scholarly journals Frequency of Burnout Syndrome in an Intensive Care Unit of a Tertiary Care Hospital in Dhaka, Bangladesh

2019 ◽  
Vol 9 (1) ◽  
pp. 30-34
Author(s):  
Debasish Kumar Saha ◽  
Muhammad Abdur Razzak ◽  
Madhurima Saha ◽  
ASM Areef Ahsan ◽  
Kaniz Fatema ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Prolonged Exposure ◽  
Tertiary Care ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Care Hospital ◽  
Cross Sectional ◽  
Study Results

Background: Burnout syndrome is a psychological term resulting from prolonged exposure to job stressors. It is a very common problem among health professionals especially intensive care unit (ICU) staffs (physicians, nurses, ward-attendant), as ICUs are characterized by a high level of work related stress. The consequences associated with professional burnout affect both the healthcare professionals and recipients. Methods: This cross-sectional study was done over the period of four months (April to July, 2017) in the department of Critical Care Medicine, of Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorder (BIRDEM) General Hospital, Dhaka. Total 93 ICU staffs were included as study population. After taking informed written consent, the participants were given a structured questionnaire consisting of 2 parts. Part 1 addressed demographic information including gender, age, credentials, employment status, years in practice, work schedule, hours worked per week, smoking and alcohol habit, involvement in teaching and research works. Part 2 of the handout was the Maslach Burnout Inventory - Human Service Survey (MBI-HSS); an inventory consisting of 22 questions to assess three components of burnout. Results: Among the 93 study participants 39.8% were physicians, 47.3% were nurses and 12.9% were wardattendants) were included in this study. Majority (52.7%) of the responders were found in the age group 20-29 year and 58.1% were married. Majority (58.1%) had a working experience of 1-5 year in ICU, where 61.3% staff had 20-25 working days/month. Regarding duty schedule, 84.9% staff were doing shifting duty, 83.9% had 6-10 working night shifts/month. Most (62.4%) were involved in 1-5 patients’ care during their duty time. Among all responders, 17.2% had habit of smoking and 4.3% had alcohol intake habit. 56.7% physicians were involved in research works, and 41.9% of total physicians and nurses were involved in teaching activities. Mostly (97.8% of all staff) followed the ICU guidelines. Regarding burnout scale, 50.5% of the staff had been suffering from moderate emotional exhaustion (EE), 46.2% of high EE. Majority (38.7%) had been suffering from low depersonalization (DP), 32.3% were in high DP and 29.0% were in moderate DP; 81.7% scored high on the personal accomplishment (PA) subscale. Conclusion: This study results suggest that majority of ICU staff are affected by some level of burnout syndrome. Birdem Med J 2019; 9(1): 30-34

Burnout syndrome and its association with anxiety and fear of medical errors among intensive care unit physicians: A cross-sectional study

2020 ◽  
Vol 48 (2) ◽  
pp. 134-142
Author(s):  
Polychronis Voultsos ◽  
Maria Koungali ◽  
Konstantinos Psaroulis ◽  
Afroditi K Boutou
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Trait Anxiety ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Related Factors ◽  
Cross Sectional ◽  
Specific Syndrome

Burnout is a work-specific syndrome with high incidence among intensive care unit personnel. Although several risk factors have been proposed, data regarding the association of anxiety and burnout among intensive care unit physicians are scarce. The aim of this study is to investigate the incidence of burnout and its association with state and trait anxiety and other sociodemographic, behavioural and occupational-related parameters, among intensivists. A population of intensive care physicians was evaluated using the self-completed Maslach Burnout Inventory and the State-Trait Anxiety Inventory Form Y, and data regarding sociodemographic and occupational-related variables were also recorded. From the 98 intensive care physicians addressed, 80 returned fully completed questionnaires; 26.9% of them presented with high emotional exhaustion, 37.5% with high depersonalisation and 41.5% with low personal accomplishment scores. Trait anxiety, fear of having committed a medical error and self-reporting difficulty when having to act accurately were independently associated with high burnout. In conclusion, burnout is common among intensivists and is associated with specific behavioural characteristics and personality traits, but not with work-related factors.

