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Empatisk utmattning hos intensivvårdssjuksköterskor under en pågående covid-19 pandemi

Authors: Possnert, Samuel; Rahmani, Baback;

Empatisk utmattning hos intensivvårdssjuksköterskor under en pågående covid-19 pandemi

Abstract

Bakgrund: Den krävande intensivvårdsmiljön utsätter intensivvårdssjuksköterskor för en hög stress och graden av utbrändhet hos intensivvårdssjuksköterskor är högre än annan vård-och omsorgspersonal. Indirekt exponering till trauma i dessa miljöer kopplat med utbrändhet och minskad tillfredsställelse från empatiskt arbete kan bidra till empatisk utmattning med konsekvenser för personalens hälsa och patientvården. Covid-19 pandemin har utmanat den moderna intensivvården och specialistsjuksköterskor i frontlinjen har belastats med högre arbetsbördor, med ökade risker för empatisk utmattning som följd. Syfte: Att undersöka graden av empatisk utmattning hos intensivvårdssjuksköterskor under en pågående Covid-19 pandemi och jämföra resultatet med tidigare studier. Metod: Studiedesign var en enkätstudie med ett Google forms webb-formulär baserat på självskattningsinstrumentet Professional Quality of Life Scale. Det består av tre delskalor, som på svenska benämns medkänsletillfredsställelse, empatisk utmattning och utbrändhet. Deltagare i studien var 47 intensivvårdssjuksköterskor från Central IVA och Neurologi IVA på Sahlgrenska sjukhuset samt IVA på Mölndals sjukhus. Dataanalys genomfördes med hjälp av SPSS. Resultat: Föreliggande resultat jämfördes med referensdata från 30 studier med sammanlagt 5612 respondenter med skilda professioner inom vård och omsorg. Inga statistiskt signifikanta skillnader kunde observeras vid jämförelse med dessa referensdata för delskalorna medkänsletillfredsställelse och utbrändhet. Däremot var medelvärdet signifikant högre för de 47 IVA sjuksköterskorna beträffande delskalan empatisk utmattning (p <0,00001). Slutsats: Bortfallet i studien är stort vilket medför problem för generalisering. Den relativt stora skillnaden i empatisk utmattning i jämförelse med referensdata indikerar dock att detta bör uppmärksammas vidare i fortsatt forskning om effekterna på arbetsmiljön bland IVA personal under Covid-19 pandemin. Background: The demanding critical care environment exposes critical care nurses to a higher level of stress and the degree of burnout in critical care nurses is higher than other care and nursing staff. Indirect exposure to trauma in these environments coupled with burnout and reduced satisfaction from empathic work can contribute to compassion fatigue with consequences for staff health and patient care. The Covid-19 pandemic has challenged modern critical care and specialist nurses on the front lines have been burdened with higher workloads, with increased risks of developing compassion fatigue as a result. Aim: To measure the degree of compassion fatigue in critical care nurses during an ongoing covid-19 pandemic and compare the results with earlier studies. Method: Study Design was a survey study using a Google Forms web-survey based on the Professional Quality of Life Scale self-assessment tool. It consists of three subscales, namely compassion satisfaction, compassion fatigue, and burnout. Participants in the study were 47 intensive care nurses from the Central ICU and Neurology ICU at Sahlgrenska Hospital and ICU at Mölndal Hospital. Data analysis was performed using SPSS. Results: The presented results were compared with reference data from 30 studies with a total of 5612 respondents with different professions in healthcare. No statistically significant differences could be observed when compared with reference data for the subscale compassion satisfaction and burnout. On the other hand, the mean value was significantly higher for the 47 ICU nurses regarding the subscale compassion fatigue (p <0.00001). Conclusion: The dropout rate in the study is large, which causes problems for generalization. However, the relatively large difference in compassion fatigue, when compared with reference data, indicates that this should be further noted in future research regarding the effects of the work environment on ICU staff during the Covid-19 pandemic.

Country
Sweden
Related Organizations
Keywords

empatisk utmattning, intensivvårdssjuksköterskor, medkänsletillfredsställelse, covid-19, utbrändhet, Empati, pandemi, intensivvård

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    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
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