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Goudarzian AH, Nikbakht Nasrabadi A, Sharif-Nia H, Farhadi B, Navab E. Exploring the concept and management strategies of caring stress among clinical nurses: a scoping review. Front Psychiatry 2024; 15:1337938. [PMID: 38863606 PMCID: PMC11165118 DOI: 10.3389/fpsyt.2024.1337938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Accepted: 05/10/2024] [Indexed: 06/13/2024] Open
Abstract
Objective The concept of caring stress and its specific management has received less attention than other dimensions of stress in nurses. Therefore, to clarify the concept of caring stress, a scoping review study was designed. This scoping review aimed to investigate the concept of caring stress among clinical nurses and examine the strategies used for its management. Methods This review employed a scoping review methodology to comprehensively map the essential concepts and attributes of the phenomenon by drawing on a wide range of sources. International databases including PubMed, Scopus, Web of Science, Google Scholar, and Scientific Information Database (SID) were searched to gather relevant studies published until October 1, 2023. MESH terms included "caring stress", "care", "stress", "nurse", and "stress management" were used. Two reviewers independently collected data from full-text papers, ensuring that each paper underwent assessment by at least two reviewers. Results Out of 104,094 articles initially searched, 22 articles were included in this study. High workloads, transmitting the infection, stressful thoughts, stressful emotions, and stressful communications were the significant concepts and factors of caring stress among nurses. Also, rest breaks during patient care shifts, playing music in the ward, and denial of critical situations were examples of positive and negative coping and management ways to reduce caring stress. Conclusion Effective stress management strategies can lead to better patient care and safety. Stressed nurses are more likely to make errors or become less vigilant in their duties, impacting patient outcomes. By addressing caring stress, clinical practice can prioritize patient well-being. Further research is required to delve deeper into this critical issue concerning nurses in the future.
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Affiliation(s)
- Amir Hossein Goudarzian
- Department of Psychiatric Nursing, School of nursing and midwifery, Tehran University of Medical Science, Tehran, Iran
- Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran
| | - Alireza Nikbakht Nasrabadi
- Department of Medical-Surgical Nursing and Basic Sciences, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Hamid Sharif-Nia
- Psychosomatic Research Center, Mazandaran University of Medical Sciences, Sari, Iran
- Department of Nursing, Amol Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
| | - Bahar Farhadi
- School of Medicine, Islamic Azad University, Mashhad Branch, Mashhad, Iran
| | - Elham Navab
- Department of Critical Care and Geriatric Nursing, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran
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Roche N, Darzins S, Oakman J, Stuckey R. Worker Experiences of the Work Health and Safety Impacts of Exposure to Dying and Death in Clinical Settings: A Qualitative Scoping Review. OMEGA-JOURNAL OF DEATH AND DYING 2022:302228221117902. [PMID: 36476137 DOI: 10.1177/00302228221117902] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2023]
Abstract
Workers employed in clinical healthcare settings often encounter dying and death of patients as a part of their role. This scoping review aimed to explore the physical and psychosocial OHS impacts on health workers exposed to death within their occupational role and their inherent coping strategies. Six electronic databases PsycINFO (Ovid), Medline (Ovid), AMED (EBSCO), CINAHL (EBSCO), and Proquest Social Sciences were searched for peer reviewed research articles published between March 1971 and April 2022. PRISMA-ScR guidelines were followed. Three authors independently assessed articles for inclusion. Fifty-three studies with focus settings in hospitals, hospice, general practice and residential care were identified. Five main themes were developed and organized using and ergonomic systems approach: Cultural Environment, Workplace, Job Demands, Impacts and Coping. The findings demonstrate that caring for dying patients, the dead and their families in clinical settings impacts workers emotionally, physically, behaviorally and spiritually.
