scholarly journals Facing COVID-19 Pandemic in a Tertiary Hospital in Milan: Prevalence of Burnout in Nursing Staff Working in Sub-Intensive Care Units

2021 ◽  
Vol 18 (13) ◽  
pp. 6684
Author(s):  
Alberto Bisesti ◽  
Andrea Mallardo ◽  
Simone Gambazza ◽  
Filippo Binda ◽  
Alessandro Galazzi ◽  
...  
Keyword(s):  
Intensive Care ◽  
Respiratory Failure ◽  
Intensive Care Units ◽  
Healthcare Workers ◽  
Maslach Burnout Inventory ◽  
Tertiary Hospital ◽  
Personal Accomplishment ◽  
Preventive Strategies ◽  
Common Condition ◽  
Hospital Units

In early March 2020, Italy became the epicenter of the Coronavirus Disease 2019 (COVID-19) pandemic in Europe. A different organization of hospital units was required to take care of patients affected by acute respiratory failure caused by COVID-19. This study aimed to evaluate the prevalence of burnout in two sub-intensive care units (SICUs) of the COVID-19 hub center of the Lombardia region in Milan (Italy). All nurses and healthcare assistants working in the SICUs during June 2020 were included in the study. Burnout was assessed via the Maslach Burnout Inventory questionnaire. One hundred and five (84%) SICU staff participated in the study. The prevalence of high burnout for nurses and healthcare assistants was 61.9% for emotional exhaustion, 47.6% for depersonalization and 34.3% for personal accomplishment. Depersonalization was significantly more frequent in younger nurses (p = 0.009). Nurses were 4.5 times more likely to have burnout than healthcare assistants. Burnout was a common condition among healthcare workers operating in SICUs during the pandemic. Urgent actions are needed, especially for nurses, as well as preventive strategies for future pandemic scenarios.

scholarly journals Exploring Frequency of Event Reporting as Perceived by Intensive Care Units’ Nurses in Sultanate of Oman

2021 ◽  
Author(s):  
Qasim Al Ma'mari ◽  
Omar Al Omari ◽  
Loai Abu Sharour
Keyword(s):  
Intensive Care ◽  
Registered Nurses ◽  
Work Environment ◽  
Intensive Care Units ◽  
Positive Impact ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Cross Sectional ◽  
Event Reporting ◽  
Independent Variables

Objectives: Little is known about the factors that affect the perceived frequency of event reporting among healthcare workers especially registered nurses working in Oman. This study aimed to find out whether fatigue, workload, burnout, and work environment as independent variables have a relationship with frequency of event reporting as dependent variable and to what extent the aforementioned independent variables predict the frequency of event reporting between nurses working in different intensive care units in selected hospitals in Oman. Methods: This study used a cross-sectional research design. Also this study used standardized questionnaires which are hospital survey on patient safety culture, fatigue assessment scale, maslach burnout inventory-human services survey, NASA task load index, and practice environment scale of the nursing work index. Registered nurses working in intensive care units participated in this study from two referral hospitals in Oman during the period between June and September 2018. Results: A total of 270 nurses were included in this study (response rate: 90%). There was a statistically significant positive relationship between personal accomplishment and the frequency of event reporting (r = 0.132, p < 0.05). Regression analysis showed that nurses’ feedback and communication about errors predicted the frequency of events reporting between intensive care units’ nurses in Oman (R2 = 0.214, adjusted R2 = 0.046; F = 12.82, p < 0.01). Conclusion: Personal accomplishment and feedback and communication about error of intensive care units’ nurses had positive impact on perceived frequency of event reporting whereas no relationship found between fatigue, workload, work environment and frequency of event. Strategies need to be in place in health organizations to encourage nurses to report errors. Keywords: Burnout; Intensive care units’ nurses; Fatigue; frequency of event reporting; Work environment.

