Burnout and Resilience After a Decade in Palliative Care: What Survivors Have to Teach Us. A Qualitative Study of Palliative Care Clinicians With More Than 10 Years of Experience.

Autor: Koh MYH; Department of Palliative Medicine, Tan Tock Seng Hospital, Singapore. Electronic address: mervyn_koh@ttsh.com.sg., Hum AYM; Palliative Care Centre for Excellence in Research and Education (PalC), Singapore., Khoo HS; Health Outcomes and Medical Education Research, National Healthcare Group, Singapore., Ho AHY; School of Social Sciences, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore., Chong PH; HCA Hospice Care, Singapore., Ong WY; Dover Park Hospice, Singapore., Ong J; Dover Park Hospice, Singapore., Neo PSH; Division of Supportive and Palliative Care, National Cancer Centre, Singapore., Yong WC; National University Cancer Institute, Singapore.
Jazyk: angličtina
Zdroj: Journal of pain and symptom management [J Pain Symptom Manage] 2020 Jan; Vol. 59 (1), pp. 105-115. Date of Electronic Publication: 2019 Aug 26.
DOI: 10.1016/j.jpainsymman.2019.08.008
Abstrakt: Context: Burnout is common among palliative care clinicians (PCCs). Resilience helps to reduce burnout, compassion fatigue, and is associated with longevity in palliative care.
Objectives: We aimed to study PCCs who have remained in the field for longer than 10 years to deepen our understanding on their views on burnout and resilience.
Methods: We conducted a qualitative study using semistructured interviews and purposive sampling on 18 PCCs - five doctors, 10 nurses, and three social workers who worked in various palliative care settings (hospital palliative care team, home hospice, and inpatient hospice). The mean age of the interviewees was 52 years, and the mean number of years practicing palliative care was 15.7 years (range 10-25). The interviews were recorded verbatim, transcribed, and analyzed using a grounded theory approach.
Results: Four major themes emerged from our analysis - struggling, changing mindset, adapting, and resilience. Intervening conditions, such as self-awareness, reflection, and evolution, were also important factors. The core phenomenon of our study was that of transformational growth - a process that PCCs have to go through before they achieve resilience. We also further classified resilience into both personal and collective resilience.
Conclusion: Our findings highlight the evolving process of transformational growth that PCCs must repeatedly undergo as they strive toward sustained resilience and longevity. It also stresses the importance of taking individual and collective responsibility toward building a culture of personal and team resilience.
(Copyright © 2019 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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