Burnout syndrome: A comparison between intensive unit and general unit nurses

2011 ◽  
Vol 26 (S2) ◽  
pp. 576-576 ◽  
Author(s):  
K. Salehi ◽  
H. Esmaeli ◽  
Y. Mahmodifar ◽  
S. Maarofi ◽  
B. Sayedamini
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Emotional Exhaustion ◽  
Prolonged Exposure ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Three Dimensions ◽  
Burnout Syndrome ◽  
Psychological State ◽  
Intensive Care Unit Nurses

IntroductionBurnout syndrome is a psychological state resulting from prolonged exposure to job stressors. High rates of professional burnout syndrome have been found among health service professionals.ObjectivesTo assess and compare the burnout syndrome level between Intensive Care Unit and general unit nurses, and study its association with the sociodemographic.AimsThe aim of this study was to determine that working in different units can affect on burnout syndrome.MethodsThe study was carried out using a descriptive-analytic method. 110 nurses were participated in the study from Mahabad Imam hospital in Iran. 55 nurses belong to the intensive care units, and 55 nurses belong to the general units. Two evaluation tools were used: a sociodemographic and the Maslach Burnout Inventory: includes three dimensions: emotional exhaustion, depersonalization, and reduced personal accomplishment. Data was analyzed using SPSS package.ResultsThe comparative analysis of the burnout dimensions shows that emotional exhaustion level and depersonalization level do not have significant differences between both groups. Reduced personal accomplishment dimension have a significantly differences between both groups. (29.64 +/- 8.53 vs 34.31 +/- 14.16) p < 0.05. The intensive care unit nurses reported their high emotional exhaustion (21.8%), high depersonalization (14.5%) and reduced personal accomplishment (41.5%). And the general unit nurses reported their high emotional exhaustion (9.1%), high depersonalization (18.2%) and reduced personal accomplishment (51.1%).ConclusionsThe burnout levels are moderate to high among the nursing professionals studied. The general care unit nurses are the most vulnerable to suffering high levels of reduced personal accomplishment.

scholarly journals Burnout Syndrome in UK Intensive Care Unit staff: Data from all three Burnout Syndrome domains and across professional groups, genders and ages

2019 ◽  
Vol 20 (4) ◽  
pp. 363-369 ◽  
Author(s):  
Laura Vincent ◽  
Peter G Brindley ◽  
Julie Highfield ◽  
Richard Innes ◽  
Paul Greig ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Emotional Exhaustion ◽  
Comprehensive Evaluation ◽  
Maslach Burnout Inventory ◽  
Medical Personnel ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Age Group ◽  
The Uk

IntroductionThis is the first comprehensive evaluation of Burnout Syndrome across the UK Intensive Care Unit workforce and in all three Burnout Syndrome domains: Emotional Exhaustion, Depersonalisation and lack of Personal Accomplishment.MethodsA questionnaire was emailed to UK Intensive Care Society members, incorporating the 22-item Maslach Burnout Inventory Human Services Survey for medical personnel. Burnout Syndrome domain scores were stratified by ‘risk’. Associations with gender, profession and age-group were explored.ResultsIn total, 996 multi-disciplinary responses were analysed. For Emotional Exhaustion, females scored higher and nurses scored higher than doctors. For Depersonalisation, males and younger respondents scored higher.ConclusionApproximately one-third of Intensive Care Unit team-members are at ‘high-risk’ for Burnout Syndrome, though there are important differences according to domain, gender, age-group and profession. This data may encourage a more nuanced understanding of Burnout Syndrome and more personalised strategies for our heterogeneous workforce.

scholarly journals Prescription pattern of patients admitted in the intensive care unit of a tertiary care hospital in Puducherry, India: a cross sectional study

2017 ◽  
Vol 6 (12) ◽  
pp. 2822
Author(s):  
B. Maharani ◽  
A. Lourdu Jafrin ◽  
M. Prakash ◽  
P. Priyadarshini
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Drug Use ◽  
Tertiary Care ◽  
Research Work ◽  
Essential Medicine ◽  
Demographic Characteristics ◽  
Care Hospital ◽  
Cross Sectional ◽  
Prescription Pattern

Background: Patients with varied demographic characteristics, admission criteria and heterogeneous group are admitted to medical Intensive Care Unit (ICU) and are usually associated with co-morbid illnesses. Instituting rational pharmacotherapy is the need of the hour for saving the life of critically-ill patients while irrational drug use may be life threatening. Drug use patterns and prescribing behaviour are the essential tools to measure drug use in health care facilities.Methods: A record based, cross-sectional, observational study was done at medical ICU, IGMC and RI, Puducherry after obtaining IEC approval. Systemic random sampling was followed and data was collected for a period of one year. Data were analysed based on demographic characteristics, prescribing pattern and WHO drug use indicators.Results: The data of 151 patients were analysed. Mean age of the patients admitted in ICU was 52.9±17.7 years. Percentage of male patients (57.6) admitted in ICU were more when compared to female patients (42.4). Infective etiology was the most common factor for ICU admission followed by cardiac disorders. Diabetes mellitus and hypertension were the most common co-morbidities. The average length of stay in ICU was 4.11±2.99 days. Duration of stay in ICU ranged from 1-5 days (78.8% patients) to 15-20 days (0.1% patients). On an average 10.6±4.3 drugs were prescribed for each patient. Percentage of drugs prescribed by generic name was 45.8%. Majority of the drugs (87.4%) were from essential medicine list. Antibiotics in the prescription was 13.8% and 44.4% of drugs were administered in parenteral route. The prescription was complete in 145 case sheets (96%). Majority of the patients (68.9%) were discharged with improvement in the condition for which they were admitted.Conclusions: This drug utilization study has highlighted the strengths and shortcomings of the prescription pattern of patients who were admitted in the critical care setup. The information derived from this research work will be transmitted to the stakeholders for implementing the modifications wherever applicable for the betterment of the patient and the community.

