Épuisement professionnel

Healing the Heart of Healthcare

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Source : JONA: The Journal of Nursing Administration.
Healthcare workers continue to work without fully processing the stress of the pandemic on their overall health. Outcomes of stress include workplace burnout, low morale, and an increase in suicide rates. At Huntington Hospital, a need was identified to give caregivers an opportunity to grieve and process their experiences. Healing the Heart of Healthcare was a formal intervention that provided acknowledgment of trauma and reinstated a sense of hope to the profession. The activities in this program may be duplicated in other celebrations such as Nurses Day recognition.

Vital Signs: Health Worker-Perceived Working Conditions and Symptoms of Poor Mental Health – Quality of Worklife Survey, United States, 2018-2022

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Source : MMWR. Morbidity and mortality weekly report.
Health workers faced overwhelming demands and experienced crisis levels of burnout before the COVID-19 pandemic; the pandemic presented unique challenges that further impaired their mental health.

How Can Health Care Organizations Address Burnout? A Description of the Dr. Lorna Breen Act Grantees

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Source : American Journal of Public Health.
Burnout among health care workers has been rising for years and is associated with increased risk of job dissatisfaction, suicide, and poor patient outcomes.1–5 COVID-19 brought this issue to the forefront. By the end of 2021, more than 60% of physicians and advanced practice clinicians reported burnout, and in 2022, 45% of nurses reported feeling burned out, 51% emotionally drained, and 56% used up.6,7 In 2021, more than half of public health workers reported symptoms of posttraumatic stress disorder, and nearly a third reported an intention to leave their organization in the next year.

An Organizational Leadership Development Approach to Support Health Worker Mental Health

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Source : American Journal of Public Health.
Coming at a time when burnout rates were already high, the COVID-19 pandemic physically and mentally further stressed our nation’s health care workforce, leading to record levels of burnout, moral distress, and moral injury. In response, Surgeon General Vivek H. Murthy released an advisory on building a thriving health workforce in 2022 with the specific aim of targeting health worker burnout to improve health and well-being and strengthen the nation’s public health infrastructure. Secretary of Health and Human Services Xavier Becerra said, “We owe all health workers—from doctors to hospital custodial staff—an enormous debt. And as we can clearly see and hear throughout this Surgeon General’s Advisory, they’re telling us what our gratitude needs to look like: real support and systemic change that allows them to continue serving to the best of their abilities.”

Examining the Nurse Manager Practice Environment Effects on Burnout: Results of a Cross-sectional Multisite Study

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Source : JONA: The Journal of Nursing Administration.
This study examined the relationships between the dimensions of the nurse manager practice environment and burnout. Understanding the degree to which their practice environment characteristics impact their level of burnout is important to nursing manager retention.

AJPH Highlights Health Worker Mental Health

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Source : CDC
The American Journal of Public Health recently published a special supplement with 15 articles focusing on health worker mental health. This special issue of the journal was sponsored and edited by the National Institute for Occupational Safety and Health (NIOSH) and stems from the health worker mental health initiative from the Centers for Disease Control and Prevention and NIOSH. Research indicates health workers experience high levels of physical injury, harassment, stress, and burnout and many health workers intend to leave their positions or the field altogether. Protecting and supporting health worker mental health has important implications for the nation’s health system and our public health infrastructure.

New Normal in Occupational Health: Telework, Equity, Humility

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Source : Hospital Employee Health.
L’article traite du « nouveau normal » post-pandémie dans la santé au travail. Parmi les sujets abordés, la télé-santé et ses applications potentielles pour prévenir le présentéisme; le télétravail et le travail hybride, ainsi que certains changements d’attitude concernant la santé psychologique, l’humilité, l’équité et l’inclusion.

The End of the Tether: Healthcare Workers in Mental Health Turmoil

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Source : Hospital Employee Health.
L’article survole différentes publications sur les problèmes de santé mentale rencontrés par les travailleurs de la santé : un questionnaire du NIOSH pour le bien-être des travailleurs et un guide pour le soutien en santé psy; des conseils pour déstigmatiser la santé psychologique; quelques données du dernier rapport CDC Vital Signs, dont un accroissement du harcèlement envers les travailleurs de la santé et l’intention, chez 44% des répondants, de changer d’emploi.

Should Mindfulness for Health Care Workers Go Virtual? A Mindfulness-Based Intervention Using Virtual Reality and Heart Rate Variability in the Emergency Department

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Source : Journal of the Association of Occupational Health Professionals in Healthcare.
La recherche sur l’épuisement professionnel dans la communauté médicale a largement étudié l’impact des interventions basées sur la pleine conscience (MBI), qui peuvent inclure la méditation, les retraites en plein air, les didactiques en personne et/ou les modules de bien-être en ligne. Cependant, outre le fait que ces interventions basées sur la pleine conscience manquent de mesures objectives et physiologiques du bien-être, il n’y a eu que peu ou pas de recherche impliquant la réalité virtuelle (RV) comme modalité d’intervention basée sur la pleine conscience pour les professionnels de la santé aux États-Unis.