Literature DB >> 32074017

To Address Burnout in Oncology, We Must Look to Teams: Reflections on an Organizational Science Approach.

Chelsea A LeNoble1, Riley Pegram2, Marissa L Shuffler2, Tranaka Fuqua3, Donald W Wiper3.   

Abstract

PURPOSE: Despite decades of effort, burnout among physicians remains elevated compared with that of other working populations, and it yields catastrophic consequences, including medical errors and physician suicide. Burnout leaves oncologists feeling like they are alone, but this is not the case-it affects everyone. To effectively address burnout, it is not enough to look only at oncologists; instead, we must include all those involved in the delivery of cancer care. With this aim, we present an overview of the organizational science strategies and initial evidence for the value of a comprehensive, team-focused approach to addressing oncology provider burnout.
METHODS: We describe the development of a team-focused burnout intervention approach, implemented for oncology providers, which focuses on the importance of encouraging communication and psychological safety to reduce feelings of isolation and fragmentation. We discuss the initial findings from 1 such team-based initiative currently underway within an academic medical center, presenting data from 409 cancer care providers embedded in 30 oncology units participating in this intervention approach.
RESULTS: Preliminary results demonstrate that units that integrated a team-focused intervention for burnout reported significantly higher levels of teamwork and lower levels of burnout. We also describe lessons learned and recommendations for implementing this type of intervention on the basis of best practices from organizational science.
CONCLUSION: This approach can positively affect the delivery of cancer care, interprofessional relationships among oncology staff, and the well-being of both patients and providers. Treating physician burnout alone will treat 1 symptom of the overall issue of burnout in oncology. As burnout pulls oncology clinicians apart, our solution must be to bring them together.

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Year:  2020        PMID: 32074017     DOI: 10.1200/JOP.19.00631

Source DB:  PubMed          Journal:  JCO Oncol Pract        ISSN: 2688-1527


  3 in total

1.  Moral Distress and Resilience Associated with Cancer Care Priority Setting in a Resource-Limited Context.

Authors:  Rebecca J DeBoer; Espérance Mutoniwase; Cam Nguyen; Anita Ho; Grace Umutesi; Eugene Nkusi; Fidele Sebahungu; Katherine Van Loon; Lawrence N Shulman; Cyprien Shyirambere
Journal:  Oncologist       Date:  2021-05-28

2.  Exploring the barriers and facilitators of psychological safety in primary care teams: a qualitative study.

Authors:  Ridhaa Remtulla; Arwa Hagana; Nour Houbby; Kajal Ruparell; Nivaran Aojula; Anannya Menon; Santhosh G Thavarajasingam; Edgar Meyer
Journal:  BMC Health Serv Res       Date:  2021-03-24       Impact factor: 2.655

3.  Moral Distress Among Oncology Social Workers.

Authors:  Ting Guan; Krista Nelson; Shirley Otis-Green; Makeeta Rayton; Tara Schapmire; Lori Wiener; Brad Zebrack
Journal:  JCO Oncol Pract       Date:  2021-07
  3 in total

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