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Cited by 253Healthcare professionals’ stress and burnoutStress and Burnout ResearchPalliative and Oncologic Care

Staff stress in hospice/palliative care: a review

Vachon, Mary LS·1995·Palliative Medicine
DOI 10.1177/026921639500900202
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Abstract

A review of the research in the area of staff stress in hospice/palliative care since the start of the modern hospice movement shows that, while high stress was identified as a problem in the early days of the movement, later studies have shown that stress and burnout in palliative care are by no means universal. Staff stress and burnout in hospice/palliative care has been demonstrated to be less than in professionals in many other settings. However, other studies have noted suicidal ideation, increased alcohol and drug usage, anxiety, depression, and difficulty in dealing with issues of death and dying. It is hypothesized that part of the reason that stress may be lower than expected in some settings was the early recognition of the potential stress inherent in this field and the development of appropriate organizational and personal coping strategies to deal with the identified stressors. Staff in hospice/palliative care have been found to have increased stress when mechanisms such as social support, involvement in work and decision-making, and a realistic work-load are not available. The stress that exists in palliative care is due in large measure to organizational and societal issues, although personal variables were also found to have an influence. Suggestions are given for the direction of future research in the field.

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Authors
Vachon, M. L.
Affiliations
Sunnybrook Health Science Centre (CA)
Corresponding author
Vachon, Mary LS
ORCID
Vachon, Mary LS
Venue
Palliative Medicine
Publisher
SAGE Publications
Published
1995-04
Volume
9
Issue
2
Pages
91-122
ISSN
  • 0269-2163 (ISSN-L)
  • 1477-030X
DOI
10.1177/026921639500900202
OpenAlex
W2126758245
Cited by
253
References
83
Citations by year
2025: 4 · 2024: 8 · 2023: 7 · 2022: 8 · 2021: 10 · 2020: 10 · 2019: 12 · 2018: 10 · 2017: 6 · 2016: 6 · 2015: 14 · 2014: 21 · 2013: 6 · 2012: 15
FWCI
1.83
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • 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 and Oncologic Care
Keywords
staff stress, burnout, hospice care, palliative care, healthcare workers, coping strategies, social support, workload, job involvement, decision-making, suicidal ideation, substance use, anxiety and depression, death and dying, organizational stressors
MeSH terms
Workforce, Adaptation, Psychological, Anxiety, Attitude to Death, Burnout, Professional, Depression, Female, Hospices, Humans, Male, Nursing Staff, Palliative Care, Stress, Psychological, Substance-Related Disorders

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