Tag: stress
Experience and Needs of Family Members of Patients Treated with ECMO
Sudden onset of an unexpected and severe illness is associated with an increased stress experience of family members. Only one study to date has explored the experience of family members of patients who are at high risk of... read more
Why Do Nurses Quit?
Estimates are that up to 30-50% of nurses leave their position or quit nursing altogether in the first year. What drives nurses away? Some new grads do not survive the shock. Nursing school is insufficient preparation for... read more
Psychological Burnout and Critical Care Medicine
While you are likely proud to be a critical care medicine (CCM) practitioner, does work routinely leave you increasingly drained? Do you feel resentful about requests for "futile interventions" and unwilling to absorb others'... read more
Alarm and Alert Fatigue in Critical Care
Todd Fraser, MD, speaks with Bradford D. Winters, PhD, MD, FCCM, about alarm and alert fatigue in critical care. Alarm fatigue is the desensitization that clinicians experience to frequent alarms, particularly those that... read more
Solutions to Alleviate Burnout
A range of factors drives clinician burnout, including workload, time pressure, clerical burden, and professional isolation. Clerical burden, especially documentation of care and order entry, is a major driver of clinician... read more
Moral distress and its contribution to the development of burnout syndrome among critical care providers
Correlation between moral distress and burnout was assessed among all intensive care unit (ICU) and the step–down unit (SDU) providers (physicians, nurses, nurse technicians and respiratory therapists). Researchers reported... read more
Effect of Nocturnal Sound Reduction on the Incidence of Delirium in ICU Patients
The incidence of delirium in ICU patients was significantly reduced after implementation of a nocturnal sound-reduction protocol. However, reported sleep quality did not improve. A significant difference in slope in the percentage... read more
My ICU Patient Lived. Is That Enough?
As many as one in three patients sick enough to require a ventilator might develop symptoms of post-traumatic stress disorder. Anxiety and depression are equally common, if not more so. Others survive critical illness but... read more
Stress Ulcer Prophylaxis in ICU Patients Receiving Enteral Nutrition
Our results suggested that in patients receiving enteral feeding, pharmacologic SUP is not beneficial and combined interventions may even increase the risk of nosocomial pneumonia. We searched PubMed, Embase, and the Cochrane... read more
Dear hospital administrators: Please value your amazing nurses
Anyone who has worked in health care for any length of time, has seen situations erupt where nurses and administrations clash. I have seen this happen myself in many health care institutions, and almost every doctor I've... read more
Perceptions of Risk and Safety in the ICU
This study drew on cognitive research, specifically theories of cognitive dissonance, psychological safety, and situational awareness to explain how professionals' cognitive processes impacted on ICU behaviors. Our results... read more
Prevalence of Anxiety and Depression Symptomatology in Adolescents Faced With the Hospitalization of a Loved One in the ICU
ICU experience is linked to anxiety and depression symptomatology in family members of patients. Minors may be forbidden from visiting. To bring practices in line with evidence, we determined the prevalence of anxiety and... read more
Quality Improvement Initiative to Reduce PICU Noise Pollution
Substantial noise pollution exists in our PICU, and utilizing the pediatric delirium bundle led to a significant noise reduction that can be perceived as half the loudness with hourly nighttime average dB meeting the EPA... read more
New study finds stress levels skyrocket for family members of ICU patients
New research by Intermountain Healthcare finds family members of patients in ICU have anxiety, depression and post-traumatic stress lasting months. It's the first study of its kind to investigate the link between cortisol... read more
A New Awareness of Mental Health in ICU Patients
During the last decade, the field of critical care medicine has been undergoing a sea change, says Dale Needham, medical director of the Johns Hopkins Critical Care Physical Medicine and Rehabilitation Program. It wasn't... read more
Fatigue and Sleep Deprivation
Being a doctor typically involves high-intensity, time-pressured working patterns. These can lead to sleep deprivation and fatigue, effecting doctors' health, well-being and performance, their safety and that of their patients.... read more
The Way We Think About Nurse Burnout is Broken
There are several things wrong with the way we think about nurse burnout. This is troubling for several reasons. If we do not have a clear understanding about burnout, then we cannot help nurses who may be suffering from... read more
Potentially Modifiable Risk Factors for Long-Term Cognitive Impairment After Critical Illness
Long-term cognitive impairment is common in survivors of critical illness. Little is known about the etiology of this serious complication. We sought to summarize current scientific knowledge about potentially modifiable... read more
Burnout and Stress Among US Surgery Residents
Burnout among physicians affects mental health, performance, and patient outcomes. Surgery residency is a high-risk time for burnout. We examined burnout and the psychological characteristics that can contribute to burnout... read more
Investing in Physicians’ Well-being is Just Good Business
The moral and ethical reason for physician practices, hospitals and academic centers to address physician burnout should be obvious, but a new medical journal article makes the case for why addressing doctors' well-being... read more
What Can Psychologists Do in Intensive Care?
As awareness has grown of the great distress intensive care patients may suffer, units have begun recruiting psychologists to their teams. Intensive care unit psychologists aim to assess and reduce distress for patients,... read more
High Morning Cortisol Tied to Long-term Anxiety in Family Members of ICU Patients
A new study published in the journal Critical Care Medicine finds that a biomarker may help identify which family members will be most emotionally impacted by their loved one's ICU stay. In particular, family members who... read more
