Wie viel Tod verträgt das Team?: Eine bundesweite Befragung der Palliativstationen in Deutschland
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Background How many patient deaths the teams at palliative care units can cope with, the supporting factors in coping and the future prospects of the teams have not yet been subject to research in Germany. The aim of the study was to assess burden factors, burden symptoms and protective factors, the critical number and distribution of patient deaths as well as the prospects of the teams.Sample and methods A total of 873 members of palliative care teams from 95 (60% of n=158) German palliative care units took part in this explorative evaluation. Basic factors could be identified using factor analysis. Differences between professional groups were checked with analysis of variance.Results Results showed that not having reached the objectives of palliative care was the central burden factor. In the majority of cases a team reacted by being loquacious. The team itself was ranked as the most important protective factor. The mean critical number of deaths was 4.4 per week. Consecutive patient deaths were rated as being significantly more stressful than evenly spread deaths. Ratings for the future prospects of the team were significantly lower in teams where not meeting the objectives of palliative care was considered a high burden factor.Conclusion A clearer definition of the objectives of palliative care and support of team communication are desirable.
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In the same German national survey, 42.6% of palliative care practitioners identified frequent patient deaths as a burdening factor.
“42,6% identified frequent patients deaths as a burdening factor.”
In a national survey in Germany (n = 873), 51% of palliative care practitioners feel strongly or very strongly burdened when they are unable to achieve the objectives of palliative care.
“A national survey conducted in Germany [5] assessing burdening factors experienced by palliative care practitioners (n = 873) revealed that 51% of the surveyed practitioners feel strongly or very strongly burdened when they are unable to achieve the objectives of palliative care (e.g. meeting psychosocial needs)”
Inherent stressors pertaining to work in palliative care can impact the health and well-being of practitioners, leading to stress, burnout, psychological morbidity and compassion fatigue.
“Yet, inherent stressors pertaining to the work in this field, can impact the health and well-being of practitioners leading to stress, burnout, psychological morbidity and compassion fatigue [3–5].”
In the same German national survey, 47.2% of palliative care practitioners identified burden-related issues regarding relationship building with patients and their families.
“47,2% identified burden related issues regarding relationship building with patients and their families (e.g. balancing closeness and distance)”
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- Authors
- Müller, M., Pfister, D., Markett, S., & Jaspers, B.
- Affiliations
- University of Bonn (DE)
- Corresponding author
- Jaspers, B.
- Venue
- Der Schmerz
- Published
- 2009-09-12
- Volume
- 23
- Issue
- 6
- Pages
- 600-608
- ISSN
- 0932-433X (ISSN-L)
- 1432-2129
- OpenAlex
- W1536437367
- Cited by
- 50
- References
- 25
- Citations by year
- 2025: 3 · 2024: 2 · 2023: 5 · 2022: 5 · 2021: 4 · 2020: 2 · 2019: 3 · 2018: 3 · 2017: 4 · 2016: 2 · 2015: 1 · 2014: 13
- FWCI
- 1.00
- Type
- journal article
- Language
- de
- Open access
- Licence
- Locations
- Der Schmerz (publishedVersion)
- PubMed (publishedVersion)
- GoeScholar The Publication Server of the Georg-August-Universität Göttingen (Georg-August-Universität Göttingen) (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Keywords
- palliative care team, patient death, occupational stress, protective factors, team communication, professional groups
- MeSH terms
- Adaptation, Psychological, Adult, Attitude to Death, Burnout, Professional, Communication, Cross-Sectional Studies, Female, Germany, Health Services Needs and Demand, Health Surveys, Humans, Interprofessional Relations, Male, Middle Aged, Palliative Care, Patient Care Team, Surveys and Questionnaires
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