Skip to main content

Volume 3 Supplement 1

ESICM LIVES 2015

  • Oral presentation
  • Open access
  • Published:

A Multifaceted Programme To Promote Better Living in Icu: Impact On Caregivers' Burnout

Introduction

The French Intensive Care Society issued guidelines to promote quality of life in ICU (2009). Though, caregivers' burnout remains a concern.

Objectives

We studied the relationship between guidelines implementation and caregivers' burnout.

Methods

The “Comite de Protection des Personnes Sud-Est Mediterranee V” did not consider this research as interventional.

Implementation of the guidelines concerning four areas: (i) unit organization; (ii) patient management; (iii) support for families; (iv) support for caregivers have been studied in the RIRE intensive care network.

Meanwhile, we collected anonymously the caregivers' burnout scores using the "Maslach Burnout Inventory".

The relationship between guidelines application and caregivers' burnout have been adressed. Results are median [Interquartile range]

Results

Seven units (3 academics, 1 medical, 2 surgical and 1 geriatric), representing 64 intensive care beds, were included. 307 caregivers (including 243 women and 64 men, 143 nurses, 95 auxiliaries nurses, 28 physicians, 16 fellows, 7 service agents, 7 medical secretaries, 6 nurses managers, 3 physiotherapists, and 2 psychologists) were evaluated on their burnout.

Median Implementation of the guidelines was 58% [54; 67]. The median implementation rate was 57% [40, 63] for the unit organization, 58% [52, 64] for patient management, 58% [56, 74] for the support for families burden and 58% [54, 64] to support for caregivers. Caregivers reported low to intermediate Malasch score: burnout 12 [7; 19] (low risk), personal achievement 37 [31; 42] (intermediate risk) and depersonalization 5 [2; 10] (low-to-intermediate risk).”

There is a significant association between the guidelines implementation for the support for caregivers and the decrease of burnout score (p < 0.05) and personal accomplishment (p < 0.05). There is a significant association between guidelines implementation for the patient management and decreased depersonalization (p < 0.05).

Conclusions

Five years after their publication, guidelines on quality of life in the ICU are imperfectly applied. However, they are associated with a decrease in burnout among caregivers, consistent with the literature. Though causality can not be clearly established because of the methodology, this study suggests multimodal interventions may be efficient to improve caregivers satisfaction.

References

  1. Embriaco N, Azoulay E, Barrau K, Kentish N, Pochard F, Loundou A, Papazian L: High level of burnout in intensivists: prevalence and associated factors. Am J Respir Crit Care Med. 2007, 175 (7): 686-92. 10.1164/rccm.200608-1184OC. Apr 1

    Article  PubMed  Google Scholar 

  2. Mealer ML, Shelton A, Berg B, Rothbaum B, Moss M: Increased prevalence of post-traumatic stress disorder symptoms in critical care nurses. Am J Respir Crit Care Med. 2007, 175: 693-7. 10.1164/rccm.200606-735OC.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Open Access  This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made.

The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.

To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sader, A., Bertrand, P., Moschietto, S. et al. A Multifaceted Programme To Promote Better Living in Icu: Impact On Caregivers' Burnout. ICMx 3 (Suppl 1), A40 (2015). https://doi.org/10.1186/2197-425X-3-S1-A40

Download citation

  • Published:

  • DOI: https://doi.org/10.1186/2197-425X-3-S1-A40

Keywords