RT Book, Section
A1 Skrobik, Yoanna
A2 Hall, Jesse B.
A2 Schmidt, Gregory A.
A2 Kress, John P.
SR Print(0)
ID 1107715501
T1 Care of the Caregiver in the ICU and After Critical Illness
T2 Principles of Critical Care, 4e
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 9780071738811
LK accessmedicine.mhmedical.com/content.aspx?aid=1107715501
RD 2024/04/19
AB Fifty  percent  (50%)  of  physicians  and  nurse  caregivers  working  in  intensive  care  units  (ICUs)  are  reported  to  experience  burnout.  Physician  burnout  is  attributable  to  the  number  of  working  hours  (number  of  night  shifts,  and  vacation  time  and  frequency),  whereas  burnout  among  ICU  nurses  is  mainly  related  to  ICU  organization  and  end-of-life  care  policy.ICU  conflicts  are  independent  predictors  of  burnout  for  both  physicians  and  nurses.  Recent  studies  identify  potentially  effective  preventive  measures.  Despite  identification  of  associations  and  triggers,  no  prospective  study  addresses  the  issues  of  impact  on  quality  of  care  or  caregiver  outcome,  or  effective  management  strategies  once  burnout  occurs.Standardized  communication  strategies  appear  key  to  ensure  safety,  effective  functioning,  and  harmonious  end-of-life  decision  making  and  care;  physicians  may  not  be  natural  leaders  in  establishing  interprofessional  intensive  care  communication  strategies.  Communication  should  be  considered  a  safety  feature  on  par  with  infection  control,  and  requires  organization  and  buy-in  from  all  stakeholders.The  specific  context  of  pandemics  and  natural  disasters  impose  a  greater  burden  on  critical  care  staff  and  require  planning  and  postevent  debriefing  and  caregiver  follow-up.The  stress  experienced  by  trainees  exposed  to  critical  care  is  essential  to  learning.  Reflexive  learning  and  the  use  of  the  narrative  are  useful  in  contexts  where  emotion  and  morality  are  part  of  the  critical  caregiver's  experience.