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Affiliation(s)
- Natalie Roche
- Centre for Ergonomics and Human Factors, School of Public Health, La Trobe University, Melbourne, VIC, Australia
| | - Susan Darzins
- School of Allied Health, Australian Catholic University, Melbourne, VIC, Australia
| | - Jodi Oakman
- Centre for Ergonomics and Human Factors, School of Public Health, La Trobe University, Melbourne, VIC, Australia
| | - Rwth Stuckey
- Centre for Ergonomics and Human Factors, School of Public Health, La Trobe University, Melbourne, VIC, Australia
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Garcia ACM, Silva LSR, Ferreira ACG, Conceição VMD, Meireles E, Mills J. Translation, cultural adaptation, and validation of the mindful self-care scale among Brazilian palliative care providers. Palliat Support Care 2022; 20:839-845. [PMID: 34812133 DOI: 10.1017/s1478951521001802] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE This study aimed to translate, culturally adapt, and validate the Mindful Self-Care Scale (MSCS, 33-item) in a Brazilian hospice and palliative care context. METHOD This was a cross-sectional study with a sample of 336 Brazilian hospice and palliative care providers. The European Organisation for Research and Treatment of Cancer - Quality of Life Group Translation Procedure protocol was used for the translation and the cultural adaptation process. Psychometric properties supporting the use of the MSCS were examined through confirmatory factor analysis (CFA) and correlation analysis with other instruments to assess congruence to related constructs (resilience and self-compassion). The reliability of the Brazilian-Portuguese version of the MSCS was assessed using Cronbach's α and composite reliability coefficients. RESULTS The six-factor (33-item) model showed a good fit to the data, with satisfactory reliability indices and adequate representation of the scale's internal structure. Further validity is evidenced in the significant, positive correlations found between the MSCS, and similar well-being constructs, namely the Self-Compassion and Resilience scales. SIGNIFICANCE OF RESULTS The findings reveal that the MSCS (33-item) is a valid, reliable, and culturally appropriate instrument to examine the practice of mindful self-care by hospice and palliative care providers in Brazil. More broadly, it represents a promising instrument for future research into self-care practices and well-being among Brazilian healthcare providers.
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Affiliation(s)
- Ana Cláudia Mesquita Garcia
- Interdisciplinary Center for Studies in Palliative Care, School of Nursing, Federal University of Alfenas, Alfenas, Minas Gerais, Brazil
| | - Laura Soares Rodrigues Silva
- Interdisciplinary Center for Studies in Palliative Care, School of Nursing, Federal University of Alfenas, Alfenas, Minas Gerais, Brazil
| | - Ana Cristina Gonçalves Ferreira
- Interdisciplinary Center for Studies in Palliative Care, School of Nursing, Federal University of Alfenas, Alfenas, Minas Gerais, Brazil
| | | | - Everson Meireles
- Health Sciences Center, Federal University of Recôncavo da Bahia, Santo Antônio de Jesus, Bahia, Brazil
| | - Jason Mills
- School of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
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Peter S, Volkert AM, Radbruch L, Rolke R, Voltz R, Pfaff H, Scholten N. Influence of Palliative Care Qualifications on the Job Stress Factors of General Practitioners in Palliative Care: A Survey Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14541. [PMID: 36361420 PMCID: PMC9655917 DOI: 10.3390/ijerph192114541] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Revised: 10/24/2022] [Accepted: 11/03/2022] [Indexed: 06/16/2023]
Abstract
Due to demographic change, the number of patients in palliative care (PC) is increasing. General Practitioners (GPs) are important PC providers who often have known their patients for a long time. PC can be demanding for GPs. However, there are few studies on the job stress factors of GPs performing PC and the potential influence of their PC training. To get more insights, a postal survey was performed with GPs in North Rhine, Germany. The questionnaire was based on a literature search, qualitative pre-studies, and the Hospital Consultants' Job Stress & Satisfaction Questionnaire (HCJSSQ). Participants state that a high level of responsibility, conflicting demands, and bureaucracy are the most important stressors they experienced in PC. The influence of PC qualification level on their perceived job stress factors is low. Only advanced but not specialist qualification shows a correlation with renumeration-related stress. Gender and work experience are more dominant influences. In our study, female GPs and physicians with more work experience tend to be more stressed. In conclusion, organisational barriers, such as administration, should be reduced and renumeration should be increased to facilitate the daily work of GPs.
