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首页> 外文期刊>BMC Medical Education >Critical care rotation impact on pediatric resident mental health and burnout
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Critical care rotation impact on pediatric resident mental health and burnout

机译：重症监护轮换对小儿居民心理健康和倦怠的影响

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Background Burnout and depression are common among medical trainees and intensive care unit providers, negatively impacting both providers and patients. We hypothesized that at the end of the pediatric intensive care unit (PICU) rotation, there would be an increased prevalence of depression and burnout in pediatric residents when compared to the beginning. Methods Pediatric residents were assessed prior to and following their PICU rotation using the Maslach Burnout Inventory, the Center for Epidemiologic Studies Depression Screen and a survey assessing positive and negative aspects of the rotation. Results Sixty residents were eligible to participate and initial response rate was 40%. The prevalence of positive depression screen increased from 4% to 41% during the PICU rotation. Regarding burnout, the prevalence of residents meeting criteria for emotional exhaustion increased from 41% to 59% and depersonalization increased from 41% to 53%. Fewer residents had low personal accomplishment scores at the end of the rotation, 13% to 0%. Autonomy, procedural opportunities, and interactions with non-trainee PICU providers were commonly cited negative aspects of the rotation. Resident education, patient acuity, and nursing-integrated rounding were consistently rated positively. Conclusion Compared to the beginning, at the end of the PICU rotation there is a significantly higher prevalence of depression, emotional exhaustion, and depersonalization among pediatric residents. Pediatric residents may have a more favorable PICU experience if they feel involved in procedural aspects of patient care, are allowed more autonomy in decision making, and there is a continued focus on resident education and team-based care.
机译：背景倦怠和沮丧在医学实习生和重症监护室提供者中很普遍，对提供者和患者都有负面影响。我们假设在小儿重症监护病房（PICU）轮换结束时，与开始时相比，小儿居民的抑郁和倦怠患病率会增加。方法采用Maslach倦怠量表，流行病学研究中心抑郁筛查和对轮换的积极和消极方面进行调查的方式，对小儿住院患者在PICU轮换前后进行评估。结果有60名居民参加，初始反应率为40％。在PICU旋转期间，阳性抑郁筛查的患病率从4％增加到41％。关于倦怠，满足情绪疲惫标准的居民的患病率从41％增加到59％，去个性化的比例从41％增加到53％。轮换结束时，居民的个人成就分数较低的人数更少，从13％降至0％。自治，程序性机会以及与非学员PICU提供者的互动通常被认为是轮换的负面方面。居民教育，患者敏锐度和护理综合四舍五入一直得到积极评价。结论与开始时相比，PICU轮换结束时，小儿居民的抑郁，情绪疲惫和人格解体的患病率明显更高。如果小儿科居民感到自己参与患者护理的程序性方面，可以在决策中享有更大的自主权，则他们可能会拥有更有利的PICU经验，并且继续关注居民教育和基于团队的护理。

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