Clinicians' Perceptions of Futile or Potentially Inappropriate Care and Associations with Avoidant Behaviors and Burnout

Chamberlin, Peter; Lambden, Jason; Kozlov, Elissa; Maciejewski, R; Lief, Lindsay; Berlin, David; Pelissier, Latrice; Yushuvayev, Elina; Pan, Cynthia X.; Prigerson, Holly G.

doi:10.1089/jpm.2018.0385

Cited by 32 publications

(47 citation statements)

References 38 publications

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“…Quality of the papers was assessed as ‘fair’ to ‘good’ in 29 papers. 21,28 –55 Thirty studies were rated ‘poor’ to ‘fair’. 56 –85 Ten studies were intervention studies, the quality of seven of these was assessed between ‘poor’ to ‘fair’.…”

Section: Resultsmentioning

confidence: 99%

Prevalence of burnout in healthcare professionals providing palliative care and the effect of interventions to reduce symptoms: A systematic literature review

et al. 2020

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Background: In recent years there has been increasing attention for the prevalence and prevention of burnout among healthcare professionals. There is unclarity about prevalence of burnout in healthcare professionals providing palliative care and little is known about effective interventions in this area. Aim: To investigate the prevalence of (symptoms of) burnout in healthcare professionals providing palliative care and what interventions may reduce symptoms of burnout in this population. Design: A systematic literature review based on criteria of the PRISMA statement was performed on prevalence of burnout in healthcare professionals providing palliative care and interventions aimed at preventing burnout. Data sources: PubMed, PsycInfo and Cinahl were searched for studies published from 2008 to 2020. Quality of the studies was assessed using the method of Hawkers for systematically reviewing research. Results: In total 59 studies were included. Burnout among healthcare professionals providing palliative care ranged from 3% to 66%. No major differences in prevalence were found between nurses and physicians. Healthcare professionals providing palliative care in general settings experience more symptoms of burnout than those in specialised palliative care settings. Ten studies reported on the effects of interventions aimed at preventing burnout. Reduction of one or more symptoms of burnout after the intervention was reported in six studies which were aimed at learning meditation, improving communication skills, peer-coaching and art-therapy based supervision. Conclusion: The range of burnout among healthcare professionals providing palliative care varies widely. Interventions based on meditation, communication training, peer-coaching and art-therapy based supervision have positive effects but long-term outcomes are not known yet.

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Section: Resultsmentioning

confidence: 99%

Prevalence of burnout in healthcare professionals providing palliative care and the effect of interventions to reduce symptoms: A systematic literature review

et al. 2020

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“…Unfortunately, research shows that ineffective communication by nurses occurs in various settings, including in-hospital (Feder, Britton, andChaudhry, 2018, Kastanias et al, 2009); primary care (Ellington, Reblin, Clayton, Berry, and Mooney, 2012) and outpatient departments (Golsäter, Enskär, and Knutsson, 2019). Regarding patients with a life limiting illness (LLI), Chamberlin et al, (2019) found that when clinicians are engaging in futile care or probable inappropriate care for dying patients, they avoid both the patient and the family.…”

Section: Introductionmentioning

confidence: 99%

Challenges for nurses when communicating with people who have life‐limiting illness and their families: A focus group study

Kerr

Milnes

Ammentorp

et al. 2019

Journal of Clinical Nursing

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“…Although it creates apparent logical reasoning for nurses, it causes ethical challenges and internal con icts, and thus makes nursing less humanistic and without the purpose of being good and peaceful death. Chamberlin (2019) found that useless or potentially inappropriate care was associated with neglecting patients, relatives, and colleagues, and burnout-related behavior [31]. Since, in some cases, nurses are confronted with irrational demands of the patient's family, understanding the concept of humanistic care [5] helps them make appropriate clinical decisions.…”

Section: Discussionmentioning

confidence: 99%

Humanistic Care in the Intensive Care Unit: A Qualitative Study

Hasandoost

Mohammadi

Khademi

et al. 2020

Preprint

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Background: Nurses working in intensive care units do their main part of the job using medical equipment. Scholars have long debated the impact of technology on nursing. Those on the negative side perceive technologies as obtrusive to comprehensive humanistic care. Up to now, there has been little investigation of the nurses' perceptions of this phenomenon. The aim of the study was, therefore, to explore the perceptions of nurses and attendants of humanistic care in the intensive care unit.Methods: The present study was a qualitative conventional content analysis conducted in an intensive care unit in a hospital in Qazvin, Iran, in 2019. Data was collected using unstructured interviews and field notes and then analyzed using the Elo-Kyngäs method in 2008.Results: Continuous and comparative analysis of the data led to the extraction of 4 main themes as follows: 1) Insufficient understanding of nurses and patients’ families of each other's roles, needs, and expectations; 2) The use of personal and situational reasoning rather than ethical principles; 3) Caring stagnation, and 4) Satisfaction with care.Conclusion: The findings of the study indicated that due to lack of equipment, high workloads, and anxieties, nurses and attendants might not be able to understand each other’s roles and expectations. If it is not resolved properly, this situation will end in conflicts and stagnation in healthcare. Patients admitted to an intensive care unit are usually in critical health conditions. However, nurses feel satisfied with the outcome of their jobs when those patients are discharged from the hospital with a stable health condition. Shedding more light on the humanistic care status in intensive care units in Iran, the results of this research can be applied to health professionals and nursing managers.

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Clinicians' Perceptions of Futile or Potentially Inappropriate Care and Associations with Avoidant Behaviors and Burnout

Cited by 32 publications

References 38 publications

Prevalence of burnout in healthcare professionals providing palliative care and the effect of interventions to reduce symptoms: A systematic literature review

Prevalence of burnout in healthcare professionals providing palliative care and the effect of interventions to reduce symptoms: A systematic literature review

Challenges for nurses when communicating with people who have life‐limiting illness and their families: A focus group study

Humanistic Care in the Intensive Care Unit: A Qualitative Study

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