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Affiliation(s)
- Sophie Peter
- Faculty of Human Sciences, University of Cologne, 50933 Cologne, Germany
- Faculty of Medicine, University of Cologne, 50933 Cologne, Germany
- Institute of Medical Sociology, Health Services Research and Rehabilitation Science, University Hospital Cologne, 50933 Cologne, Germany
| | - Anna Maria Volkert
- Faculty of Human Sciences, University of Cologne, 50933 Cologne, Germany
- Faculty of Medicine, University of Cologne, 50933 Cologne, Germany
- Institute of Medical Sociology, Health Services Research and Rehabilitation Science, University Hospital Cologne, 50933 Cologne, Germany
| | - Lukas Radbruch
- Department of Palliative Medicine, University Hospital Bonn, 53127 Bonn, Germany
| | - Roman Rolke
- Department of Palliative Medicine, Medical Faculty, RWTH Aachen University, 52074 Aachen, Germany
| | - Raymond Voltz
- Faculty of Medicine, University of Cologne, 50933 Cologne, Germany
- Department of Palliative Medicine, University Hospital Cologne, 50933 Cologne, Germany
- CIO Aachen Bonn Cologne Düsseldorf, 50937 Cologne, Germany
| | - Holger Pfaff
- Faculty of Human Sciences, University of Cologne, 50933 Cologne, Germany
- Faculty of Medicine, University of Cologne, 50933 Cologne, Germany
- Institute of Medical Sociology, Health Services Research and Rehabilitation Science, University Hospital Cologne, 50933 Cologne, Germany
| | - Nadine Scholten
- Faculty of Human Sciences, University of Cologne, 50933 Cologne, Germany
- Faculty of Medicine, University of Cologne, 50933 Cologne, Germany
- Institute of Medical Sociology, Health Services Research and Rehabilitation Science, University Hospital Cologne, 50933 Cologne, Germany
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Finucane A, Hulbert-Williams NJ, Swash B, Spiller JA, Lydon B, Gillanders D. Research Evaluating Staff Training Online for Resilience (RESTORE): Protocol for a single-arm feasibility study of an online Acceptance and Commitment Therapy intervention to improve staff wellbeing in palliative care settings. AMRC OPEN RESEARCH 2022; 3:26. [PMID: 38708066 PMCID: PMC11064981 DOI: 10.12688/amrcopenres.13035.2] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 06/06/2022] [Indexed: 05/07/2024]
Abstract
Background Palliative care staff commonly experience workplace stress and distress. General stressors include unmanageable workloads and staff shortages. Stressors specific to palliative care include regular exposure to death, loss and grief. The COVID-19 pandemic exacerbated exhaustion and burnout across the healthcare system, including for those providing palliative care. Evidence based psychological support interventions, tailored to the needs and context of palliative care staff, are needed. Acceptance and Commitment Therapy (ACT) is an established form of cognitive behavioural therapy which uses behavioural psychology, values, acceptance, and mindfulness techniques to improve mental health and wellbeing. ACT is effective in improving workplace wellbeing in many occupational settings. Our study examines the acceptability and feasibility of an online ACT-based intervention to improve mental health and wellbeing in staff caring for people with an advanced progressive illness. Methods We plan a single-arm feasibility trial. We will seek to recruit 30 participants to take part in an 8- week online ACT-based intervention, consisting of three synchronous facilitated group sessions and five asynchronous self-directed learning modules. We will use convergent mixed methods to evaluate the feasibility of the intervention. Quantitative feasibility outcomes will include participant recruitment and retention rates, alongside completion rates of measures assessing stress, quality of life, wellbeing, and psychological flexibility. Focus groups and interviews will explore participant perspectives on the intervention. We will run a stakeholder workshop to further refine the intervention and identify outcomes for use in a future evaluation. Results We will describe participant perspectives on intervention acceptability, format, content, and perceived impact, alongside rates of intervention recruitment, retention, and outcome measure completion. Conclusion We will show whether a brief, online ACT intervention is acceptable to, and feasible for palliative care staff. Findings will be used to further refine the intervention and provide essential information on outcome assessment prior to a full-scale evaluation.
