10.66), moderate depersonalisation (M 9.75, SD 7.10) and moderate personal achievement (M 32.05, SD 7.59) during the pandemic. Ten out of the 20 participants exhibited post-traumatic stress disorder symptoms (PCL-5 score >33). Regarding contributors to burn-out in nurses during the pandemic, five thematic levels emerged—personal, patient related, coworker related, organisational and societal—with each factor comprising several subthemes (eg, emotional detachment from patients, constant need to justify motives to patients’ family, lack of staffing and resources, and politicisation of COVID-19 and vaccination). Participants revealed several practical interventions to help overcome burn-out, ranging from mental health coverage to educating public on the severity of the pandemic and importance of vaccination. CONCLUSIONS: By identifying the contributors to burn-out in ICU nurses at a systems level, the study findings inform the design and implementation of effective interventions to prevent or mitigate pandemic-related burn-out among nurses. BMJ Publishing Group 2022-12-16 /pmc/articles/PMC9764100/ /pubmed/36526313 http://dx.doi.org/10.1136/bmjopen-2022-065989 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Intensive Care
Saravanan, Pratima
Masud, Faisal
Kash, Bita A
Sasangohar, Farzan
Investigating burn-out contributors and mitigators among intensive care unit nurses during COVID-19: a focus group interview study
title Investigating burn-out contributors and mitigators among intensive care unit nurses during COVID-19: a focus group interview study
title_full Investigating burn-out contributors and mitigators among intensive care unit nurses during COVID-19: a focus group interview study
title_fullStr Investigating burn-out contributors and mitigators among intensive care unit nurses during COVID-19: a focus group interview study
title_full_unstemmed Investigating burn-out contributors and mitigators among intensive care unit nurses during COVID-19: a focus group interview study
title_short Investigating burn-out contributors and mitigators among intensive care unit nurses during COVID-19: a focus group interview study
title_sort investigating burn-out contributors and mitigators among intensive care unit nurses during covid-19: a focus group interview study
topic Intensive Care
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9764100/
https://www.ncbi.nlm.nih.gov/pubmed/36526313
http://dx.doi.org/10.1136/bmjopen-2022-065989
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