Mervyn Y H Koh1, Allyn Y M Hum2, Hwee Sing Khoo3, Andy H Y Ho4, Poh Heng Chong5, Wah Ying Ong6, Joseph Ong6, Patricia S H Neo7, Woon Chai Yong8. 1. Department of Palliative Medicine, Tan Tock Seng Hospital, Singapore. Electronic address: mervyn_koh@ttsh.com.sg. 2. Palliative Care Centre for Excellence in Research and Education (PalC), Singapore. 3. Health Outcomes and Medical Education Research, National Healthcare Group, Singapore. 4. School of Social Sciences, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore. 5. HCA Hospice Care, Singapore. 6. Dover Park Hospice, Singapore. 7. Division of Supportive and Palliative Care, National Cancer Centre, Singapore. 8. National University Cancer Institute, Singapore.
Abstract
CONTEXT: Burnout is common among palliative care clinicians (PCCs). Resilience helps to reduce burnout, compassion fatigue, and is associated with longevity in palliative care. OBJECTIVES: We aimed to study PCCs who have remained in the field for longer than 10 years to deepen our understanding on their views on burnout and resilience. METHODS: We conducted a qualitative study using semistructured interviews and purposive sampling on 18 PCCs - five doctors, 10 nurses, and three social workers who worked in various palliative care settings (hospital palliative care team, home hospice, and inpatient hospice). The mean age of the interviewees was 52 years, and the mean number of years practicing palliative care was 15.7 years (range 10-25). The interviews were recorded verbatim, transcribed, and analyzed using a grounded theory approach. RESULTS: Four major themes emerged from our analysis - struggling, changing mindset, adapting, and resilience. Intervening conditions, such as self-awareness, reflection, and evolution, were also important factors. The core phenomenon of our study was that of transformational growth - a process that PCCs have to go through before they achieve resilience. We also further classified resilience into both personal and collective resilience. CONCLUSION: Our findings highlight the evolving process of transformational growth that PCCs must repeatedly undergo as they strive toward sustained resilience and longevity. It also stresses the importance of taking individual and collective responsibility toward building a culture of personal and team resilience.
CONTEXT: Burnout is common among palliative care clinicians (PCCs). Resilience helps to reduce burnout, compassion fatigue, and is associated with longevity in palliative care. OBJECTIVES: We aimed to study PCCs who have remained in the field for longer than 10 years to deepen our understanding on their views on burnout and resilience. METHODS: We conducted a qualitative study using semistructured interviews and purposive sampling on 18 PCCs - five doctors, 10 nurses, and three social workers who worked in various palliative care settings (hospital palliative care team, home hospice, and inpatient hospice). The mean age of the interviewees was 52 years, and the mean number of years practicing palliative care was 15.7 years (range 10-25). The interviews were recorded verbatim, transcribed, and analyzed using a grounded theory approach. RESULTS: Four major themes emerged from our analysis - struggling, changing mindset, adapting, and resilience. Intervening conditions, such as self-awareness, reflection, and evolution, were also important factors. The core phenomenon of our study was that of transformational growth - a process that PCCs have to go through before they achieve resilience. We also further classified resilience into both personal and collective resilience. CONCLUSION: Our findings highlight the evolving process of transformational growth that PCCs must repeatedly undergo as they strive toward sustained resilience and longevity. It also stresses the importance of taking individual and collective responsibility toward building a culture of personal and team resilience.
Authors: Cindy Wang; Pamela Grassau; Peter G Lawlor; Colleen Webber; Shirley H Bush; Bruno Gagnon; Monisha Kabir; Edward G Spilg Journal: BMC Palliat Care Date: 2020-11-06 Impact factor: 3.234
Authors: José Vítor Gonçalves; Luísa Castro; Guilhermina Rêgo; Rui Nunes Journal: Int J Environ Res Public Health Date: 2021-03-24 Impact factor: 3.390