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Affiliation(s)
- Anne Finucane
- Clinical Psychology, University of Edinburgh, Edinburgh, UK
- Marie Curie, Edinburgh, UK
| | - Nicholas J Hulbert-Williams
- School of Psychology, University of Chester, Chester, UK
- Department of Psychology, Edge Hill University, Ormskirk, Lancashire, UK
| | - Brooke Swash
- School of Psychology, University of Chester, Chester, UK
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6
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Yi LJ, Liu Y, Tang L, Cheng L, Wang GH, Hu SW, Liu XL, Tian X, Jiménez-Herrera MF. A Bibliometric Analysis of the Association Between Compassion Fatigue and Psychological Resilience From 2008 to 2021. Front Psychol 2022; 13:890327. [PMID: 35814110 PMCID: PMC9258720 DOI: 10.3389/fpsyg.2022.890327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2022] [Accepted: 04/22/2022] [Indexed: 11/13/2022] Open
Abstract
Aims A negative association between the lower level of psychological resilience (PR) and increased risk of compassion fatigue (CF) and higher Coronavirus disease 2019 (COVID-19) stress has been revealed. However, bibliometric studies have not been performed to comprehensively investigate this topic. This study aimed to identify the status and trends in the CF and PR field from 2008 to 2021 and during the COVID-19 pandemic. Methods We identified relevant literature from the Web of Science Core Collection® database using "resilience" and "compassion fatigue" on September 30, 2021. All search results were exported in plain text format for collaboration network analysis, reference-based co-citation analysis, analysis of journals, and keywords-based co-occurrence analysis, which were performed using Citespace® 5.8.R1. Results A total of 388 publications were identified finally, and there has been an increasing trend in the annual number of publications with light fluctuations. The analysis of journals and keywords indicated that nurses and social workers are the main research targets, and their mental problems are the main research topics. The turnover intention of health care providers has been a research focus, particularly during the COVID-19. Conclusion The results of the present study help us understand the status of the CF and PR field and its recent developments.
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Affiliation(s)
- Li-Juan Yi
- Department of Nursing, Hunan Traditional Chinese Medical College, Zhuzhou, China
- Department of Nursing, Universitat Rovira I Virgili, Tarragona, Spain
| | - Yi Liu
- Department of Physical Education, Hunan Traditional Chinese Medical College, Zhuzhou, China
| | - Ling Tang
- Chongqing University Cancer Hospital, Chongqing, China
| | - Liang Cheng
- Department of Nursing, Hunan Traditional Chinese Medical College, Zhuzhou, China
| | - Guo-Hao Wang
- Department of Management Engineering, Tangshan Industrial Vocational & Technical College, Tangshan, China
| | - Su-Wen Hu
- Department of Nursing, Hunan Traditional Chinese Medical College, Zhuzhou, China
| | - Xiao-Ling Liu
- Chongqing Key Laboratory for Intelligent Oncology in Breast Cancer (iCQBC), Department of Ultrasound, Chongqing University Cancer Hospital, Chongqing, China
| | - Xu Tian
- Department of Nursing, Universitat Rovira I Virgili, Tarragona, Spain
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7
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Aparicio M, Centeno C, Robinson CA, Arantzamendi M. Palliative Professionals' Experiences of Receiving Gratitude: A Transformative and Protective Resource. QUALITATIVE HEALTH RESEARCH 2022; 32:1126-1138. [PMID: 35574986 PMCID: PMC9251753 DOI: 10.1177/10497323221097247] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Providing palliative care can be both challenging and rewarding. It involves emotionally demanding work and yet research shows that burnout is lower than in other fields of health care. Spontaneous expressions of gratitude from patients and family members are not uncommon and are highly valued. This study explored the experience of Spanish palliative professionals who received expressions of gratitude from their patients and families. A phenomenological approach was used to better understand the role of receiving gratitude in participants' lives. Interviews were transcribed verbatim and a phenomenological approach to analysis was undertaken using macro-thematic and micro-thematic reflection. Two team members independently engaged in this reflection with an inductive approach. The analysis was shared and discussed at periodic meetings to identify the key themes and sub-themes of the gratitude experience. Ten palliative professionals were interviewed. Participants engaged in a process of recognizing, internalizing, and treasuring the expressions of gratitude which they then used for reflection and growth. These expressions were a powerful and deeply meaningful resource that the palliative professionals revisited over time. Receiving expressions of gratitude invited a stronger sense of the value of one's self and one's work that was motivational and protective, particularly during challenging times.
