The DOI matches its Crossref record; 96 of the 96 references it cites were found in a registry or an index.
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.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“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].”
Citations
Cites
Mindfulness-based interventions in context: Past, present, and future
Kabat-Zinn, J. (2003) · Clinical Psychology: Science and Practice · doi:10.1093/clipsy.bpg016 · Cited by 8,615 · cited 3×
“Mindfulness meditation is now widely used by both clinicians and patients for its psychological benefits in a variety of health care settings, such as the Stress Reduction and Relaxation Program of the University of Massachusetts Medical Center.(90) The psychological benefits include reducing anxiety; enhancing a sens…”
BackgroundMindfulness-based interventions in context: Past, present, and future.
Kabat-Zinn, J. (2003) · Clinical Psychology: Science and Practice · doi:10.1093/clipsy/bpg016 · Cited by 8,612
Mindfulness-based stress reduction and health benefits
Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(03)00573-7 · Cited by 3,958
Stressful life events, personality, and health: An inquiry into hardiness.
Kobasa, S. C. (1979) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.37.1.1 · Cited by 3,816
Alterations in brain and immune function produced by mindfulness meditation
Davidson, R. J., Kabat-Zinn, J., Schumacher, J., Rosenkranz, M., Muller, D., Santorelli, S. F., Urbanowski, F., Harrington, A., Bonus, K., & Sheridan, J. F. (2003) · Psychosomatic Medicine · doi:10.1097/01.psy.0000077505.67574.e3 · Cited by 2,925
Early predictors of job burnout and engagement.
Maslach, C., & Leiter, M. P. (2008) · Journal of Applied Psychology · doi:10.1037/0021-9010.93.3.498 · Cited by 2,397 · cited 4×
“Exhaustion prompts efforts to cope by distancing oneself emotionally and cognitively from work.(12) Depersonalizationrefers tonegative, callous,or excessivelydetached responses to various aspects of the job and is another distancing mechanism.”
BackgroundInfluentialMaslach, C., & Jackson, S. E. (1979) · PsycTESTS Dataset · doi:10.1037/t55656-000 · Cited by 2,360
Charon, R. (2001) · JAMA · doi:10.1001/jama.286.15.1897 · Cited by 2,351
Hardiness and health: A prospective study.
Kobasa, S. C., Maddi, S. R., & Kahn, S. (1982) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.42.1.168 · Cited by 1,892
Meditation experience is associated with increased cortical thickness
Lazar, S. W., Kerr, C. E., Wasserman, R. H., Gray, J. R., Greve, D. N., Treadway, M. T., McGarvey, M., Quinn, B. T., Dusek, J. A., Benson, H., et al. (2005) · NeuroReport · doi:10.1097/01.wnr.0000186598.66243.19 · Cited by 1,698
Cited by
Sorted by citations
Søvold, L. E., Naslund, J. A., Kousoulis, A. A., Saxena, S., Qoronfleh, M. W., Grobler, C., & Münter, L. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.679397 · Cited by 973
Moral Distress, Moral Residue, and the Crescendo Effect
Epstein, E. G., & Hamric, A. B. (2009) · The Journal of Clinical Ethics · doi:10.1086/jce200920406 · Cited by 917
Grief during the COVID-19 pandemic: considerations for palliative care providers
Wallace, C. L., Wladkowski, S. P., Gibson, A., & White, P. (2020) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2020.04.012 · Cited by 635
van Mol, M. M. C., Kompanje, E. J. O., Benoît, D., Bakker, J., & Nijkamp, M. D. (2015) · PLoS ONE · doi:10.1371/journal.pone.0136955 · Cited by 702
The expanding role of primary care in cancer control
Rubin, G. P., Berendsen, A. J., Crawford, S. M., Dommett, R. M., Earle, C. C., Emery, J. D., Fahey, T. P., Grassi, L. G., Grunfeld, E., Gupta, S., et al. (2015) · The Lancet Oncology · doi:10.1016/s1470-2045(15)00205-3 · Cited by 587
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.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
