Understanding burnout and moral distress to build resilience: a qualitative study of an interprofessional intensive care unit team
العنوان: | Understanding burnout and moral distress to build resilience: a qualitative study of an interprofessional intensive care unit team |
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المؤلفون: | Olga Kits, Scott Comber, Tobias Witter, Janet White, Walter Somers, Gisele Follett, Patricia Daley, Kim Thompson, Corry Collins, Jennifer Hancock, Stewart Candow |
المصدر: | Canadian Journal of Anesthesia/Journal canadien d'anesthésie. 67:1541-1548 |
بيانات النشر: | Springer Science and Business Media LLC, 2020. |
سنة النشر: | 2020 |
مصطلحات موضوعية: | business.industry, media_common.quotation_subject, education, Psychological intervention, 030208 emergency & critical care medicine, General Medicine, Burnout, Focus group, 03 medical and health sciences, 0302 clinical medicine, Anesthesiology and Pain Medicine, Nursing, Intensive care, Anesthesia, Health care, Medicine, 030212 general & internal medicine, Psychological resilience, Thematic analysis, business, media_common, Qualitative research |
الوصف: | The purpose of this study was to explore personal and organizational factors that contribute to burnout and moral distress in a Canadian academic intensive care unit (ICU) healthcare team. Both of these issues have a significant impact on healthcare providers, their families, and the quality of patient care. These themes will be used to design interventions to build team resilience. This is a qualitative study using focus groups to elicit a better understanding of stakeholder perspectives on burnout and moral distress in the ICU team environment. Thematic analysis of transcripts from focus groups with registered intensive care nurses (RNs), respiratory therapists (RTs), and physicians (MDs) considered causes of burnout and moral distress, its impact, coping strategies, as well as suggestions to build resilience. Six focus groups, each with four to eight participants, were conducted. A total of 35 participants (six MDs, 21 RNs, and eight RTs) represented 43% of the MDs, 18.8% of the RNs, and 20.0% of the RTs. Themes were concordant between the professions and included: 1) organizational issues, 2) exposure to high-intensity situations, and 3) poor team experiences. Participants reported negative impacts on emotional and physical well-being, family dynamics, and patient care. Suggestions to build resilience were categorized into the three main themes: organizational issues, exposure to high intensity situations, and poor team experiences. Intensive care unit team members described their experiences with moral distress and burnout, and suggested ways to build resilience in the workplace. Experiences and suggestions were similar between the interdisciplinary teams. |
تدمد: | 1496-8975 0832-610X |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::c2b5beddc7aa1e268a7eb4f65446d5e7 https://doi.org/10.1007/s12630-020-01789-z |
حقوق: | OPEN |
رقم الأكسشن: | edsair.doi...........c2b5beddc7aa1e268a7eb4f65446d5e7 |
قاعدة البيانات: | OpenAIRE |
تدمد: | 14968975 0832610X |
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