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Affiliation(s)
- Maria Aparicio
- ATLANTES Global Observatory of Palliative
Care, Universidad de Navarra, Pamplona, Spain
- Clinical Nurse Specialist in Palliative Care at
St Christopher’s Hospice and Visiting Lecturer at St Christopher’s Centre for
Awareness and Response to End of life (StC CARE), London, UK
| | - Carlos Centeno
- ATLANTES Global Observatory of Palliative
Care, Universidad de Navarra, Pamplona, Spain
- Clínica Universidad de Navarra, Palliative Medicine Department, Pamplona, Spain
- IdiSNA, Instituto de Investigación Sanitaria de
Navarra, Pamplona, Spain
| | - Carole A. Robinson
- ATLANTES Global Observatory of Palliative
Care, Universidad de Navarra, Pamplona, Spain
- School of Nursing, Faculty of Health and
Social Development, University of British Columbia, Kelowna British Columbia, Canada
| | - María Arantzamendi
- ATLANTES Global Observatory of Palliative
Care, Universidad de Navarra, Pamplona, Spain
- IdiSNA, Instituto de Investigación Sanitaria de
Navarra, Pamplona, Spain
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8
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Sapeta P, Centeno C, Belar A, Arantzamendi M. Adaptation and continuous learning: integrative review of coping strategies of palliative care professionals. Palliat Med 2022; 36:15-29. [PMID: 34554042 PMCID: PMC8793319 DOI: 10.1177/02692163211047149] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Coping is essential to manage palliative care professionals' challenges. The focus has been on the effects of coping mechanism; however, little is known about coping itself in palliative care. AIM To synthesise evidence of coping strategies in palliative care professionals, and how different strategies play roles over time. DESIGN Systematically conducted integrative review. DATA SOURCES PubMed; CINAHL; Medline; PsycINFO and B-ON were searched (1996-2021) combining 'coping' AND 'palliative care'. A predefined data extraction sheet was developed to report data. Two researchers performed constant comparative analysis using Nvivo®. RESULTS Thirty-one studies were included. Four main strategies with recurrent reference to time were found: (a) proactive coping, involving activities to achieve self-confidence and control situations and emotions; (b) self-care based coping, including self-protection and self-awareness activities, with behavioural disconnection; (c) self-transformation coping, involving activities to accept limits; and (d) encountering deep professional meaning, is a coping mechanism based on meaning, frequently considering the deepest meaning of work. The dynamic and influencing factors were training, team interaction, professional motivation and family. They were usually protective factors, though sometimes they represented risk factors. The emotional burden associated with healthcare and systemic stressors were always risk factors. An explanatory model describes a complex and dynamic process, in which everyday strategies and more introspective strategies are combined. CONCLUSIONS The model showed a process of adaptation and learning to persevere in palliative care. It changes over time under factors and strategies, and evolves in a personal and professional transformation, parallel to the working life. It would be worth assessing coping in healthcare professionals who chose to leave palliative care and to investigate the reasons they did so and their coping mechanisms.
