Palliative care training and associations with burnout in oncology fellows

Mougalian, Sarah Schellhorn; Lessen, David; Levine, Randy L.; Panagopoulos, Georgia; Roenn, Jamie H. Von; Arnold, Robert M.; Block, Susan D.; Buss, Mary K.

doi:10.12788/j.suponc.0001

Cited by 20 publications

(16 citation statements)

References 26 publications

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“…A previous Lithuanian study (10) showed that 80.0% of oncologists, who had never participated in CST training, indicated that stress from a bad-news encounter can last from 1 to 3 or even 5 days afterwards. This fact supports the opinion that the CST program is able to help doctors dealing with stress and can be a preventative measure for doctors' burnout syndrome (8).…”

Section: Discussionsupporting

confidence: 81%

“…The analysis of the literature showed that the majority of questions, while using the questionnaire method, concern stress, confidence levels, and personal opinion about CST and changes of communication skills. In terms of the stress factor, studies show that specialists who are unable to communicate effectively with their patients tend to have higher levels of stress and more symptoms of burnout (8). The idea of the importance of confidence levels while communicating with oncology patients is based on Banduras' self-efficacy theory which states that confidence in skills is usually an indicator of actual performance (9).…”

Section: Introductionmentioning

confidence: 99%

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Assessment of the efficacy of communication skills training program for oncologists

Bulotienė¹,

Jagelavičiūtė²

2016

AML

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Background. Effective communication is essential for cancer care therefore a communication skills training program was developed by the Lithuanian Association of Psychosocial Oncology. This study aims to identify the efficacy of the new program designed for Lithuanian specialists.Materials and methods. Self-report questionnaires for health care professionals were designed. Surveys were based on three topics -stress, confidence level, and personal opinion about the training and ability to apply learned communication skills. 88(67.2%) respondents completed the questionnaire.Results. Stress: 38.6% of respondents indicated that they usually experience stress while communicating with oncology patients or their relatives; Confidence level: 61.4% of participants agreed that their level of confidence improved after trainings. 83.0% of participants agreed that the establishment of a connection with patients and their relatives improved, but requires further development. The participants' personal opinion about specific aspects of the communication skills training was evaluated as well. It was found that women are more likely to think that their skill of empathy had developed, but still needed to be improved, while men believed that their empathy had not changed, or stated that it had developed and needed no further improvement (p = 0.003).Conclusions. The study found improvements in participants' confidence (61.4%) and specific skills while communicating with oncology patients (75.0-90.9%). Health care professionals evaluated the program as well and very well (86.4-92.1%). The Lithuanian communication skills training program is appropriate to use to enhance the quality of cancer care.

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Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Assessment of the efficacy of communication skills training program for oncologists

Bulotienė¹,

Jagelavičiūtė²

2016

AML

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“…Pelo contrário, é expectável que os profissionais com maior formação em cuidados paliativos estejam mais conscientes dos objetivos e finalidade do trabalho que realizam, pelo que a morte não será vista como uma derrota, mas sim parte integrante do trabalho realizado. A inclusão de conteúdos específicos na área dos cuidados paliativos na formação pré-graduada de profissionais de saúde, nomeadamente médicos, parece, com efeito, estar associada a níveis mais baixos de burnout, nomeadamente em termos de exaustão emocional (Mougalian et al, 2013). A propósito da formação, importa ainda referir que os planos de estudo e conteúdos programáticos dos cursos de pós-graduação em cuidados paliativos costumam contemplar a temática do burnout e/ ou gestão emocional dos profissionais, conforme recomendações nacionais e internacionais neste domínio.…”

Section: Discussionunclassified

Burnout in physicians and nurses: a multicentre quantitative study in palliative care units in Portugal

Pereira¹,

Teixeira²,

Ribeiro³

et al. 2014

Rev. Enf. Ref.

