Burnout, compassion fatigue, and moral distress in palliative care

2015 ◽  
Author(s):  
Nathan I. Cherny ◽  
Batsheva Werman ◽  
Michael Kearney
Keyword(s):  
At Risk ◽  
Palliative Care ◽  
Work Environment ◽  
Compassion Fatigue ◽  
Moral Distress ◽  
Moral Compass ◽  
Organizational Challenges ◽  
Dying Patients ◽  
Potential Problems ◽  
The Relationship

Clinicians involved in the provision of palliative care constantly confront professional, emotional, and organizational challenges. These challenges can make clinicians vulnerable to experiencing one or more of three well-described interrelated syndromes-burnout, compassion fatigue, and moral distress-each of which can lower the threshold for the development of the others. Burnout results from stresses that arise from the clinician’s interaction with the work environment, compassion fatigue evolves specifically from the relationship between the clinician and the patient, and moral distress is related to situation in which clinicians are asked to carry our acts that run contrary to their moral compass. Clinicians who care for dying patients are at risk of all of these and it is vital that palliative care clinicians are aware of these potential problems and with strategies to mitigate risks and to manage them when they present either in their own individual lives or in the work environment.

Occupational Stress, Burnout, and Professional Support in Nurses Working with Dying Patients

1996 ◽  
Vol 32 (2) ◽  
pp. 93-109 ◽  
Author(s):  
Anne Plante ◽  
Louise Bouchard
Keyword(s):  
Palliative Care ◽  
Occupational Stress ◽  
Medical Oncology ◽  
Professional Support ◽  
Stress Factors ◽  
Metropolitan Region ◽  
Staff Burnout ◽  
Dying Patients ◽  
The Relationship ◽  
And Training

Nurses working with dying people are exposed to numerous stress factors. Their occupational stress may be so important as to lead to burnout. The aim of the present study is to examine the relationship among occupational stress, burnout, and professional support in nurses working with patients dying from cancer. The study has taken place in four palliative care and three medical oncology units of the Montreal metropolitan region. In all, seventy-six nurses of the N nurses fitting the entrance criteria of the study were selected. Participants completed a French version of the following instruments: the Occupational Stress of Nurses Working with Dying Patients, the Jones Staff Burnout Scale for Health Professionals and the Professional Support Scale. Results indicate that there is a significant relationship between occupational stress and burnout ( r = 0.462, p < 0.001) and between professional support and burnout ( r = −0.449, p < 0.001). Further, the results showed that the level of occupational stress and burnout was significantly lower for the palliative care nurses who received significantly more professional support than their colleagues working in medical oncology units. Professional support and training for nurses working with patients dying from cancer should be implemented in order to minimize the development of burnout.

Nurse Moral Distress and Ethical Work Environment

2005 ◽  
Vol 12 (4) ◽  
pp. 381-390 ◽  
Author(s):  
Mary C Corley ◽  
Ptlene Minick ◽  
R K Elswick ◽  
Mary Jacobs
Keyword(s):  
African American ◽  
Work Environment ◽  
Moral Distress ◽  
Demographic Characteristics ◽  
Medical Centers ◽  
Ethical Work ◽  
Low Levels ◽  
Relationship Of ◽  
The Relationship

This study examined the relationship between moral distress intensity, moral distress frequency and the ethical work environment, and explored the relationship of demographic characteristics to moral distress intensity and frequency. A group of 106 nurses from two large medical centers reported moderate levels of moral distress intensity, low levels of moral distress frequency, and a moderately positive ethical work environment. Moral distress intensity and ethical work environment were correlated with moral distress frequency. Age was negatively correlated with moral distress intensity, whereas being African American was related to higher levels of moral distress intensity. The ethical work environment predicted moral distress intensity. These results reveal a difference between moral distress intensity and frequency and the importance of the environment to moral distress intensity.

Burnout, compassion fatigue, and moral distress in palliative care

2021 ◽  
pp. 166-180
Author(s):  
Nathan I. Cherny ◽  
Batsheva Ziff-Werman ◽  
Michael Kearney
Keyword(s):  
Palliative Care ◽  
Compassion Fatigue ◽  
Moral Distress ◽  
Well Being ◽  
Field Work ◽  
Professional Lives ◽  
Contributing Factors ◽  
Work Stressors ◽  
The Impact

Work in palliative care and, in particular, end of life care is associated with inherent stressors that affect the well-being of clinicians working in the field. Work stressors may have diverse impacts on the emotional and professional lives of palliative care and hospice staff, including every member of the clinical team, volunteers, and administrators. They may negatively affect professional function and adversely influence the effectiveness and quality of care. They also may compromise the ability to sustain a career in palliative care. This chapter reviews issues related to burnout, compassion fatigue and moral distress, exploring contributing factors, describing the impact of these phenomena, and presenting strategies to prevent and to manage them.