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Affiliation(s)
- Paula Sapeta
- Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, Castelo Branco, Portugal
| | - Carlos Centeno
- Institute for Culture and Society, ATLANTES, Universidad de Navarra, Pamplona, Navarra, Spain
- IdISNA – Instituto de Investigación Sanitaria de Navarra, Medicina Paliativa, Pamplona, Navarra, Spain
- Clínica Universidad de Navarra, Pamplona, Navarra, Spain
| | - Alazne Belar
- Institute for Culture and Society, ATLANTES, Universidad de Navarra, Pamplona, Navarra, Spain
- IdISNA – Instituto de Investigación Sanitaria de Navarra, Medicina Paliativa, Pamplona, Navarra, Spain
| | - María Arantzamendi
- Institute for Culture and Society, ATLANTES, Universidad de Navarra, Pamplona, Navarra, Spain
- IdISNA – Instituto de Investigación Sanitaria de Navarra, Medicina Paliativa, Pamplona, Navarra, Spain
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10
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Mills J, Ramachenderan J, Chapman M, Greenland R, Agar M. Prioritising workforce wellbeing and resilience: What COVID-19 is reminding us about self-care and staff support. Palliat Med 2020; 34:1137-1139. [PMID: 32736490 DOI: 10.1177/0269216320947966] [Citation(s) in RCA: 33] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Jason Mills
- School of Nursing, Midwifery & Paramedicine, University of the Sunshine Coast, QLD, Australia
| | - Jonathan Ramachenderan
- Great Southern Regional Palliative Care Service, Albany Health Campus, Western Australia Country Health Service, WA, Australia
| | - Michael Chapman
- Department of Palliative Care, ANU Medical School, Canberra Health Services, Australian National University, ACT, Australia
| | | | - Meera Agar
- IMPACCT (Improving Palliative, Aged and Chronic Care through Clinical Research and Translation) Centre, University of Technology Sydney, NSW, Australia
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11
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The Experiences of Well-being of Palliative Care Providers in Malaysia: A Thematic Analysis. J Hosp Palliat Nurs 2020; 22:407-414. [PMID: 32898385 DOI: 10.1097/njh.0000000000000678] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Palliative care providers find meaning in their work, even though stress, burnout, and compassion fatigue can be a concern. In this study, we aimed to explore the experiences of well-being of palliative care providers in Malaysia. Data collected using semistructured interviews were thematically analyzed. Eighteen palliative care providers participated: 9 doctors and 9 nurses. Five subthemes were generated: (1) values and strengths, (2) coping and work-life balance, (3) social support and spirituality, (4) passion and satisfaction, and (5) learning, growth, and transformation. These subthemes were further categorized into 2 themes: resilience and reward. The results may inform the development of interventions in the promotion and sustenance of well-being of palliative care providers.
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12
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Adams M, Chase J, Doyle C, Mills J. Self-care planning supports clinical care: Putting total care into practice. PROGRESS IN PALLIATIVE CARE 2020. [DOI: 10.1080/09699260.2020.1799815] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Affiliation(s)
- Marg Adams
- Nurse Practitioner and Independent Scholar, Queensland, Australia
| | - Jeanne Chase
- Social Worker, Psychotherapist and Independent Scholar, Queensland, Australia
| | - Camille Doyle
- Nurse Practitioner and Independent Scholar, Queensland, Australia
| | - Jason Mills
- School of Nursing, Midwifery & Paramedicine, University of the Sunshine Coast, Sippy Downs, Australia
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13
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Povedano-Jimenez M, Granados-Gamez G, Garcia-Caro MP. Work environment factors in coping with patient death among Spanish nurses: a cross-sectional survey. Rev Lat Am Enfermagem 2020; 28:e3234. [PMID: 32321038 PMCID: PMC7164927 DOI: 10.1590/1518-8345.3279.3234] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2018] [Accepted: 09/19/2019] [Indexed: 12/04/2022] Open
Abstract
Objective: to explore self-perception competence among Spanish nurses dealing with
patient death and its relationship with work environment, evidence-based
practice, and occupational stress. Method: a cross-sectional web-based survey collected information from a convenience
sample of 534 nurses from professional Spanish Colleges who answered four
validated questionnaires: Coping with Death Scale, Practice Environment
Scale of the Nursing Work Index, Perception of Evidence-Based Practice (EBP)
and Nursing Stress Scale. Results: a total of 79% of the participants were women, the average age was 40 years
old, 38% had a postgraduate degree and 77% worked in public health settings.
