Turning the Lens Inward: The Psychological Elements of Clinician Well Being

Shalev, Daniel; Traeger, Lara; Doyle, Kathleen; Kiser, Stephanie B.; Brenner, Keri; Rosenberg, Leah; Jacobsen, Juliet; Seaton, Michelle; Jackson, Vicki A.

doi:10.1089/jpm.2021.0548

Cited by 3 publications

(4 citation statements)

References 36 publications

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“…1,[3][4][5][6][7][8][9][10][11][12][13][14] Additionally, boundaries protect clinicians by allowing us to take care of ourselves, which helps us take better care of our patients. 15 Furthermore, by defining the therapeutic frame, 12 boundaries are therapeutically useful. In palliative care in particular, "patients and clinicians can engage with those feelings [associated with life-limiting illness and death] in more effective and healing ways when they are in a frame in which the discussion of difficult themes is made explicitly acceptable and encouraged by consistent, helpful, available, yet appropriately [emphasis ours] boundaried clinicians."…”

Section: Introductionmentioning

confidence: 99%

“…16 Nonetheless, many clinicians can recall moments when crossing boundaries resulted in "a delightful interaction" that has the potential to "fill our cup and be an antidote to burnout." 15 Thus, observing that palliative care clinicians create a therapeutic holding environment to promote the ease of suffering, 17 while also being authentic participants in the healing, relational process of palliative care, 15 we hope to share our preliminary ideas for how to think about CSD as a therapeutic intervention, while also helping clinicians remain "appropriately boundaried. "…”

Section: Introductionmentioning

confidence: 99%

“…1,3-14 Additionally, boundaries protect clinicians by allowing us to take care of ourselves, which helps us take better care of our patients. 15…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, though numerous published guidelines for boundary management exist, 1,3-14 nurses and physicians receive little to no formal training around self-disclosure. 25 Given the recognition of the role of “boundary management” to promote resiliency and prevent burnout for palliative care clinicians, 15,38,39 we believe CSD management is an important part of training in boundary management, for both patient and clinician benefit. Finally, we wish to add to the limited literature on self-disclosure currently existing in palliative care.…”

Section: Introductionmentioning

confidence: 99%

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Clinician Self-Disclosure in Palliative Care: Describing a Taxonomy and Proposing a Communication Tool

Datta-Barua

Hauser

2023

Am J Hosp Palliat Care

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While patient self-disclosure is expected and necessary in the clinical setting, clinicians generally minimize their own self-disclosure, a practice largely guided by the boundaries of the fiduciary relationship. At the same time, many clinicians can recall a time when they made a self-disclosure to a patient, and it seemed to benefit the treatment relationship, if not the treatment itself. We reviewed literature from a variety of fields describing opinions, theories and limited data about the effects of clinician self-disclosure. Based on our findings, we posit that clinician self-disclosure has the potential to be a beneficial communication tool in palliative medicine, but like any intervention, it is not without risks. Thus, we propose a potential strategy to guide clinicians in thinking about self-disclosures.

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