Factors Correlating with Burnout in Practicing Otolaryngologists

2011 ◽  
Vol 146 (2) ◽  
pp. 234-239 ◽  
Author(s):  
Aaron M. Fletcher ◽  
Nitin Pagedar ◽  
Richard J. H. Smith
Keyword(s):  
Risk Factors ◽  
Tertiary Care ◽  
Maslach Burnout Inventory ◽  
Burnout Syndrome ◽  
Care Hospital ◽  
Continuous Variables ◽  
Cross Sectional Survey ◽  
University Of Iowa ◽  
Cross Sectional ◽  
Potential Risk Factors

Objective. This study sought to determine which demographic and practice characteristics were predictive of professional burnout in otolaryngologists. Study Design. Cross-sectional survey. Setting. Tertiary care hospital. Subjects and Methods. Postal mailings, including the Maslach Burnout Inventory (MBI), were sent to alumni of the University of Iowa Hospitals and Clinics otolaryngology program. Participants completed the MBI according to the enclosed instructions. In addition, they answered a brief questionnaire comprising 8 items designed to collect demographic information. The MBI was then scored and subjects were classified according to their degree of burnout. Statistical analysis was then performed, and correlations were used to summarize associations between continuous variables. Results. This study had a response rate of 49% to the survey. Of the respondents, 3.5% met criteria for burnout syndrome, and 16% were classified as having high levels of burnout according to the MBI. Young age, number of hours worked per week, and length of time in practice were found to be statistically significant predictors of burnout. In addition, the length of time married and the presence of children in the home were also significant predictors of burnout. Conclusion. The authors report an investigation of burnout in practicing otolaryngologists using a validated instrument with correlation to potentially modifiable risk factors. The experience of burnout was found to correlate significantly with both personal and professional factors, each of which can potentially be addressed to curb the incidence of burnout. Further understanding of the potential risk factors for burnout is necessary to minimize and prevent burnout among practicing otolaryngologists.

scholarly journals Profile of Obstetric Morbidity Among Maternal Intensive Care Unit Patients

2014 ◽  
Vol 9 (2) ◽  
pp. 46-50
Author(s):  
B Shakya ◽  
P Chaudhary ◽  
M Tumbahangphe
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Multiorgan Failure ◽  
Tertiary Care ◽  
Patient Characteristics ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Obstetric Hemorrhage ◽  
Cross Sectional ◽  
Hypertensive Disorders

Aims: The objective of the study was to determine the outcome of the obstetric admissions to Maternal Intensive Care Unit in the setting of a tertiary care hospital. Methods: This was a cross-sectional study undertaken at Paropakar Maternity and Women’s Hospital from April 1, 2012 to March 31, 2013. Patient characteristics, gestational age, booking status, indication for intensive care unit admission, intervention, length of stay and outcome were analyzed. Results: During the study period, 19,247 deliveries occurred and 247 women were admitted to maternal intensive care unit. This accounts for 1.28% of all deliveries. The most common indication of admission to intensive care unit was hypertensive disorders in pregnancy (45.3%) followed by obstetric hemorrhage (39.27%). Sepsis was the cause in ten (4.04%) cases. Ten cases (4.04%) of postpartum hemorrhage were managed by balloon tamponade, seven (2.83%) by B-Lynch compression sutures and three (1.21%) necessitated cesarean hysterectomy. Among 18 cases of ruptured uterus, 13 (5.26%) were repaired while five (2.02%) required hysterectomy. Maternal mortality occurred in four (1.61%) of the cases. One was a case of severe preeclampsia who died on 4th post-operative day due to pulmonary embolism, another due to anesthetic complication and the other two died of septic shock and multiorgan failure. Conclusions: Hypertensive disorders of pregnancy and obstetric hemorrhage appeared as the major risk factors for admission to an intensive care unit thereby influencing maternal outcomes in obstetric patients. DOI: http://dx.doi.org/10.3126/njog.v9i2.11762 

scholarly journals Non-Invasive Ventilation in a Paediatric Intensive Care Unit (PICU) with Respiratory Failure: Experience at a Tertiary Care Hospital in Dhaka