Many nurses evaluated their work environment as unfavorable (66%), reported
high occupational stress (83.5±14.9), and had high scores on
knowledge/skills in EBP (47.9±11.3). However, 61.2% of them perceived an
optimal coping (>157 score). The multivariate logistic model indicated
positive associations with work environment and EBP characteristics (OR:
1.30, p=0.054; OR: 1.04, p=0.007; OR:
1.13, p<0.001, respectively) but negative associations
with occupational stress and short work experience (OR: 0.98,
p=0.0043; OR: 0.74, p<0.002,
respectively). These factors explained 23.1% of the coping variance
(p<0.001). Conclusion: although most nurses perceived optimal coping, the situation could be
enhanced by modifying several contextual factors. The identification of
these factors would improve the quality of end-of-life care by facilitating
nursing management.
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14
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Sibeoni J, Bellon-Champel L, Mousty A, Manolios E, Verneuil L, Revah-Levy A. Physicians' Perspectives About Burnout: a Systematic Review and Metasynthesis. J Gen Intern Med 2019; 34:1578-1590. [PMID: 31147982 PMCID: PMC6667539 DOI: 10.1007/s11606-019-05062-y] [Citation(s) in RCA: 38] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/17/2018] [Revised: 01/11/2019] [Accepted: 04/12/2019] [Indexed: 10/26/2022]
Abstract
BACKGROUND Doctors' burnout is a major public health issue with important harmful effects on both the healthcare system and physicians' mental health. Qualitative studies are relevant in this context, focusing as they do on the views of the physicians of how they live and understand burnout in their own professional field. OBJECTIVE To explore physicians' perspectives on burnout by applying a metasynthesis approach, including a systematic literature review and analysis of the qualitative studies. DATA SOURCES Medline, PsycINFO, EMBASE, and SSCI from the earliest available date to June 2018 REVIEW METHODS: This metasynthesis follows thematic synthesis procedures. Four databases were systematically searched for qualitative studies reporting doctors' perspectives on burnout. Article quality was assessed with the Critical Appraisal Skills Program. Thematic analysis was used to identify key themes and synthesize them. RESULTS Thirty-three articles were included, covering data from more than 1589 medical doctors (68 residents and 1521 physicians). Two themes emerged from the analysis: (1) stress factors promoting burnout-ranked as organizational, then contextual and relational, and finally individual-factors and (2) protective factors, which were above all individual but also relational and organizational. CONCLUSIONS The individual and organizational levels are abundantly described in the literature, as risk factors and interventions. Our results show that doctors identify numerous organizational factors as originators of potential burnout, but envision protecting themselves individually. Relational factors, in a mediate position, should be addressed as an original axis of protection and intervention for battling doctors' burnout.
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Affiliation(s)
- Jordan Sibeoni
- Service Universitaire de Psychiatrie de l'Adolescent, Argenteuil Hospital Centre, 69 rue du LTC Prud'hon, 95107, Argenteuil, France. .,ECSTRRA Team, UMR-1153, Inserm, Université de Paris, 75010, Paris, France.
| | | | - Antoine Mousty
- Service Universitaire de Psychiatrie de l'Adolescent, Argenteuil Hospital Centre, 69 rue du LTC Prud'hon, 95107, Argenteuil, France
| | - Emilie Manolios
- ECSTRRA Team, UMR-1153, Inserm, Université de Paris, 75010, Paris, France.,Service de Psychologie et Psychiatrie de Liaison et d'Urgences, Hôpital Européen Georges Pompidou AP-HP, Hôpitaux Universitaires Paris Ouest, Paris, France
| | - Laurence Verneuil
- ECSTRRA Team, UMR-1153, Inserm, Université de Paris, 75010, Paris, France
| | - Anne Revah-Levy
- Service Universitaire de Psychiatrie de l'Adolescent, Argenteuil Hospital Centre, 69 rue du LTC Prud'hon, 95107, Argenteuil, France.,ECSTRRA Team, UMR-1153, Inserm, Université de Paris, 75010, Paris, France
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15
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Damaceno MJCF, Chirelli MQ. The Implementation of Senior Health Care in the Family Health Strategy: The View of Professionals and Managers. CIENCIA & SAUDE COLETIVA 2019; 24:1637-1646. [PMID: 31166499 DOI: 10.1590/1413-81232018245.04342019] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2018] [Accepted: 02/19/2019] [Indexed: 11/22/2022] Open
Abstract
Changes in the demographic profile over recent decades, especially population aging, have implications for Brazilian public policies. This study aims to analyze how family health strategy teams implement and carry out care for the elderly in a Brazilian municipality. The qualitative field research was conducted by collecting data through semistructured interviews using Minayo as a point of reference and employing thematic content analysis. One observation was that the National Health Policy for Elderly People (Política Nacional de Saúde da Pessoa Idosa - PNSPI) has been facing challenges in its implementation at the municipal level in terms of the lack of specific actions by the PNSPI, limited actions or lack of accessibility, lack of training for health professionals, hiring and management of workers, intersectoral actions, and management. It was concluded that a better outlook for the implementation of the PNSPI in the context of the aging population will require strengthening actions through the precepts of comanagement, an expanded clinic, and health education to increase individuals' independence.
