Understanding burnout and moral distress to build resilience: a qualitative study of an interprofessional intensive care
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REPORTS OF ORIGINAL INVESTIGATIONS
Understanding burnout and moral distress to build resilience: a qualitative study of an interprofessional intensive care unit team Comprendre l’e´puisement professionnel et la de´tresse morale afin de de´velopper la re´silience : une e´tude qualitative d’une e´quipe interprofessionnelle a` l’unite´ de soins intensifs . Tobias Witter, MD . Scott Comber, PhD . Jennifer Hancock, MD, FRCPC, CCM . Patricia Daley, BN, RN Kim Thompson, BSc, RRT . Stewart Candow, BN, RN . Gisele Follett, BSc, RRT . Walter Somers, RN, MN . Corry Collins, CLU, CHFC, CHS . Janet White, RN . Olga Kits, BA(H), MA Received: 25 February 2020 / Revised: 26 May 2020 / Accepted: 29 May 2020 Canadian Anesthesiologists’ Society 2020
Abstract Objective The purpose of this study was to explore personal and organizational factors that contribute to burnout and moral distress in a Canadian academic intensive care unit (ICU) healthcare team. Both of these issues have a significant impact on healthcare providers, their families, and the quality of patient care. These themes
will be used to design interventions to build team resilience. Methods This is a qualitative study using focus groups to elicit a better understanding of stakeholder perspectives on burnout and moral distress in the ICU team environment. Thematic analysis of transcripts from focus groups with registered intensive care nurses (RNs), respiratory therapists (RTs), and physicians (MDs) considered causes of burnout and moral distress, its impact, coping strategies, as well as suggestions to build resilience.
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s12630-020-01789-z) contains supplementary material, which is available to authorized users. J. Hancock, MD, FRCPC, CCM (&) Department of Critical Care Medicine, Dalhousie University, Queen Elizabeth II Hospital, 1276 South Park St., Halifax, NS B3H 2Y9, Canada e-mail: [email protected] T. Witter, MD Department of Critical Care, Department of Anesthesia, Pain Management & Perioperative Medicine, Dalhousie University, Queen Elizabeth II Hospital, Halifax, NS, Canada S. Comber, PhD Rowe School of Business, Faculty of Management, Dalhousie University, Halifax, NS, Canada P. Daley, BN, RN MSNICU, Health Sciences Centre, Queen Elizabeth II Hospital, Halifax, NS, Canada K. Thompson, BSc, RRT Respiratory Therapy Department, Central Zone, Nova Scotia Health Authority, Health Sciences Centre, Halifax, NS, Canada
S. Candow, BN, RN Intensive Care Unit, Health Sciences Centre, Queen Elizabeth II Hospital, Halifax, NS, Canada G. Follett, BSc, RRT J. White, RN Respiratory Therapy DGH, Health Sciences Centre, Queen Elizabeth II Hospital, Halifax, NS, Canada W. Somers, RN, MN Health Sciences Centre, Queen Elizabeth II Hospital, Halifax, NS, Canada C. Collins, CLU, CHFC, CHS CLU, Health Sciences Centre, Queen Elizabeth II Hospital, Halifax, NS, Canada O. Kits, BA(H), MA Research Methods Unit, Research, Innovation & Discovery, Nova Scotia Health Authority, Hal
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