Amy K Kiefer, David A Shoham, Cara Joyce, Lisa Burkhart
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引用次数: 0
Abstract
Background: The prevalence of burnout among critical care nurses is high. Burnout has been explored at the individual and system levels, with little research occurring at the unit level. Increased social support and self-efficacy are correlated with a decreased risk of burnout at the individual level; however, little is known in how collective efficacy and types of social support are protective against the development of burnout.
Aim: Explore the relationships between burnout, collective efficacy and social supports in an intensive care unit.
Study design: Using a descriptive design, health care professionals working in an intensive care unit (n = 39) were recruited to complete surveys measuring burnout, collective efficacy and four types of social support (emotional, instrumental, informational and advice-seeking). Data were analysed using Spearman's rank correlation and sociograms.
Results: The unit displayed burnout with high levels of emotional exhaustion, moderate levels of depersonalization and high levels of personal accomplishment. The unit had high levels of collective efficacy. Collective efficacy demonstrated a significant and strong negative correlation with emotional exhaustion (rs = -0.57, p < .001) and a significant strong positive correlation with personal accomplishment (rs = 0.50, p < .005). The advice-seeking network was dense (67%) and advice-seeking social support had a significant negative association with personal accomplishment (rs = -0.35, p < .01).
Conclusions: The results demonstrated that burnout develops sequentially from emotional exhaustion to depersonalization to lack of personal accomplishment. Social network analysis methods displayed a deeper understanding of community on a unit than prior quantitative research exploring burnout.
Relevance to clinical practice: To decrease burnout, we recommend assessing burnout as a continuum and as a unit-level risk factor. Interventions should be identified that strengthen community on the unit as well as supporting unit leaders.
期刊介绍：
Nursing in Critical Care is an international peer-reviewed journal covering any aspect of critical care nursing practice, research, education or management. Critical care nursing is defined as the whole spectrum of skills, knowledge and attitudes utilised by practitioners in any setting where adults or children, and their families, are experiencing acute and critical illness. Such settings encompass general and specialist hospitals, and the community. Nursing in Critical Care covers the diverse specialities of critical care nursing including surgery, medicine, cardiac, renal, neurosciences, haematology, obstetrics, accident and emergency, neonatal nursing and paediatrics.
Papers published in the journal normally fall into one of the following categories:
-research reports
-literature reviews
-developments in practice, education or management
-reflections on practice
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