Burnout in Brazilian Intensive Care Units: A Comparison of Nurses and Nurse Technicians

2019 ◽  
Vol 30 (1) ◽  
pp. 16-21 ◽  
Author(s):  
Francino Azevedo Filho ◽  
Maria Cristina Soares Rodrigues ◽  
Jeannie P. Cimiotti
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Emotional Exhaustion ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Teaching Hospitals ◽  
Additional Patient ◽  
Practice Environment ◽  
Cross Sectional Survey ◽  
Cross Sectional

Job-related burnout has been reported by intensive care nurses worldwide; this study was performed to examine burnout in intensive care unit bedside nurses and nurse technicians in Brazil. A cross-sectional survey that included the Practice Environment Scale and the Maslach Burnout Inventory was completed by 209 nurses and nurse technicians working in 4 Brazilian intensive care units in 3 teaching hospitals. Compared with nurse technicians, nurses reported higher levels of emotional exhaustion and depersonalization, and a lower level of personal accomplishment. A 1-unit increase in the quality of nurse practice environment was associated with a decrease in high levels of emotional exhaustion and low levels of personal accomplishment. Each additional patient added to a nurse’s workload was associated with an increase in high emotional exhaustion and low personal accomplishment. Approximately one-third of Brazilian nurses working in intensive care units report job-related burnout; the practice environment and staffing appear to be contributing factors.

scholarly journals Hand hygiene and the sequence of patient care

2021 ◽  
pp. 1-6
Author(s):  
Nai-Chung Chang ◽  
Michael Jones ◽  
Heather Schacht Reisinger ◽  
Marin L. Schweizer ◽  
Elizabeth Chrischilles ◽  
...  
Keyword(s):  
Intensive Care ◽  
Hand Hygiene ◽  
Patient Care ◽  
Intensive Care Units ◽  
Healthcare Workers ◽  
Hand Hygiene Compliance ◽  
Resistant Bacteria ◽  
Surgical Intensive Care ◽  
Hygiene Compliance ◽  
Hand Hygiene Opportunity

Abstract Objective: To determine whether the order in which healthcare workers perform patient care tasks affects hand hygiene compliance. Design: For this retrospective analysis of data collected during the Strategies to Reduce Transmission of Antimicrobial Resistant Bacteria in Intensive Care Units (STAR*ICU) study, we linked consecutive tasks healthcare workers performed into care sequences and identified task transitions: 2 consecutive task sequences and the intervening hand hygiene opportunity. We compared hand hygiene compliance rates and used multiple logistic regression to determine the adjusted odds for healthcare workers (HCWs) transitioning in a direction that increased or decreased the risk to patients if healthcare workers did not perform hand hygiene before the task and for HCWs contaminating their hands. Setting: The study was conducted in 17 adult surgical, medical, and medical-surgical intensive care units. Participants: HCWs in the STAR*ICU study units. Results: HCWs moved from cleaner to dirtier tasks during 5,303 transitions (34.7%) and from dirtier to cleaner tasks during 10,000 transitions (65.4%). Physicians (odds ratio [OR]: 1.50; P < .0001) and other HCWs (OR, 2.15; P < .0001) were more likely than nurses to move from dirtier to cleaner tasks. Glove use was associated with moving from dirtier to cleaner tasks (OR, 1.22; P < .0001). Hand hygiene compliance was lower when HCWs transitioned from dirtier to cleaner tasks than when they transitioned in the opposite direction (adjusted OR, 0.93; P < .0001). Conclusions: HCWs did not organize patient care tasks in a manner that decreased risk to patients, and they were less likely to perform hand hygiene when transitioning from dirtier to cleaner tasks than the reverse. These practices could increase the risk of transmission or infection.

