Suffering among carers working in critical care can be reduced by an intensive communication strategy on end-of-life practices View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2011-11-30

AUTHORS

J. P. Quenot, J. P. Rigaud, S. Prin, S. Barbar, A. Pavon, M. Hamet, N. Jacquiot, B. Blettery, C. Hervé, P. E. Charles, G. Moutel

ABSTRACT

PurposeBurnout syndrome (BOS) has frequently been reported in healthcare workers, and precipitating factors include communication problems in the workplace and stress related to end-of-life situations. We evaluated the effect of an intensive communication strategy on BOS among caregivers working in intensive care (ICU).MethodsLongitudinal, monocentric, before-and-after, interventional study. BOS was evaluated using the Maslach Burnout Inventory (MBI) and depression using the Centre for Epidemiologic Studies Depression Scale (CES-D) in 2007 (period 1) and 2009 (period 2). Between periods, an intensive communication strategy on end-of-life practices was implemented, based on improved organisation, better communication, and regular staff meetings.ResultsAmong 62 caregivers in the ICU, 53 (85%) responded to both questionnaires in period 1 and 49 (79%) in period 2. We observed a significant difference between periods in all three components of the MBI (emotional exhaustion, p = 0.04; depersonalization p = 0.04; personal accomplishment, p = 0.01). MBI classified burnout as severe in 15 (28%) caregivers in period 1 versus 7 (14%) in period 2, p < 0.01, corresponding to a 50% risk reduction. Symptoms of depression as evaluated by the CES-D were present in 9 (17%) caregivers in period 1 versus 3 (6%) in period 2, p < 0.05, corresponding to a risk reduction of almost 60%.ConclusionThe implementation of an active, intensive communication strategy regarding end-of-life care in the ICU was associated with a significant reduction in the rate of burnout syndrome and depression in a stable population of caregiving staff. More... »

PAGES

55-61

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00134-011-2413-z

DOI

http://dx.doi.org/10.1007/s00134-011-2413-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1015571387

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22127481


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