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Self-care of Physicians Caring for Patients at the End of Life: “Being Connected . . . A Key to My Survival”
Abstract
Physicians providing end-of-life care are subject to a variety of stresses that may lead to burnout and compassion fatigue at both individual and team levels. Through the story of an oncologist, we discuss the prodromal symptoms and signs leading to burnout and compassion fatigue and present the evidence for prevention. We define and discuss factors that contribute to burnout and compassion fatigue and consider factors that may mitigate burnout. We explore the practice of empathy and discuss an approach for physicians to maximize wellness through self-awareness in the setting of caring for patients with end-stage illness. Finally, we discuss some practical applications of self-care in the workplace.
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“This is not surprising, since learning to rest in the experience of suffering and developing healing connections are key aspects of palliative care [71, 72].”
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Portoghese, I., Galletta, M., Larkin, P. J., Sardo, S., Campagna, M., Finco, G., & d’Aloja, E. (2020) · BMC Palliative Care · doi:10.1186/s12904-020-0531-5 · Cited by 38
Whole Person Self-Care: Self-Care from the Inside Out
Kearney, M., & Weininger, R. B. (2011) · Springer eBooks · doi:10.1007/978-1-4419-9440-0_10 · Cited by 35
Self-citation
Metadata
- Authors
- Kearney, M. K., Weininger, R. B., Vachon, M. L. S., Harrison, R. L., & Mount, B. M.
- Affiliations
- Santa Barbara Cottage Hospital (US)
- ORCID
- Vachon, Mary L. S.
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 2009-03-18
- Volume
- 301
- Issue
- 11
- Pages
- 1155
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W2080857943
- Cited by
- 440
- References
- 96
- Citations by year
- 2026: 11 · 2025: 18 · 2024: 29 · 2023: 13 · 2022: 25 · 2021: 33 · 2020: 26 · 2019: 26 · 2018: 28 · 2017: 36 · 2016: 29 · 2015: 30 · 2014: 22 · 2013: 28 · 2012: 31
- FWCI
- 52.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JAMA (publishedVersion)
- PubMed (publishedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Keywords
- physician self-care, burnout, compassion fatigue, end-of-life care, oncologists, empathy, physician well-being, self-awareness, burnout prevention, occupational stress
- MeSH terms
- Attitude of Health Personnel, Awareness, Burnout, Professional, Empathy, Humans, Job Satisfaction, Medical Oncology, Patient Care Team, Physicians, Self Care, Terminal Care, Workplace
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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