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 Factors associated with interhospital transfer of children with respiratory failure from level II to level I pediatric intensive care units

2015 ◽  
Vol 30 (5) ◽  
pp. 1080-1084 ◽  
Author(s):  
Folafoluwa O. Odetola ◽  
Sarah J. Clark ◽  
James G. Gurney ◽  
Janet E. Donohue ◽  
Achamyeleh Gebremariam ◽  
...  
Keyword(s):  
Intensive Care ◽  
Respiratory Failure ◽  
Intensive Care Units ◽  
Pediatric Intensive Care ◽  
Pediatric Intensive Care Units ◽  
Factors Associated ◽  
Interhospital Transfer ◽  
Level Ii ◽  
Level I

scholarly journals Influenza in patients with respiratory failure admitted to intensive care units in Poland and the use of extracorporeal respiratory support: a survey-based multicenter study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jakub Smiechowicz ◽  
Barbara Barteczko-Grajek ◽  
Barbara Adamik ◽  
Jozef Bojko ◽  
Waldemar Gozdzik ◽  
...  
Keyword(s):  
Intensive Care ◽  
Respiratory Failure ◽  
Organ Failure ◽  
Intensive Care Units ◽  
Sofa Score ◽  
Influenza Infection ◽  
Winter Season ◽  
Respiratory Support ◽  
Costly Treatment ◽  
High Degree

Abstract Background In Poland, little is known about the most serious cases of influenza that need admittance to the intensive care unit (ICU), as well as the use of extracorporeal respiratory support. Methods This was an electronic survey comprising ICUs in two administrative regions of Poland. The aim of the study was to determine the number of influenza patients with respiratory failure admitted to the ICU in the autumn–winter season of 2018/2019. Furthermore, respiratory support, outcome and other pathogens detected in the airways were investigated. Results Influenza infection was confirmed in 76 patients. The A(H1N1)pdm09 strain was the most common. 34 patients died (44.7%). The median age was 62 years, the median sequential organ failure assessment (SOFA) score was 11 and was higher in patients who died (12 vs. 10, p = 0.017). Mechanical ventilation was used in 75 patients and high flow nasal oxygen therapy in 1 patient. Extracorporeal membrane oxygenation (ECMO) was used in 7 patients (6 survived), and extracorporeal carbon dioxide removal (ECCO2R) in 2 (1 survived). The prone position was used in 16 patients. In addition, other pathogens were detected in the airways on admittance to the ICU. Conclusion A substantial number of influenza infections occurred in the autumn–winter season of 2018/2019 that required costly treatment in the intensive care units. Upon admission to the ICU, influenza patients had a high degree of organ failure as assessed by the SOFA score, and the mortality rate was 44.7%. Advanced extracorporeal respiratory techniques offer real survival opportunities to patients with severe influenza-related ARDS. The presence of coinfection should be considered in patients with influenza and respiratory failure.

scholarly journals Effectiveness of early rehabilitation on patients with chronic obstructive lung disease and acute respiratory failure in intensive care units: A case–control study

2019 ◽  
Vol 16 ◽  
pp. 147997311882031
Author(s):  
Willy Chou ◽  
Chih-Cheng Lai ◽  
Kuo-Chen Cheng ◽  
Kuo-Shu Yuan ◽  
Chin-Ming Chen ◽  
...  
Keyword(s):  
Intensive Care ◽  
Respiratory Failure ◽  
Acute Respiratory Failure ◽  
Intensive Care Units ◽  
Case Control Study ◽  
Case Control ◽  
Early Rehabilitation ◽  
Chronic Obstructive ◽  
Copd Patients ◽  
Control Study

The effect of early rehabilitation on the outcome of patients with chronic obstructive pulmonary disease (COPD) and acute respiratory failure (ARF) in intensive care units (ICUs) remains unclear. We examined the effect of early rehabilitation on the outcomes of COPD patients requiring mechanical ventilation (MV) in the ICU. This retrospective, observational, case–control study was conducted in a medical center with a 19-bed ICU. The records of all 105 ICU patients with COPD and ARF who required MV from January to December 2011 were examined. The outcomes (MV duration, rates of successful weaning and survival, lengths of ICU and hospital stays, and medical costs) were recorded and analyzed. During the study period, 35 patients with COPD underwent early rehabilitation in the ICU and 70 demographically and clinically matched patients with similar COPD stage, cause of intubation, type of respiratory failure, and levels of disease severity who had not undergone early rehabilitation in the ICU were selected as comparative controls. Multiple regression analysis showed that early rehabilitation was significantly negatively associated with MV duration. Early rehabilitation for COPD patients in the ICU with ARF shortened the duration of their MV.

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