Burnout and Self Care for Palliative Care Practitioners

Horn, David J.; Johnston, Catherine Bree

doi:10.1016/j.mcna.2019.12.007

Cited by 34 publications

(21 citation statements)

References 28 publications

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“…Further, it is about being healthy but also about incorporating coping strategies in life to deal with work stressors. Self-care can sustain well-being and resilience [ 23 , 69 ]. The importance of self-care is deeply rooted in SPC.…”

Section: Discussionmentioning

confidence: 99%

Burdens, resources, health and wellbeing of nurses working in general and specialised palliative care in Germany – results of a nationwide cross-sectional survey study

et al. 2021

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Background Palliative care in Germany is divided into general (GPC) and specialised palliative care (SPC). Although palliative care will become more important in the care sector in future, there is a large knowledge gab, especially with regard to GPC. The aim of this study was to identify and compare the burdens, resources, health and wellbeing of nurses working in GPC and SPC. Such information will be helpful for developing prevention programs in order to reduce burdens and to strengthen resources of nurses. Methods In 2017, a nationwide cross-sectional survey was conducted. In total, 437 nurses in GPC and 1316 nurses in SPC completed a questionnaire containing parts of standardised instruments, which included parts of the Copenhagen Psychosocial Questionnaire (COPSOQ), the Patient Health Questionnaire (PHQ-2), the Resilience Scale (RS-13) Questionnaire, a single question about back pain from the health survey conducted by the Robert Koch Institute as well as self-developed questions. The differences in the variables between GPC and SPC nurses were compared. Results SPC nurses reported higher emotional demands as well as higher burdens due to nursing care and the care of relatives while GPC nurses stated higher quantitative demands, i.e. higher workload. SPC nurses more often reported organisational and social resources that were helpful in dealing with the demands of their work. Regarding health, GPC nurses stated a poorer health status and reported chronic back pain as well as a major depressive disorder more frequently than SPC nurses. Furthermore, GPC nurses reported a higher intention to leave the profession compared to SPC nurses. Conclusions The findings of the present study indicate that SPC could be reviewed as the best practice example for nursing care in Germany. The results may be used for developing target group specific prevention programs for improving health and wellbeing of nurses taking the differences between GPC and SPC into account. Finally, interventional and longitudinal studies should be conducted in future to determine causality in the relationship of burdens, resources, health and wellbeing.

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Section: Discussionmentioning

confidence: 99%

Burdens, resources, health and wellbeing of nurses working in general and specialised palliative care in Germany – results of a nationwide cross-sectional survey study

et al. 2021

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“…Palliative care is a particularly demanding work environment for nurses due to prolonged exposure to patient suffering, pain, and death and to the grieving of family members. Palliative care profession is generally considered as highly stressful and subject to burnout, and nurses are considered to be in greater risk of developing the burnout syndrome and suffering other adverse health and well-being consequences than other palliative care professionals ( 15 , 16 , 17 , 18 ).…”

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confidence: 99%

Job demands, job control, and social support as predictors of job satisfaction and burnout in Croatian palliative care nurses

Junaković

Macuka

2021

Archives of Industrial Hygiene and Toxicology

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The Job Demands-Control-Support (JDCS) model has seldom been tested in palliative care settings, and occupational well-being of palliative care professionals has never before been investigated in Croatia. Our aim was therefore to fill that gap by testing the JDCS model among Croatian nurses providing palliative care. More specifically, we wanted to see how job demands, job control, and social support at work affect occupational well-being outcomes (i.e. job satisfaction and burnout dimensions of exhaustion and disengagement from work) in terms of the model’s iso-strain and buffer hypotheses. This cross-sectional study included 68 nurses working in various palliative care institutions across Croatia, who answered our online questionnaire. Overall, the nurses did not report high levels of burnout or low job satisfaction. The only significant effect was that of job control on job satisfaction (β=0.38; P<0.01) and disengagement (β=-0.45; P<0.01), while job demands and social support at work had a significant interaction effect on the burnout dimension of exhaustion (β=0.39; P<0.01) in the sense that high social support at work buffered the increase in exhaustion associated with high job demands. These findings suggest that interventions aimed at increasing perceived job control and social support at the workplace could improve occupational well-being of nurses working in palliative care.

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“…Burnout is the response to a prolonged state of stress, occurring by its chronification when coping methods have failed or were insufficient. [18][19][20][21] The syndrome is usually accompanied by a series of symptoms such as feelings of helplessness and hopelessness, lack of enthusiasm at work and in life in general, disillusionment, negative self-concept, negative attitudes toward work and partners, among others. [18][19][20][21] The most used instrument to assess job burnout is the MBI, and the scale has been validated in multiple physician and nonphysician populations.…”

Section: Discussionmentioning

confidence: 99%

“…[18][19][20][21] The syndrome is usually accompanied by a series of symptoms such as feelings of helplessness and hopelessness, lack of enthusiasm at work and in life in general, disillusionment, negative self-concept, negative attitudes toward work and partners, among others. [18][19][20][21] The most used instrument to assess job burnout is the MBI, and the scale has been validated in multiple physician and nonphysician populations. 15,22 The three dimensions of the MBI generate scores, and there is a considerable in > 79% of the studies, a high MBI_EE was defined as !…”

Section: Discussionmentioning

confidence: 99%

Impacto da pandemia COVID-19 na prevalência de burnout entre residentes em ortopedia

Barreto

Tavares

Azi

et al. 2021

Rev Bras Ortop (Sao Paulo)

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Resumo Objetivo O objetivo principal do presente estudo é avaliar o impacto da pandemia de COVID-19 na prevalência da síndrome de burnout entre residentes de ortopedia Como objetivo secundário, foram avaliadas características associadas ao risco de desenvolver a forma grave da síndrome. Método No presente estudo transversal, foram avaliados residentes antes e durante a pandemia de COVID-19. Estudantes de medicina formaram um grupo de controle. Os participantes responderam a um questionário sociodemográfico, ao Inventário Maslach Burnout, e à versão validada brasileira do Short Form Health Survey 36 (SF-36). Cinquenta e dois residentes foram avaliados antes da pandemia e 19 durante a pandemia. Resultados Quarenta e quatro (84,6%) residentes tinham critérios para síndrome de burnout, e a forma grave da síndrome estava presente em 16 (30,7%). Não houve alteração significativa nos escores avaliados após o início da pandemia de COVID-19. Também não houve aumento na prevalência da síndrome de burnout ou da forma grave da síndrome. Observou-se correlação negativa entre os itens SF-36 e o desenvolvimento da forma grave da síndrome de burnout. Conclusão A prevalência da síndrome de burnout e da forma grave da doença foi muito alta entre os residentes em cirurgia ortopédica. A pandemia de COVID-19 não aumentou o burnout nos residentes.

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Burnout and Self Care for Palliative Care Practitioners

Cited by 34 publications

References 28 publications

Burdens, resources, health and wellbeing of nurses working in general and specialised palliative care in Germany – results of a nationwide cross-sectional survey study

Burdens, resources, health and wellbeing of nurses working in general and specialised palliative care in Germany – results of a nationwide cross-sectional survey study

Job demands, job control, and social support as predictors of job satisfaction and burnout in Croatian palliative care nurses

Impacto da pandemia COVID-19 na prevalência de burnout entre residentes em ortopedia

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