2019 ◽  
Vol 30 (Number 1) ◽  
pp. 20-25
Author(s):  
S Hoque ◽  
ASM N U Ahmed
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Respiratory Failure ◽  
Tertiary Care ◽  
Pediatric Intensive Care ◽  
Co2 Concentration ◽  
Care Hospital ◽  
Invasive Ventilation ◽  
Cross Sectional ◽  
The Mean

Noninvasive ventilation (NIV) has now become an integral tool within the treatment of both acute and chronic respiratory failure, and at an equivalent time reducing the necessity for invasive ventilation. A cross sectional, retrospective study based on a retrospective review of hospital medical records of patients who underwent NIV in the period between January 2017 and December 2019, to determinate the efficacy of NIV in pediatrics whom admitted to Pediatric intensive care unit (PICU) with respiratory failure (short term evaluation), demographic and clinical data were collected before and after applying the NIV. The data included heart rate (HR), respiratory rate (RR), oxygen concentration (P02) and CO2 concentration (PCO2). NIV was used for a total of 61 pediatric patients admitted to PICU during the period of the study. Pneumonia was the commonest indication for the NIV (n=25, 41.0%), and continuous positive airway pressure (CPAP) was used in 52(85.2%) patients. The mean duration of NIV was 817.2 days, there was a significant clinical improvement after one hour from application of NIV The mean improvement in RR was from 48.412.2 to 35.01I.5 (P=0.000), SPO2 was improved from 88.111.8 to 96.510.7 (P= 0.000), and the PCO2 was improved from 61.4±6.1 to 48.713 7 (P=0.002). Five patients were failing to respond to the NIV and shifted to mechanical ventilation. The NIV is a useful tool for treatment of respiratory failure in pediatrics, especially under the age of one year. Pneumonia was the commonest indication for the use of the NB!. More investigation is needed to fully evaluate the ramifications of increased use of this technology in the PICU.

scholarly journals Study of Antibiotic Susceptibility among Bacterial Isolates in Neonatal Intensive Care Unit of a Tertiary Care Hospital: A Descriptive Cross-sectional Study

2020 ◽  
Vol 58 (231) ◽  
Author(s):  
Brajesh Raj Chaudhary ◽  
Kalpana Karmacharya Malla ◽  
Sajan Poudel ◽  
Brajesh Kumar Jha
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Sepsis ◽  
Antibiotic Susceptibility ◽  
Neonatal Intensive Care ◽  
Tertiary Care ◽  
Care Hospital ◽  
Cross Sectional ◽  
Gram Negative

Introduction: Neonatal sepsis is a major cause of neonatal morbidity and mortality worldwide, especially in developing countries like Nepal. Antibiotic resistance among microorganisms poses new challenges in the treatment of neonatal sepsis. The present study is conducted with the objectives of determining clinico-bacteriological profile and antibiotic susceptibility among isolated bacteria in a neonatal intensive care unit. Methods: A descriptive cross-sectional study was conducted from January 1, 2017, to December 31, 2019, in the neonatal intensive care unit of a tertiary care hospital after obtaining ethical clearance from Institutional Review Committee (Reference Number: 2020-064). The sample size was calculated and 77 neonates with culture-proven sepsis were included in the study. The antibiotic susceptibility tests of the isolates were done by Kirby-Bauer disc diffusion method. Data entry was done in Statistical Packages for the Social Sciences version 20. Results: Of the 841 specimens (blood, cerebrospinal fluid, urine, tracheal aspirate and pus) processed for culture, bacteria were isolated in 84 (10.0%) specimens. Among the 84, gram-negative bacilli were the predominant isolates 76 (90.5%); of which Acinetobacter baumannii was the most common 27 (32.1%). Both the Gram-negative and the Gram-positive bacteria showed high resistance to Penicillin and Cephalosporins. Gram-negative bacteria showed maximum sensitivity to Colistin, Carbapenems, Tigecycline and Fluoroquinolones. Gram-positive bacteria showed maximum susceptibility to Amikacin, Vancomycin and Carbapenems. Conclusions: Judicious use of antibiotics based on the updated knowledge of prevalent organisms in the local hospital setting and their antibiotic sensitivity pattern is of utmost importance for the effective treatment of neonatal sepsis.

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