“…In the oncology setting, health care professionals provide long‐term and intensive care for patients and face high mortality rates among their patients . Therefore, formal caregivers in oncology settings may develop personal relationships with their patients and consequently experience grief in reaction to their deaths.…”
Objective
Compassion fatigue—that is, secondary traumatic stress (STS) and burnout—is a traumatic emotional state experienced by health care providers and expressed in a reduced capacity to be interested in and empathic to the suffering of others. Compassion fatigue may be related to grief over patients' loss. We examined the relation between grief and compassion fatigue among psycho‐oncologists while exploring the impact of social acknowledgment on this association. We hypothesized that social acknowledgment would moderate the relation between grief and compassion fatigue.
Methods
Participants were 60 Israeli psycho‐oncologists in a cross‐sectional study. Measures consisted of a demographic questionnaire, the Texas Revised Inventory of Grief‐Present, the Social Acknowledgment questionnaire, and the Professional Quality of Life Questionnaire.
Results
The participants reported relatively high levels of grief and high levels of compassion fatigue. Grief and compassion fatigue were significantly positively associated (STS: r = 0.41, p < 0.01; Burnout: r = 0.45, p < 0.01). A k‐means cluster analysis based on social acknowledgment and grief yielded three meaningful clusters: High Grief‐Low Social Acknowledgment; Medium Grief‐High Social Acknowledgment; and Low Grief‐Medium Social Acknowledgment. Levels of STS in the first cluster were significantly higher in comparison to levels of STS in each of the other clusters (F = 6.22, p < 0.01).
Conclusions
Psycho‐oncologists experience patient loss as part of their daily work. In response, they may develop grief reactions. This grief, when it is not perceived by them as being socially acknowledged, may result in high levels of STS: a phenomenon with undesirable personal and professional implications.
“…In the oncology setting, health care professionals provide long‐term and intensive care for patients and face high mortality rates among their patients . Therefore, formal caregivers in oncology settings may develop personal relationships with their patients and consequently experience grief in reaction to their deaths.…”
Objective
Compassion fatigue—that is, secondary traumatic stress (STS) and burnout—is a traumatic emotional state experienced by health care providers and expressed in a reduced capacity to be interested in and empathic to the suffering of others. Compassion fatigue may be related to grief over patients' loss. We examined the relation between grief and compassion fatigue among psycho‐oncologists while exploring the impact of social acknowledgment on this association. We hypothesized that social acknowledgment would moderate the relation between grief and compassion fatigue.
Methods
Participants were 60 Israeli psycho‐oncologists in a cross‐sectional study. Measures consisted of a demographic questionnaire, the Texas Revised Inventory of Grief‐Present, the Social Acknowledgment questionnaire, and the Professional Quality of Life Questionnaire.
Results
The participants reported relatively high levels of grief and high levels of compassion fatigue. Grief and compassion fatigue were significantly positively associated (STS: r = 0.41, p < 0.01; Burnout: r = 0.45, p < 0.01). A k‐means cluster analysis based on social acknowledgment and grief yielded three meaningful clusters: High Grief‐Low Social Acknowledgment; Medium Grief‐High Social Acknowledgment; and Low Grief‐Medium Social Acknowledgment. Levels of STS in the first cluster were significantly higher in comparison to levels of STS in each of the other clusters (F = 6.22, p < 0.01).
Conclusions
Psycho‐oncologists experience patient loss as part of their daily work. In response, they may develop grief reactions. This grief, when it is not perceived by them as being socially acknowledged, may result in high levels of STS: a phenomenon with undesirable personal and professional implications.
“…31 On the other hand, this factor may contribute to the high rates of late diagnosis and refusal of palliative care, and pain treatments and psychological interventions.…”
“…Psychosocial oncologists consist mainly of social workers, psychologists, nurses, and psychiatrists. These professionals provide support for patients and families across the cancer care continuum (Cohen, 2013). Their work is characterized by ongoing exposure to intensive emotional situations (Grassi et al, 2016); therefore, research suggests that psychosocial oncologists may be particularly vulnerable to burnout (Breen et al, 2014).…”
The mean level of burnout was low, whereas 16.3% experienced high levels of emotional exhaustion and only 2.4% experienced high levels of depersonalization. According to mediation analysis, overcommitment, partially mediated job demands-burnout associations, and work engagement mediated the perceived value-burnout association. Job resources and burnout were not related, either directly or indirectly. Significance of results The study extended the Job Demands-Resources model to include perceived value as an additional resource, and work-engagement and overcommitment as coping strategies. Two distinct patterns of associations were found between work characteristics and burnout: the positive-protective pattern (perceived value and work engagement) and the negative pattern (job demands and overcommitment). These two patterns should be considered for further research and for implementing preventive interventions to reduce burnout in the workplace setting.
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