Cited by 440Healthcare professionals’ stress and burnoutPalliative Care and End-of-Life IssuesStress and Burnout Research

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Self-care of Physicians Caring for Patients at the End of Life: “Being Connected . . . A Key to My Survival”

Kearney, Michael K., Weininger, Radhule B., Vachon, Mary L. S., Harrison, Richard L., Mount, Balfour M.·2009·JAMA

DOI 10.1001/jama.2009.352

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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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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
DOI: 10.1001/jama.2009.352
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

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Self-care of Physicians Caring for Patients at the End of Life: “Being Connected . . . A Key to My Survival”

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