TY - CHAP M1 - Book, Section TI - Care of the Caregiver in the ICU and After Critical Illness A1 - Skrobik, Yoanna A2 - Hall, Jesse B. A2 - Schmidt, Gregory A. A2 - Kress, John P. PY - 2015 T2 - Principles of Critical Care, 4e AB - Fifty percent (50%) of physicians and nurse caregivers working in intensive care units (ICUs) are reported to experience burnout. Physician burnout is attributable to the number of working hours (number of night shifts, and vacation time and frequency), whereas burnout among ICU nurses is mainly related to ICU organization and end-of-life care policy.ICU conflicts are independent predictors of burnout for both physicians and nurses. Recent studies identify potentially effective preventive measures. Despite identification of associations and triggers, no prospective study addresses the issues of impact on quality of care or caregiver outcome, or effective management strategies once burnout occurs.Standardized communication strategies appear key to ensure safety, effective functioning, and harmonious end-of-life decision making and care; physicians may not be natural leaders in establishing interprofessional intensive care communication strategies. Communication should be considered a safety feature on par with infection control, and requires organization and buy-in from all stakeholders.The specific context of pandemics and natural disasters impose a greater burden on critical care staff and require planning and postevent debriefing and caregiver follow-up.The stress experienced by trainees exposed to critical care is essential to learning. Reflexive learning and the use of the narrative are useful in contexts where emotion and morality are part of the critical caregiver's experience. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/06 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1107715501 ER -