Stress, Burnout, Compassion Fatigue, and Mental Health in Hospice Workers in Minnesota

Whitebird, Robin R.; Asche, Stephen E.; Thompson, Gretchen; Rossom, Rebecca C.; Heinrich, Richard L.

doi:10.1089/jpm.2013.0202

Cited by 85 publications

(78 citation statements)

References 24 publications

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“…The findings of this study were in accordance with results of similar studies in that the nature of oncology work was described as stressful and exhausting because it involves unpleasant events associated with cancer treatment, talking about adverse events, working with terminally ill patients and supporting clients who have experienced trauma (Alkema et al, 2008;Dean,1998;Whitebird et al, 2013).…”

Section: Discussionsupporting

confidence: 88%

Why being a social worker in pediatric oncology is stressful and exhausting? A qualitative study in Iranian context

Ostadhashemi¹,

Eghlima²,

Arshi³

et al. 2017

Preprint

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As professionals, social workers have a special position in relation to considering the needs of children with cancer and their families. Hence, it is important to recognize the experiences and challenges of social workers to improve care of their clients. This study was a qualitative content analysis that aimed to determine a comprehensive understanding of 19 pediatric oncology social workers' experiences in Iran. Data were collected using semi structured interviews and field observations, analyzed through face content analysis. Concepts extracted from social workers' experiences consisted of the nature of oncology work, lack of professional competence, low organizational support and professional inferiority that were related to main concept of "exhausting and stressful service". The results indicated that social workers' involvement in stressful and emotionally demanding situations and professional and organizational challenges caused personal exhaustion. In addition to explaining the social workers' experiences and related factors, the results emphasize the importance of taking care of service providers to prevent them becoming stressed and exhausted. It is also important to protect patients from the consequences of stressed and exhausted care providers so further research is recommended to develop specific intervention.

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Section: Discussionsupporting

confidence: 88%

Why being a social worker in pediatric oncology is stressful and exhausting? A qualitative study in Iranian context

Ostadhashemi¹,

Eghlima²,

Arshi³

et al. 2017

Preprint

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“…Yet, inherent stressors pertaining to the work in this field, can impact the health and well-being of practitioners leading to stress, burnout, psychological morbidity and compassion fatigue [3–5]. Moreover, external factors including the limited healthcare resources, increased clinical demands and negative workplace cultures, can hinder the delivery of compassionate medicine [6].…”

Section: Introductionmentioning

confidence: 99%

Mindfulness and compassion-oriented practices at work reduce distress and enhance self-care of palliative care teams: a mixed-method evaluation of an “on the job“ program

et al. 2017

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BackgroundMaintaining a sense of self-care while providing patient centered care, can be difficult for practitioners in palliative medicine. We aimed to pilot an “on the job” mindfulness and compassion-oriented meditation training for interdisciplinary teams designed to reduce distress, foster resilience and strengthen a prosocial motivation in the clinical encounter.MethodsOur objective was to explore the feasibility and effectiveness of this newly developed training. The study design was an observational, mixed-method pilot evaluation, with qualitative data, self-report data, as well as objective data (cortisol) measured before and after the program.Twenty-eight staff members of an interdisciplinary palliative care team participated in the 10-week training conducted at their workplace.Measures were the Perceived Stress Questionnaire, the Maslach Burnout Inventory, the somatic complaints subscale of the SCL-90-R, the Emotion Regulation Skills Questionnaire, the Hospital Anxiety and Depression Scale, and a Goal Attainment Scale that assessed two individual goals. Semi-structured interviews were employed to gain insight into the perceived outcomes and potential mechanisms of action of the training. T-tests for dependent samples were employed to test for differences between baseline and post-intervention.ResultsSignificant improvements were found in two of three burnout components (emotional exhaustion and personal accomplishment), anxiety, stress, two emotional regulation competences and joy at work. Furthermore, 85% of the individual goals were attained. Compliance and acceptance rates were high and qualitative data revealed a perceived enhancement of self-care, the integration of mindful pauses in work routines, a reduction in rumination and distress generated in the patient contact as well as an enhancement of interpersonal connection skills. An improvement of team communication could also be identified.ConclusionsOur findings suggest that the training may be a feasible, effective and practical way of reducing caregiver-distress and enhancing the resources of palliative care teams.

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“…[33][34][35][36] Clinician stress and anxiety are associated with burnout, and burnout has been linked to poor quality of care. 33,[37][38][39] Training programs that target clinician stress and anxiety could thus lead to better patient care. Additional studies will need to examine the impact of online training in guided imagery on the quality of patient care.…”

Section: Discussionmentioning

confidence: 99%

The Feasibility and Effectiveness of Online Guided Imagery Training for Health Professionals

Rao

Kemper

2016

J Evid Based Complementary Altern Med

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This study evaluated the feasibility and impact of brief online guided imagery training (up to 3 hours) for health professionals. Paired t tests were used to measure pre-to-post-training changes in stress (Perceived Stress Scale,), anxiety (Patient Reported Outcomes Measurement Information System-Anxiety Scale), empathy (Empathic Concern Scale, and Perspective-taking Scale), and self-efficacy (Self-Efficacy in providing Non-Drug Therapies Scale). Online guided imagery training attracted diverse health professionals and trainees (n ¼ 273; 14% trainees; 34% registered nurses, 20% physicians, 14% social workers, 5% registered dititians, and 27% others). Participants reported small but significant pre-to-post-module improvements in stress (17.8 to 13.5), anxiety (T-scores 56.4 to 54.3), empathy (both empathic concern, 29.8 to 30.7, and perspective taking, 28.0 to 29.4), and selfefficacy in providing nondrug therapies for common symptoms (58.5 to 77.0) (P < .001 for all). Future studies will need to examine the clinical impact of online guided imagery training for health professionals.

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Stress, Burnout, Compassion Fatigue, and Mental Health in Hospice Workers in Minnesota

Abstract: Poor mental health places staff at risk for burnout and likely contributes to staff leaving hospice care; this is a critical issue as the profession attempts to attract new staff to meet the expanding demands for hospice care.

Cited by 85 publications

References 24 publications

Why being a social worker in pediatric oncology is stressful and exhausting? A qualitative study in Iranian context

Why being a social worker in pediatric oncology is stressful and exhausting? A qualitative study in Iranian context

Mindfulness and compassion-oriented practices at work reduce distress and enhance self-care of palliative care teams: a mixed-method evaluation of an “on the job“ program

The Feasibility and Effectiveness of Online Guided Imagery Training for Health Professionals

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