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Resumenpp.55-64 Resumo Revista de Enfermagem Referência A R T I G O D E I N V E S T I G A Ç Ã O Burnout em médicos e enfermeiros: estudo quantitativo e multicêntrico em unidades de cuidados paliativos em PortugalBurnout in physicians and nurses: a multicentre quantitative study in palliative care units in Portugal Desgaste profesional en médicos y enfermeros: un estudio cuantitativo y multicéntrico en unidades de cuidados paliativos en Portugal Sandra Martins Pereira*; Carla Margarida Teixeira**; Orquídea Ribeiro***; Pablo Hernández-Marrero****; António M. Fonseca*****; Ana Sofia Carvalho****** Conclusão: Embora a percentagem de profissionais com altos níveis de burnout em cuidados paliativos seja baixa, há fatores de risco que podem ser otimizados de modo a promover um maior bem-estar dos próprios profissionais.Palavras-chave: burnout; cuidados paliativos; médicos; enfermeiros; estudo multicêntrico.Marco Contextual: El contacto sistemático con la muerte se considera un factor de riesgo de desgaste profesional (burnout) en la salud, especialmente, para los médicos y enfermeros que desarrollan su actividad profesional en los cuidados paliativos. Objetivos: Estudiar el síndrome de desgaste profesional en estos profesionales en Portugal. Metodología: Estudio multicéntrico, de naturaleza cuantitativa mediante un cuestionario. Resultados: De un total de 142 profesionales, 88 devolvieron el cuestionario debidamente cumplimentado; de estos, solo el 3 % presentaba desgaste profesional y el 13 % tenía un riesgo elevado de desarrollar este síndrome. Como factores personales asociados positivamente con el desgaste profesional, se identificaron el hecho de que los profesionales no profesan ninguna religión (p = 0,005), así como el hecho de que no tienen formación de posgrado en cuidados paliativos (p = 0,011). Las experiencias en el lugar de trabajo con una correlación positiva con el desgaste profesional fueron algunos conflictos con otros profesionales (p = 0,012). Conclusión: A pesar de que el porcentaje de profesionales con niveles elevados de desgaste profesional en los cuidados paliativos es bajo, existen factores de riesgo que pueden ser optimizados con el fin de promover que los profesionales tengan mejor bienestar.Palabras clave: burnout; cuidados paliativos; médicos; enfermeros; estudio multicéntrico.Theoretical Framework: Systematic contact with death is considered a risk factor for burnout in health, particularly for doctors and nurses who develop their professional activity in palliative care. Objectives: To study the syndrome of burnout in these professionals in Portugal.Methodology: A multicenter quantitative survey study. Results: Out of 142 professionals, 88 returned the completed questionnaire; of these, only 3% were in burnout and 13% at high risk of developing this syndrome. Professing a religion (p=.005) and having post-graduate education/training in palliative care (p=.011) were significantly and inversely associated with burnout. Conflicts with other professionals (p=.012) were significantly ...

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“…3,4 The 2004-2005 survey of 254 second-year oncology fellows enrolled in ACGME fellowships by Buss and colleagues found that oncology fellows rated the overall quality of their training in oncology better than their palliative care education. 3 This study was limited by not knowing how many fellowship programs responded or whether there was clustering of responses from programs whose directors were invested in palliative care.…”

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confidence: 99%

Palliative Care Training during Fellowship: A National Survey of U.S. Hematology and Oncology Fellows

Thomas

Curley

Wen

et al. 2015

Journal of Palliative Medicine

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Background: Despite requirements for palliative care training during fellowship, there is a paucity of recent data regarding the attitudes, knowledge, and skills of hematology/ oncology fellows in palliative care. Objective: Our aim was to assess fellows' attitudes toward and quality of training in palliative care during fellowship and perceived preparedness to care for patients at the end of life (EOL). Methods: In May 2013 a cross-sectional survey of hematology/oncology fellows was conducted. Results: Fellows from 93 of 138 fellowship programs responded (67.4%). Of the 347 fellows e-mailed, 176 participated. Nearly all fellows (99%) indicated that physicians have a responsibility to help patients at EOL. Fellows felt their overall training in fellowship was superior to training in EOL care (4.24 -0.78 versus 3.53 -0.99 on a 5-5 scale where 1 = poor and 5 = excellent, p < 0.0001). Fellows who had a rotation in palliative care during fellowship (44.9%) reported better teaching on managing a patient at EOL than those who did not (3.91 -1.0 versus 3.21 -0.87, p < 0.0001). Fellows reporting better teaching in EOL care felt better prepared to care for patients at EOL (r = 0.52, p < 0.0001). More than 25% reported not being explicitly taught how to assess prognosis, when to refer a patient to hospice, or how to conduct a family meeting to discuss treatment options. Conclusion: Many recent oncology fellows are still inadequately prepared to provide palliative care to their patients. There is significant room for improvement with regards to the quality of palliative care training in U.S. hematology/oncology fellowship programs.

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Palliative care training and associations with burnout in oncology fellows

Abstract: Burnout is prevalent during oncology training. Higher-quality teaching is associated with less burnout among fellows. Fellowship programs should recognize the prevalence of burnout among oncology fellows as well as components of training that may protect against burnout.

Cited by 20 publications

References 26 publications

Assessment of the efficacy of communication skills training program for oncologists

Assessment of the efficacy of communication skills training program for oncologists

Burnout in physicians and nurses: a multicentre quantitative study in palliative care units in Portugal

Palliative Care Training during Fellowship: A National Survey of U.S. Hematology and Oncology Fellows

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