Intensive Care Medicine

, Volume 38, Issue 1, pp 55–61

Suffering among carers working in critical care can be reduced by an intensive communication strategy on end-of-life practices

Authors

    • Service de Réanimation MédicaleCHU Dijon
  • J. P. Rigaud
    • Service de Réanimation PolyvalenteCHU Dieppe
  • S. Prin
    • Service de Réanimation MédicaleCHU Dijon
  • S. Barbar
    • Service de Réanimation MédicaleCHU Dijon
  • A. Pavon
    • Service de Réanimation MédicaleCHU Dijon
  • M. Hamet
    • Service de Réanimation MédicaleCHU Dijon
  • N. Jacquiot
    • Service de Réanimation MédicaleCHU Dijon
  • B. Blettery
    • Service de Réanimation MédicaleCHU Dijon
  • C. Hervé
    • Laboratoire d’éthique médicaleUniversité René Descartes-Paris V
  • P. E. Charles
    • Service de Réanimation MédicaleCHU Dijon
  • G. Moutel
    • Laboratoire d’éthique médicaleUniversité René Descartes-Paris V
Original

DOI: 10.1007/s00134-011-2413-z

Cite this article as:
Quenot, J.P., Rigaud, J.P., Prin, S. et al. Intensive Care Med (2012) 38: 55. doi:10.1007/s00134-011-2413-z

Abstract

Purpose

Burnout syndrome (BOS) has frequently been reported in healthcare workers, and precipitating factors include communication problems in the workplace and stress related to end-of-life situations. We evaluated the effect of an intensive communication strategy on BOS among caregivers working in intensive care (ICU).

Methods

Longitudinal, monocentric, before-and-after, interventional study. BOS was evaluated using the Maslach Burnout Inventory (MBI) and depression using the Centre for Epidemiologic Studies Depression Scale (CES-D) in 2007 (period 1) and 2009 (period 2). Between periods, an intensive communication strategy on end-of-life practices was implemented, based on improved organisation, better communication, and regular staff meetings.

Results

Among 62 caregivers in the ICU, 53 (85%) responded to both questionnaires in period 1 and 49 (79%) in period 2. We observed a significant difference between periods in all three components of the MBI (emotional exhaustion, p = 0.04; depersonalization p = 0.04; personal accomplishment, p = 0.01). MBI classified burnout as severe in 15 (28%) caregivers in period 1 versus 7 (14%) in period 2, p < 0.01, corresponding to a 50% risk reduction. Symptoms of depression as evaluated by the CES-D were present in 9 (17%) caregivers in period 1 versus 3 (6%) in period 2, p < 0.05, corresponding to a risk reduction of almost 60%.

Conclusion

The implementation of an active, intensive communication strategy regarding end-of-life care in the ICU was associated with a significant reduction in the rate of burnout syndrome and depression in a stable population of caregiving staff.

Keywords

Ethics Critical care organisation Communication

Copyright information

© Copyright jointly held by Springer and ESICM 2011