Burnout in Palliative Care - Difficult Cases: Qualitative Study.
| Autor: | Koh MYH; Palliative Medicine, Tan Tock Seng Hospital, Singapore mervyn_koh@ttsh.com.sg., Gallardo MD; Palliative Medicine, Tan Tock Seng Hospital, Singapore., Khoo HS; Health Outcomes and Medical Education Research (HOMER), National Healthcare Group, Singapore., Hum A; Palliative Medicine, Tan Tock Seng Hospital, Singapore. |
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| Jazyk: | angličtina |
| Zdroj: | BMJ supportive & palliative care [BMJ Support Palliat Care] 2024 Jan 08; Vol. 13 (e3), pp. e1383-e1389. Date of Electronic Publication: 2024 Jan 08. |
| DOI: | 10.1136/bmjspcare-2021-003347 |
| Abstrakt: | Objectives: Burnout is common among palliative care clinicians, occurring as a result of emotions experienced in caring for challenging patients or families. Awareness of these scenarios helps clinicians and teams appropriately manage their own emotions and prevent burnout. We studied challenging clinical situations and the emotions encountered by experienced palliative care clinicians which could potentially contribute to burnout. Methods: A qualitative study was conducted using semistructured interviews with purposive sampling of 18 palliative care clinicians-5 doctors, 10 nurses and 3 social workers who worked in various palliative care settings (hospital palliative care team, home hospice and inpatient hospice). The interviews were recorded verbatim, transcribed and analysed using a thematic analysis approach. Results: The mean age of the interviewees was 52 years old and the mean number of years practising palliative care was 15.7 years (ranging from 10 to 25 years). The following clinical situations were reported by our respondents as particularly challenging, potentially leading to burnout: (1) abusive patients and families, (2) 'bad deaths', (3) death of young patients, (4) complex cases, and (5) having multiple deaths or difficult cases at any one time. Emotions encountered in the course of care of these cases included: (1) feeling overwhelmed, (2) having a sense of helplessness and failure, as well as (3) a sense of injustice. Conclusion: The challenging cases we described evoke strong emotional reactions from palliative care clinicians that need to be adequately addressed to prevent burnout. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2023. No commercial re-use. See rights and permissions. Published by BMJ.) |
| Databáze: | MEDLINE |
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