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

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

doi:10.1177/0269216320956825

Cited by 67 publications

(69 citation statements)

References 99 publications

(149 reference statements)

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“…Resources and tools are needed to address provider stress from overloaded work and exposure to COVID-19 without PPE. Research has shown that there are no major differences in the prevalence of burnout between physicians and nurses and improving communication skills is one way to reduce symptoms of burnout [ 115 ]. Findings here highlight team communication as a communication facilitator.…”

Section: Discussionmentioning

confidence: 99%

Opportunities to improve COVID-19 provider communication resources: A systematic review

Wittenberg

Goldsmith

Chen

et al. 2021

Patient Education and Counseling

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Section: Discussionmentioning

confidence: 99%

Opportunities to improve COVID-19 provider communication resources: A systematic review

Wittenberg

Goldsmith

Chen

et al. 2021

Patient Education and Counseling

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“…Participating in palliative care and end‐of‐life decision making has been associated with burnout, anxiety, depression, and moral distress for both nurses and physicians (Dijxhoorn et al, 2021; Embriaco, Papazian, et al, 2007; Harrison et al, 2017), though several studies have indicated that the impact on nurses may be greater (Alacacioglu et al, 2009; C. Teixeira et al, 2014; Tunc & Kutanis, 2009). While it has been highlighted that nurses perceive they should play a role in ACP processes (Ke et al, 2015), a lack of clarity about nursing roles and responsibility in this process has also been reported (Izumi, 2017).…”

Section: Introductionmentioning

confidence: 99%

“…Participating in palliative care and end-of-life decision making has been associated with burnout, anxiety, depression, and moral distress for both nurses and physicians (Dijxhoorn et al, 2021;Harrison et al, 2017), though several studies have indicated that the impact on nurses may be greater (Alacacioglu et al, 2009;C. Teixeira et al, 2014;Tunc & Kutanis, 2009).…”

Section: Introductionmentioning

confidence: 99%

Oncology nurses' perceptions of advance directives for patients with cancer

Hobden

Bryant

Waller

et al. 2021

Nursing & Health Sciences

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This study examined oncology nurses' perceptions of the impact of advance directives on oncology patients' end‐of‐life care. Nurses (n = 104), who were members of an oncology nursing society or worked in a large metropolitan cancer center, completed a cross‐sectional survey assessing perceptions of advance directives. There was high agreement that advance directives (i) make decisions easier for family (87%) and providers (82%); (ii) are doctors' responsibility to implement (80%); (iii) reduce unwanted aggressive treatment in the last weeks of life (80%); (iv) protect patient autonomy (77%); and (v) increase the likelihood of dying in a preferred location (76%). There was moderate or low agreement that advance directives (i) are accessible when needed (60%); (ii) are oncology nurses' responsibility to implement (46%); (iii) are always followed (41%); (iv) reduce the likelihood of pain in the last weeks of life (31%); (v) contain difficult to follow statements (30%); and (vi) have no impact on comfort in the last weeks of life (15%). Most nurses perceive benefits for advance directives, however, there remains uncertainty around accessibility and implementation. Guidelines and education about advance directive processes in oncology could improve person‐centered end‐of‐life care.

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“…Research on MBI interventions for hospice and palliative care employees tend to show short-term improvements in wellbeing, but many of the studies have low quality of treatment fidelity, small samples, high attrition, or a lack of theoretical consideration of what are the essential “ingredients” that underpin successful interventions [ 11 , 25 , 26 ]. The meditation components are rarely described in detail and interventions varied in terms of delivery, length, schedule, type of instructor, practice requirements, resources provided, and context.…”

Section: Hp Burnout and Mind-body Interventionsmentioning

confidence: 99%

Feasibility, Acceptability, and Outcomes of a Yoga-Based Meditation Intervention for Hospice Professionals to Combat Burnout

Heeter

Allbritton²,

Lehto

et al. 2021

IJERPH

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(1) Background. This research examined the feasibility, acceptability and outcomes of delivering a 6-week yoga-based meditation intervention to clinical teams of hospice professionals (HPs) at a large non-profit hospice organization. The intervention was designed to increase mind-body integration and combat burnout. This article was written for different audiences, including research scientists who study interoception, burnout, meditation, or yoga, designers of meditation interventions, and hospice organizations looking for ways to mitigate HP burnout. (2) Methods. The intervention was launched within clinical teams, beginning with a half-hour online introduction to the program and exposure to the week 1 meditation at each team’s monthly all-staff meeting. Throughout the program, HPs could access the meditations on their own via their workplace computers, tablets, and smartphones. Online pre- and post-intervention surveys were submitted by 151 HPs, 76 of whom were exposed to the intervention and completed both surveys. The surveys assessed burnout using the Professional Fulfillment Index and mind-body integration using the Multidimensional Assessment of Interoceptive Awareness scales. (3) Results. Two-thirds of HPs who were present at a staff meeting where the program was introduced went on to do a meditation on their own at least once. Half of HPs expressed a desire to continue with access to the meditations after the 6-week program ended. Due to COVID-19 work from home restrictions, three-fourth of HPs did a meditation at home, 29% in a car between patient visits (not while driving), and 23% at the office. Higher interoceptive awareness was significantly related to lower burnout, particularly lower work exhaustion. Meditation frequency was significantly related to higher interoceptive awareness but not to burnout. Interpersonal disengagement was rare and temporary. (4) Conclusions. Findings showed that the yoga-based meditation intervention was feasible and acceptable and associated with higher interoceptive awareness. The results point to a role for interoceptive awareness in reducing the risk for burnout.

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

Cited by 67 publications

References 99 publications

Opportunities to improve COVID-19 provider communication resources: A systematic review

Opportunities to improve COVID-19 provider communication resources: A systematic review

Oncology nurses' perceptions of advance directives for patients with cancer

Feasibility, Acceptability, and Outcomes of a Yoga-Based Meditation Intervention for Hospice Professionals to Combat Burnout

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