Burnout syndrome among critical care healthcare workers.
OBJECTIVE
Burnout syndrome is a psychological state resulting from prolonged exposure to job stressors. Because ICUs are characterized by a high level of work-related stress, a factor known to increase the risk of burnout syndrome, we sought to review the available literature on burnout syndrome in ICU healthcare workers.


RESULTS
Based on most recent studies, severe burnout syndrome (as measured using the Maslach Burnout Inventory) is present in about 50% of critical care physicians and in one third of critical care nurses. Strikingly, determinants of burnout syndrome are different in the two groups of caregivers. Namely, intensivists who have severe burnout syndrome are those with a high number of working hours (number of night shifts and time from last vacation) but determinants of severe burnout syndrome in ICU-nurses are related to ICU organization and end-of-life-related characteristics. ICU conflicts, however, were independent predictors of severe burnout syndrome in both groups.


CONCLUSIONS
Recent studies reported high levels of severe burnout syndrome in ICU healthcare workers and identified potential targets for preventive strategies such as ICU working groups, communication strategies during end-of-life care and prevention and management of ICU conflicts.
Embriaco
Nathalie
N
Intensive Care Unit, Saint-Louis and Sainte Marguerite Teaching Hospitals, Assistance Publique Hôpitaux de Paris, University Paris 7, Paris and Assistance Publique, Hôpitaux de Marseille, Marseille, France.
Papazian
Laurent
L
Kentish-Barnes
Nancy
N
Pochard
Frederic
F
Azoulay
Elie
E
D000367:Age Factors; D002055:Burnout, Professional / Q000453:epidemiology*; D003422:Critical Care / Q000458:organization & administration / Q000523:psychology*; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration*; D009726:Nurses / Q000458:organization & administration / Q000523:psychology*; D010561:Personnel Staffing and Scheduling; D010820:Physicians / Q000458:organization & administration / Q000523:psychology*; D012737:Sex Factors