Healthcare Professionals’ Work-Related Stress in Palliative Care: A Cross-Sectional Survey

Dijxhoorn, Anne-Floor Q; Brom, Linda; Linden, Yvette M. van der; Leget, C.J.W.; Raijmakers, Natasja

doi:10.1016/j.jpainsymman.2021.04.004

Cited by 16 publications

(17 citation statements)

References 24 publications

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“…However, to the best of our knowledge, despite several pieces of evidence on the saliency of burnout risk for helping professionals in the healthcare sector [ 29 ], the BAT measure has not been validated on healthcare professionals in other countries. At the same time, a study on healthcare professionals working in the palliative sector [ 52 ] showed that BAT is a reliable tool to assess the risk for burnout in this type of profession. Together with Dijxhoorn and colleagues’ ones, our findings support the multifaceted nature of the burnout construct.…”

Section: Discussionmentioning

confidence: 99%

A new tool to evaluate burnout: the Italian version of the BAT for Italian healthcare workers

et al. 2022

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Background Healthcare workers (HCWs) represents one of the highest-risk population to develop burnout symptoms. Recently, a new tool has been designed to measure several dimensions that capture an exhaustive expression of burnout symptoms by six dimensions (i.e., exhaustion; mental distance; cognitive impairment; emotional impairment; psychological distress; psychosomatic complaints). Methods The current study aims to adapt the Burnout Assessment Tool (BAT) to an Italian Healthcare workers’ sample confirming the original second-order factorial structure. Furthermore, we expected to find good indexes of reliability and validity tests. Participants were 697 Italian Health Care Workers (Female = 68.44%; mean age = 36.47; SD = 11.20). Data were collected by self-report questionnaires submitted by the snowball method. Results Findings show a good fit of the BAT’s structure, confirming the hypothesized second-order factorial model. Furthermore, good reliability has been established with the study’s measures. Conclusions The BAT for HCWs is eligible as a new tool to evaluate burnout in the at-risk HCWs as a multi-facet constellation of symptoms.

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Section: Discussionmentioning

confidence: 99%

A new tool to evaluate burnout: the Italian version of the BAT for Italian healthcare workers

et al. 2022

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“…As identified by both patients and healthcare professionals in our bottleneck analysis ( S3 Appendix ), barriers to achieving the above-stated standards are frequently recurring themes in international literature [ 12 , 68 – 74 ]. In adherence to patients’ values, wishes, and needs [ 70 – 72 , 75 ], we selected the standards in the NQFPC that address these barriers as key elements for integration ( Table 1 ) and recommended their prioritised integration in clinical practice: 1) early identification of patients in a palliative care trajectory [ 18 ], 2) shared decision making and advance care planning [ 69 , 70 , 72 ], 3) coordination and continuity of care, including an (electronically available) individual care plan [ 12 , 68 , 74 ], 4) education and training of healthcare professionals [ 15 ], that includes effective communication [ 69 ], and learning how to cope with the emotional impact of providing palliative care in order to maintain a healthy work-life balance [ 76 ].…”

Section: Discussionmentioning

confidence: 99%

Development of a national quality framework for palliative care in a mixed generalist and specialist care model: A whole-sector approach and a modified Delphi technique

et al. 2022

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In a predominantly biomedical healthcare model focused on cure, providing optimal, person-centred palliative care is challenging. The general public, patients, and healthcare professionals are often unaware of palliative care’s benefits. Poor interdisciplinary teamwork and limited communication combined with a lack of early identification of patients with palliative care needs contribute to sub-optimal palliative care provision. We aimed to develop a national quality framework to improve availability and access to high-quality palliative care in a mixed generalist-specialist palliative care model. We hypothesised that a whole-sector approach and a modified Delphi technique would be suitable to reach this aim. Analogous to the international AGREE guideline criteria and employing a whole-sector approach, an expert panel comprising mandated representatives for patients and their families, various healthcare associations, and health insurers answered the main question: ‘What are the elements defining high-quality palliative care in the Netherlands?’. For constructing the quality framework, a bottleneck analysis of palliative care provision and a literature review were conducted. Six core documents were used in a modified Delphi technique to build the framework with the expert panel, while stakeholder organisations were involved and informed in round-table discussions. In the entire process, preparing and building relationships took one year and surveying, convening, discussing content, consulting peers, and obtaining final consent from all stakeholders took 18 months. A quality framework, including a glossary of terms, endorsed by organisations representing patients and their families, general practitioners, elderly care physicians, medical specialists, nurses, social workers, psychologists, spiritual caregivers, and health insurers was developed and annexed with a summary for patients and families. We successfully developed a national consensus-based patient-centred quality framework for high-quality palliative care in a mixed generalist-specialist palliative care model. A whole-sector approach and a modified Delphi technique are feasible structures to achieve this aim. The process we reported may guide other countries in their initiatives to enhance palliative care.

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“…Bovendien is 7 procent met ziekteverlof geweest wegens burn-outklachten. 5 Het verzuim onder zorgverleners blijft stijgen. Vooral in de verpleging, verzorging en thuiszorg is het verzuim bovengemiddeld: 10,4 procent in het eerste kwartaal van 2022 en 8,6 procent een jaar eerder.…”

Section: Evenwichtige Zorgverlenerunclassified

“…Hoewel zorgverleners gemiddeld 3,7 activiteiten ondernamen om met de belasting om te gaan, vindt een kwart (23 procent) dat deze activiteiten niet voldoende zijn om in evenwicht te blijven. 5 Met name generalisten geven aan zich niet toegerust te voelen om goed met de impact van het verlenen van palliatieve zorg om te gaan. Ook geven zorgverleners aan dat er behoefte is aan steun en aandacht vanuit het team en de organisatie.…”

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Healthcare Professionals’ Work-Related Stress in Palliative Care: A Cross-Sectional Survey

Cited by 16 publications

References 24 publications

A new tool to evaluate burnout: the Italian version of the BAT for Italian healthcare workers

A new tool to evaluate burnout: the Italian version of the BAT for Italian healthcare workers

Development of a national quality framework for palliative care in a mixed generalist and specialist care model: A whole-sector approach and a modified Delphi technique

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