Adult Sepsis Guidelines
Children's Sepsis Guidelines
Adult ICU Liberation Guidelines
PANDEM Guidelines for Children and Infants
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Jerry J. Zimmerman, MD, PhD, FCCM
Even as critical care practitioners provide care for the most vulnerable patients in the hospital, at the same time these care providers are themselves vulnerable to erosion of their own work engagement because of persistent, high levels of work-related stress. In a recent survey of pediatric critical care physicians, nearly half scored high for burnout in at least one of the three subscales of the Maslach Burnout Inventory,1 and 21% reported severe burnout syndrome (BOS).2 About 90% of physicians reporting severe BOS in this survey had considered leaving their practice. In other surveys, nearly half of critical care physicians reported symptoms of severe BOS.3,4 One-fourth to one-third of critical care nurses manifest symptoms of severe BOS, and nearly 90% have at least one of the three classic symptoms.5 More generally, critical care healthcare professionals have one of the highest rates of BOS.5,6