Promoting Resiliency among Palliative Care Clinicians: Stressors, Coping Strategies, and Training Needs
Abstract
BACKGROUND: Palliative care clinicians (PCCs) are susceptible to burnout, as they regularly witness immense patient and family suffering; however, little is known about their specific challenges and training needs to enhance their long-term sustainability. OBJECTIVE: The purpose of this qualitative study was to explore common stressors, coping strategies, and training needs among PCCs in efforts to inform the development of a targeted Resiliency Program. METHODS: Utilizing a semistructured interview guide, we conducted a series of in-depth interviews with 15 PCCs at the Massachusetts General Hospital. RESULTS: Content analysis highlighted three main areas of stressors: (1) systematic challenges related to managing large, emotionally demanding caseloads within time constraints; (2) patient factors, such as addressing patients' mutable needs, managing family dynamics, and meeting patient and family demands and expectations; and (3) personal challenges of delineating emotional and professional boundaries. Engaging in healthy behaviors and hobbies and seeking emotional support from colleagues and friends were among the most common methods of coping with stressors. In terms of programmatic topics, PCCs desired training in mind-body skills (e.g., breathing, yoga, meditation), health education about the effects of stress, and cognitive strategies to help reduce ruminative thoughts and negative self-talk. A majority of clinicians stressed the need for brief strategies that could be readily integrated in the workplace. CONCLUSIONS: These results suggest that an intervention aimed to enhance PCC sustainability should focus on utilizing a skill-building approach to stress reduction that imparts strategies that can be readily utilized during work hours.
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Palliative care practitioners have stated a need for mindfulness techniques that can be readily implemented during work hours.
“Explicitly, they stated a need for mindfulness techniques that can be readily implemented during work hours.”
Palliative care practitioners recognize mindfulness as an important tool to enhance work sustainability.
“According to a qualitative study conducted recently, palliative care practitioners recognize mindfulness as an important tool to enhance work sustainability [27].”
A newly published study exploring training needs among palliative care practitioners revealed that there is a necessity for strategies to help reduce ruminative thoughts and negative self-talk.
“Correspondingly, a newly published study exploring training needs among palliative care practitioners revealed that there is a necessity for strategies to help reduce ruminative thoughts and negative self-talk [27].”
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Additional file 2 of Burnout and resilience among Canadian palliative care physicians
Wang, C., Grassau, P. A., Lawlor, P. G., Webber, C., Bush, S. H., Gagnon, B., Kabir, M., & Spilg, E. G. (2020) · Figshare · doi:10.6084/m9.figshare.13203399
Diehl, E., Rieger, S., Letzel, S., Schablon, A., Nienhaus, A., Pinzón, L. C. E., & Dietz, P. (2020) · Figshare · doi:10.6084/m9.figshare.12503048
Diehl, E., Rieger, S., Letzel, S., Schablon, A., Nienhaus, A., Pinzon, L. C. E., & Dietz, P. (2020) · Figshare · doi:10.6084/m9.figshare.12503114
Lautwein, F., Schallenburger, M., Scherg, A., Schlieper, D., Karger, A., Regel, Y. U., Schwartz, J., & Neukirchen, M. (2023) · Figshare · doi:10.6084/m9.figshare.22617526
Diehl, E., Rieger, S., Letzel, S., Schablon, A., Nienhaus, A., Pinzón, L. C. E., & Dietz, P. (2020) · Figshare · doi:10.6084/m9.figshare.12503096
Additional file 1 of Burnout and resilience among Canadian palliative care physicians
Wang, C., Grassau, P. A., Lawlor, P. G., Webber, C., Bush, S. H., Gagnon, B., Kabir, M., & Spilg, E. G. (2020) · Figshare · doi:10.6084/m9.figshare.13203396
Diehl, E., Rieger, S., Letzel, S., Schablon, A., Nienhaus, A., Pinzón, L. C. E., & Dietz, P. (2020) · Figshare · doi:10.6084/m9.figshare.12503120
Lautwein, F., Schallenburger, M., Scherg, A., Schlieper, D., Karger, A., Regel, Y. U., Schwartz, J., & Neukirchen, M. (2023) · Figshare · doi:10.6084/m9.figshare.22617529
Diehl, E., Rieger, S., Letzel, S., Schablon, A., Nienhaus, A., Pinzón, L. C. E., & Dietz, P. (2020) · Figshare · doi:10.6084/m9.figshare.12503078
- Authors
- Perez, G. K., Haime, V., Jackson, V., Chittenden, E., Mehta, D. H., & Park, E. R.
- Affiliations
- Massachusetts General Hospital (US)
- Corresponding author
- Perez, Giselle K.
- Venue
- Journal of Palliative Medicine
- Publisher
- SAGE Publications
- Published
- 2015-04
- Volume
- 18
- Issue
- 4
- Pages
- 332-337
- ISSN
- 1096-6218 (ISSN-L)
- 1557-7740
- OpenAlex
- W1904042432
- Cited by
- 103
- References
- 11
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 9 · 2023: 11 · 2022: 13 · 2021: 7 · 2020: 24 · 2019: 9 · 2018: 3 · 2017: 8 · 2016: 7 · 2015: 3
- FWCI
- 12.87
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Palliative Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Keywords
- palliative care clinicians, clinician burnout, resilience, occupational stressors, coping strategies, clinician training needs, emotional boundaries, family dynamics, stress reduction
- MeSH terms
- Workforce, Adult, Burnout, Professional, Female, Humans, Interviews as Topic, Male, Palliative Care, Patient Care Team, Personnel Staffing and Scheduling, Pilot Projects, Professional-Family Relations, Professional-Patient Relations, Relaxation Therapy, Social Support, Time Factors, Needs Assessment, Qualitative Research, Resilience, Psychological, Palliative Medicine
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