Psychological impact of working in paediatric intensive care. A UK-wide prevalence study.


Journal

Archives of disease in childhood
ISSN: 1468-2044
Titre abrégé: Arch Dis Child
Pays: England
ID NLM: 0372434

Informations de publication

Date de publication:
05 2020
Historique:
received: 18 04 2019
revised: 27 08 2019
accepted: 07 11 2019
pubmed: 23 11 2019
medline: 31 7 2020
entrez: 23 11 2019
Statut: ppublish

Résumé

To determine the prevalence of work-related psychological distress in staff working in UK paediatric intensive care units (PICU). Online (Qualtrics) staff questionnaire, conducted April to May 2018. Staff working in 29 PICUs and 10 PICU transport services were invited to participate. 1656 staff completed the survey: 1194 nurses, 270 physicians and 192 others. 234 (14%) respondents were male. Median age was 35 (IQR 28-44). The Moral Distress Scale-Revised (MDS-R) was used to look at moral distress, the abbreviated Maslach Burnout Inventory to examine the depersonalisation and emotional exhaustion domains of burnout, and the Trauma Screening Questionnaire (TSQ) to assess risk of post-traumatic stress disorder (PTSD). 435/1194 (36%) nurses, 48/270 (18%) physicians and 19/192 (10%) other staff scored above the study threshold for moral distress (≥90 on MDS-R) (χ These results suggest that UK PICU staff are experiencing work-related distress. Further studies are needed to understand causation and to develop strategies for prevention and treatment.

Identifiants

pubmed: 31753832
pii: archdischild-2019-317439
doi: 10.1136/archdischild-2019-317439
doi:

Types de publication

Journal Article Multicenter Study Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

470-475

Informations de copyright

© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

Auteurs

Gareth A L Jones (GAL)

Faculty of Medicine, Imperial College London, London, UK.

Gillian A Colville (GA)

Paediatric Psychology Service, St George's University Hospitals NHS Foundation Trust, London, UK.

Padmanabhan Ramnarayan (P)

Children's Acute Transport Service, Great Ormond Street Hospital for Children NHS Trust, London, UK.

Kerry Woolfall (K)

Institute of Psychology, University of Liverpool, Liverpool, UK.

Yvonne Heward (Y)

Paediatric Intensive Care Unit, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, UK.

Rachael Morrison (R)

Paediatric Intensive Care Unit, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, UK.

Amy Savage (A)

Child Clinical Psychology, University Hospital Southampton NHS Foundation Trust, Southampton, UK.

James Fraser (J)

Paediatric Intensive Care Unit, Bristol Children's Hospital, Bristol, UK.

Michael J Griksaitis (MJ)

Paediatric Intensive Care Unit, University Hospital Southampton NHS Foundation Trust, Southampton, UK.

David P Inwald (DP)

Paediatric Intensive Care Unit, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK d.inwald@imperial.ac.uk.

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Classifications MeSH