scholarly journals Palliative Care Training for Work in an Austere Environment After a Natural Disaster

2019 ◽  
Vol 34 (s1) ◽  
pp. s54-s54
Author(s):  
Annekathryn Goodman ◽  
Lynn Black
Keyword(s):  
Palliative Care ◽  
Moral Distress ◽  
Peer Group ◽  
Self Care ◽  
Mass Casualty ◽  
List Type ◽  
Disaster Victims ◽  
Dying Patients ◽  
Mass Casualty Event ◽  
Care Training

Introduction:Healthcare professionals working in a disaster face destroyed physical infrastructures, scarce supplies, and a limited-in-training peer group. During a mass casualty event, disaster victims are triaged to the “expectant” category of care because either their injuries are not survivable or the resources needed to care for them are not available.Aim:To examine the challenges that disaster responders face in caring for dying patients in the field, and advocate for basic palliative care training prior to deploying to a disaster.Methods:The world’s literature was reviewed to identify challenges for disaster teams in providing compassionate end-of-life care and to find training exercises for pre-deployment competency building.Results:Training Topics in Palliative Care Prior to Disaster Deployment include the following: 1.Symptom Management Protocols: PainAnxietyRespiratory distressDeliriumNausea and Vomiting2.Spiritual Management GriefIdentify meaning3.Cultural Training specific to the location of the disaster The meaning of death in the cultureWho are the decision makers in the family4.Training for difficult conversations Delivering Bad NewsManaging a grieving family5.Self-Care Training Develop a system for debriefingDevelop a buddy systemSelf-care exercises: deep breathing, prayer, meditation, yogaDiscussion:Challenges to the care of the dying during a disaster include a loss of medical infrastructure and scarce medical or physical resources. Palliative care training for non-palliative care specialists can be instructive for the development of palliative care training for medical care responders after disasters. Applying standards, identifying goals of care for the expectant patient, communication to the patient and family members, if available, can help reduce suffering of this group of devastatingly vulnerable patients. In addition, peer support, on-site discussions and debriefing, and problem-solving when resources are limited will help alleviate moral distress among the providers.

Psychological challenges for nurses working in palliative care and recommendations for self-care

2021 ◽  
Vol 30 (8) ◽  
pp. 484-489
Author(s):  
Feryad A Hussain
Keyword(s):  
Palliative Care ◽  
Compassion Fatigue ◽  
Moral Distress ◽  
Professional Lives ◽  
Healthcare Staff ◽  
Emotional Challenges ◽  
Individual Level ◽  
Care Services ◽  
Palliative Care Services

Working in palliative care services has an impact on the personal and professional lives of healthcare staff. The complex practicalities of the role and additional factors such as moral distress, burnout, compassion fatigue and death anxiety all impact on the overall quality of services and patient care. This article aims to highlight what is known of the practical and emotional challenges for palliative nursing care and offers recommendations to services to support staff at an organisational as well as individual level, to help create a more supportive workplace for staff and patients alike. It follows previous research on working in palliative and end-of-life care.

THE RELATIONSHIP BETWEEN CAREER DEVELOPMENT, COMPENSATION, JOB SECURITY, WORK ENVIRONMENT AND EMPLOYEE LOYALTY

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Muhammad Faizal Samat ◽  
Muhammad Najmuddin Hamid ◽  
Muhammad Ameer Shafiq Awang@Ali ◽  
Wan Muhammad Iqmal Fazri Wan Juahari ◽  
Khairul Asraf Ghazali ◽  
...  
Keyword(s):  
Career Development ◽  
Work Environment ◽  
Turnover Rate ◽  
Sampling Technique ◽  
Job Security ◽  
Future Research ◽  
Kuala Lumpur ◽  
Employee Loyalty ◽  
Convenience Sampling ◽  
The Relationship

Malaysia has recorded the second highest involuntary turnover rate at 6% and third highest voluntary rate at 6.5% in South East Asia. Employee loyalty becomes critical towards employer. Thus, the purpose of this study was to examine the relationship between career development, compensation, job security, work environment and employee loyalty. In conducting this study, convenience sampling technique has been employed and respondents have been chosen in the area of Kuala Lumpur. Hypothesis were tested using regression analysis by using Smart-PLS. Based on the result, career development, compensation and job security were found to be significant with employee loyalty. However, work environment was found to be not significant with employee loyalty. It is suggested for future research to explore other variables in order to find the factors contributed in employee loyalty. Keywords: Career Development, Compensation, Job Security, Work Environment, Employee Loyalty

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