Stress at work in nurses providing end-of-life palliative care according to care settings

Fillion, Lise; Desbiens, Jean-François; Truchon, Michel; Dallaire, Clémence; Roch, Geneviève

doi:10.1007/s11839-011-0321-7

Cited by 9 publications

(5 citation statements)

References 20 publications

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“…Several participants working in inpatient settings expressed strong emotions around cases that were traumatic in nature, especially around unexpected or untimely deaths (e.g., young patients). Fillion et al [44] studied nurses working in end-of-life care and other settings in Quebec. Nurses working in critical care and oncology units reported high stress compared with specialized PC units [44].…”

Section: Discussionmentioning

confidence: 99%

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A Continuing Educational Program Supporting Health Professionals to Manage Grief and Loss

et al. 2022

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Health professionals working in oncology face the challenge of a stressful work environment along with impacts of providing care to those suffering from a life-threatening illness and encountering high levels of patient loss. Longitudinal exposure to loss and suffering can lead to grief, which over time can lead to the development of compassion fatigue (CF). Prevalence rates of CF are significant, yet health professionals have little knowledge on the topic. A six-week continuing education program aimed to provide information on CF and support in managing grief and loss and consisted of virtual sessions, case-based learning, and an online community of practice. Content included personal, health system, and team-related risk factors; protective variables associated with CF; grief models; and strategies to help manage grief and loss and to mitigate against CF. Participants also developed personal plans. Pre- and post-course evaluations assessed confidence, knowledge, and overall satisfaction. A total of 189 health professionals completed the program (90% nurses). Reported patient loss was high (58.8% >10 deaths annually; 12.2% >50). Improvements in confidence and knowledge across several domains (p < 0.05) related to managing grief and loss were observed, including use of grief assessment tools, risk factors for CF, and strategies to mitigate against CF. Satisfaction level post-program was high. An educational program aiming to improve knowledge of CF and management of grief and loss demonstrated benefit.

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Section: Discussionmentioning

confidence: 99%

“…Fillion et al [44] studied nurses working in end-of-life care and other settings in Quebec. Nurses working in critical care and oncology units reported high stress compared with specialized PC units [44].…”

Section: Discussionmentioning

confidence: 99%

A Continuing Educational Program Supporting Health Professionals to Manage Grief and Loss

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Several participants working in inpatient settings expressed strong emotions around cases traumatic in nature, concerning unexpected or untimely deaths (e.g., young patients). Fillion et al [37] studied Quebec nurses working in end of life care. Nurses working in critical care and oncology units reported high stress compared with specialized PC units [37].…”

Section: Discussionmentioning

confidence: 99%

“…Fillion et al [37] studied Quebec nurses working in end of life care. Nurses working in critical care and oncology units reported high stress compared with specialized PC units [37]. Consistent with prior studies, the most common reported responses (50%) were maintaining a need to 'carry on" [16,23] and a stance of not expressing emotion.…”

Section: Discussionmentioning

confidence: 99%

Supporting Resilience and the Management of Grief and Loss: de Souza Program for Health Professionals

Esplen¹,

Wong²,

Vachon³

et al. 2021

Preprint

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Health professionals in cancer care often face the challenge of stressful work environment, along with the impacts of providing care to those suffering from a life- threatening illness. Prevalence rates of compassion fatigue (CF) are moderate to high, yet health professionals have little knowledge on the topic. Purpose: The objective of this study was to evaluate an educational program on knowledge of CF and strategies to support the management of grief and loss in practice. Methods: A six-week program consisting of weekly video-conferencing sessions, case-based learning and an online community of practice was evaluated. Program content included personal, organization and team-related risk and protective factors associated with CF, and strategies to mitigate against CF. Participants prepared personal plans. A standardized grief tool (RGEI) was given at baseline and pre and post surveys assessed confidence and knowledge and satisfaction. Results: 189 health professionals completed the program (90% nurses). Patient loss in practices was high (58.8% >10 deaths annually; 12.2% >50). The program demonstrated significant improvement in confidence and knowledge across several domains (p < 0.05), including the use of grief assessment tools, risk factors for CF, and strategies to mitigate against CF. Personal plans varied from individual, team or organizational level strategies. Satisfaction ratings were high. Conclusion: The results show benefit associated with an educational program that aims to improve knowledge of CF and assisted health care providers to develop personal plans/ strategies towards resilience. Further research is needed to assess longer term follow up and with designs that include a control group.

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“…The organizational changes involved in implementing an integrated system can be a source of anxiety and negative stressors that affect workplace quality of life. Occupational stressors associated with changing roles and responsibilities, with new requirements to be met, or with role ambiguities have been identified as sources of uncertainty, instability, conflictual relationships, emotional exhaustion, and anxiety [ 17 - 22 ]. Over recent years, as Quebec’s healthcare system has been restructured and services have been integrated, several studies have observed an overall decrease in nurses’ job satisfaction [ 23 - 26 ], a rise in absenteeism, and increased psychological distress [ 21 , 27 - 29 ].…”

Section: Introductionmentioning

confidence: 99%

Associations between level of services integration and nurses’ workplace well-being

2014

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BackgroundTo respond better to population needs, in recent years Quebec has invested in improving the integration of services and care pathways. Nurses are on the front lines of these transformation processes, which require them to adopt new clinical practices. This updating of practices can be a source of both satisfaction and stress. The aim of this study was to gain a better understanding of the relationship between the transformation processes underlying services integration and nurses’ workplace well-being.MethodThis study was based on a descriptive cross-sectional correlational design. The target population included all nurses working in four care pathways in a Quebec healthcare establishment: palliative oncology services, mental health services, autonomy support for the elderly, and chronic obstructive pulmonary disease. In all, 107 nurses took part in the study and completed a questionnaire sent to them. Hierarchical linear regression analyses were used to examine the relationship between level of integration, measured using the Development Model for Integrated Care; nurses’ perceptions of organizational change, measured on four dimensions (challenge, responsibility, threat, control); and nurses’ workplace well-being, measured on three dimensions (negative stress, positive stress, satisfaction), as defined by the Flexihealth model.ResultsNurses in the palliative oncology care pathway, which was at a more advanced level of integration, presented a lower negative stress level and a higher positive stress level than did nurses in other care pathways. Their mean satisfaction score was also higher. More advanced integration was associated with nurses’ feeling less threatened, as well as improved workplace well-being. The perception of threat appeared to be a significant mediating variable in the relationship between level of integration and well-being.ConclusionThe association observed between level of services integration and workplace well-being contributes to a better understanding of nurses’ experiences in such situations. These results provide new perspectives on interventions that could be implemented to remedy the potential negative consequences of these types of transformations.

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Stress at work in nurses providing end-of-life palliative care according to care settings

Cited by 9 publications

References 20 publications

A Continuing Educational Program Supporting Health Professionals to Manage Grief and Loss

A Continuing Educational Program Supporting Health Professionals to Manage Grief and Loss

Supporting Resilience and the Management of Grief and Loss: de Souza Program for Health Professionals

Associations between level of services integration and nurses’ workplace well-being

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