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Affiliation(s)
- Maria José Caetano Ferreira Damaceno
- Fundação Educacional do Município de Assis, Instituto Municipal de Ensino Superior de Assis. Av. Getúlio Vargas 1200, Vila Nova Santana. 19807-634 Assis SP Brasil.
| | - Mara Quaglio Chirelli
- Programa de Pós-Graduação Saúde e Envelhecimento, Faculdade de Medicina de Marília, Marília SP Brasil
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16
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Mills J, Wand T, Fraser JA. Palliative care professionals' care and compassion for self and others: a narrative review. Int J Palliat Nurs 2017; 23:219-229. [DOI: 10.12968/ijpn.2017.23.5.219] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Jason Mills
- PhD Candidate. Lecturer, School of Nursing, Queensland University of Technology, QLD Australia
| | - Timothy Wand
- Associate Professor, Faculty of Nursing and Midwifery, The University of Sydney, NSW Australia
| | - Jennifer A Fraser
- Associate Professor, Faculty of Nursing and Midwifery, The University of Sydney, NSW Australia
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17
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Gray JA, Kim J. Direct care workers’ experiences of grief and needs for support. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2017; 30:995-1006. [DOI: 10.1111/jar.12339] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/19/2017] [Indexed: 11/29/2022]
Affiliation(s)
- Jennifer A. Gray
- School of Health StudiesPublic HealthNorthern Illinois University DeKalb IL USA
| | - Jinsook Kim
- School of Health StudiesPublic HealthNorthern Illinois University DeKalb IL USA
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18
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Chuah PF, Lim ML, Choo SL, Woo GY, To HK, Lau KY, Chen J, Lian SB. A qualitative study on oncology nurses’ experiences of providing palliative care in the acute care setting. PROCEEDINGS OF SINGAPORE HEALTHCARE 2016. [DOI: 10.1177/2010105816660322] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Background: With the renewed emphasis on palliative care in Singapore, coupled with a dearth of studies on provision of palliative care in acute services, it is timely to explore the experiences, barriers and challenges faced by oncology nurses in the acute care setting. Aim: This study aimed to explore nurses’ experiences of providing palliative care in the acute oncology care unit. Method: An exploratory descriptive research methodology was adopted. Focus group interviews, involving a total of 24 nurses, were conducted. Interviews were audio-taped and transcribed verbatim. Data was analyzed using an inductive content analysis approach. Results: Five key themes emerged from the analysis: (1) nurses’ perceptions of palliative care; (2) multiple roles of nurses in palliative care; (3) emotional burden of providing palliative care; (4) misconceptions of palliative care; (5) challenges in providing palliative care. Conclusion: The provision of palliative care in the acute care setting remained challenging. This is partly due to the attitudes of patients, families and healthcare workers, as well as organizational factors such as lack of training. Nurses play an important role in giving and facilitating palliative care for patients in the hospitals. Future studies can explore interventions to help overcome the challenges that are impeding nurses from providing high-quality palliative care in the acute care setting.
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Affiliation(s)
| | | | | | | | | | | | - Juan Chen
- Singapore General Hospital, Singapore
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