Burnout in Home Palliative Care: What Is the Role of Coping Strategies?
Objective: The study examines psychophysical distress of health-care professionals providing home-based palliative care. The aim is to investigate potential correlations between dimensions of burnout and different coping strategies. Methods: The present study is an observational cross-sectional inve...
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| Veröffentlicht in: | Journal of palliative care 2020-01, Vol.35 (1), p.46-52 |
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| container_title | Journal of palliative care |
| container_volume | 35 |
| creator | Ercolani, Giacomo Varani, Silvia Peghetti, Barbara Franchini, Luca Malerba, Maria Beatrice Messana, Rossana Sichi, Vittoria Pannuti, Raffaella Pannuti, Franco |
| description | Objective:
The study examines psychophysical distress of health-care professionals providing home-based palliative care. The aim is to investigate potential correlations between dimensions of burnout and different coping strategies.
Methods:
The present study is an observational cross-sectional investigation. The study involved all the home palliative care teams of an Italian nonprofit organization. Of a total of 275 practitioners working for the organization, 207 (75%) decided to participate in the study and complete questionnaires. Questionnaires employed were Maslach Burnout Inventory, General Health Questionnaire 12, Psychophysiological Questionnaire of CBA 2.0, and Coping Orientation to Problems Experienced. Professionals were physicians (50%), nurses (36%), and psychologists (14%). There were no exclusion criteria. Data were processed by SPSS 23 and analyses employed were Spearman ρ, Mann-Whitney U test, and 1-way analysis of variance on ranks.
Results:
Among participants, a low number of professionals were emotionally exhausted (11%) or not fulfilled at work (20%), whereas most of them complained of depersonalization symptoms (67%). Emotional exhaustion and depersonalization were found to be associated with avoidance coping strategies, whereas problem-solving and positive attitude were negatively associated with emotional exhaustion and positively with personal accomplishment. Moreover, using avoidance strategies was related to a worse psychological and physical condition.
Conclusions:
Findings suggest the need to provide professionals training programs about coping and communication skills tailored to fit the professionals’ needs according to their work experience in palliative care and aimed at improving the approach to patients and relatives. |
| doi_str_mv | 10.1177/0825859719827591 |
| format | Article |
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The study examines psychophysical distress of health-care professionals providing home-based palliative care. The aim is to investigate potential correlations between dimensions of burnout and different coping strategies.
Methods:
The present study is an observational cross-sectional investigation. The study involved all the home palliative care teams of an Italian nonprofit organization. Of a total of 275 practitioners working for the organization, 207 (75%) decided to participate in the study and complete questionnaires. Questionnaires employed were Maslach Burnout Inventory, General Health Questionnaire 12, Psychophysiological Questionnaire of CBA 2.0, and Coping Orientation to Problems Experienced. Professionals were physicians (50%), nurses (36%), and psychologists (14%). There were no exclusion criteria. Data were processed by SPSS 23 and analyses employed were Spearman ρ, Mann-Whitney U test, and 1-way analysis of variance on ranks.
Results:
Among participants, a low number of professionals were emotionally exhausted (11%) or not fulfilled at work (20%), whereas most of them complained of depersonalization symptoms (67%). Emotional exhaustion and depersonalization were found to be associated with avoidance coping strategies, whereas problem-solving and positive attitude were negatively associated with emotional exhaustion and positively with personal accomplishment. Moreover, using avoidance strategies was related to a worse psychological and physical condition.
Conclusions:
Findings suggest the need to provide professionals training programs about coping and communication skills tailored to fit the professionals’ needs according to their work experience in palliative care and aimed at improving the approach to patients and relatives.</description><identifier>ISSN: 0825-8597</identifier><identifier>EISSN: 2369-5293</identifier><identifier>DOI: 10.1177/0825859719827591</identifier><identifier>PMID: 30727827</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adaptation, Psychological ; Adult ; Burnout ; Burnout, Psychological ; Caregivers - psychology ; Coping ; Cross-Sectional Studies ; Female ; Health Personnel - psychology ; Home health care ; Home Health Nursing ; Hospice care ; Humans ; Italy ; Male ; Medical personnel ; Middle Aged ; Nonprofit organizations ; Nurses ; Nursing assistants ; Palliative care ; Palliative Care - psychology ; Psychological aspects ; Quantitative analysis ; Surveys and Questionnaires</subject><ispartof>Journal of palliative care, 2020-01, Vol.35 (1), p.46-52</ispartof><rights>The Author(s) 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-1d77a3ba735ca92c421086ff4994232471a1ee87ede392ebb4ec352322b15a9a3</citedby><cites>FETCH-LOGICAL-c365t-1d77a3ba735ca92c421086ff4994232471a1ee87ede392ebb4ec352322b15a9a3</cites><orcidid>0000-0002-3029-8085</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0825859719827591$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0825859719827591$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,777,781,21800,27905,27906,43602,43603</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30727827$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ercolani, Giacomo</creatorcontrib><creatorcontrib>Varani, Silvia</creatorcontrib><creatorcontrib>Peghetti, Barbara</creatorcontrib><creatorcontrib>Franchini, Luca</creatorcontrib><creatorcontrib>Malerba, Maria Beatrice</creatorcontrib><creatorcontrib>Messana, Rossana</creatorcontrib><creatorcontrib>Sichi, Vittoria</creatorcontrib><creatorcontrib>Pannuti, Raffaella</creatorcontrib><creatorcontrib>Pannuti, Franco</creatorcontrib><title>Burnout in Home Palliative Care: What Is the Role of Coping Strategies?</title><title>Journal of palliative care</title><addtitle>J Palliat Care</addtitle><description>Objective:
The study examines psychophysical distress of health-care professionals providing home-based palliative care. The aim is to investigate potential correlations between dimensions of burnout and different coping strategies.
Methods:
The present study is an observational cross-sectional investigation. The study involved all the home palliative care teams of an Italian nonprofit organization. Of a total of 275 practitioners working for the organization, 207 (75%) decided to participate in the study and complete questionnaires. Questionnaires employed were Maslach Burnout Inventory, General Health Questionnaire 12, Psychophysiological Questionnaire of CBA 2.0, and Coping Orientation to Problems Experienced. Professionals were physicians (50%), nurses (36%), and psychologists (14%). There were no exclusion criteria. Data were processed by SPSS 23 and analyses employed were Spearman ρ, Mann-Whitney U test, and 1-way analysis of variance on ranks.
Results:
Among participants, a low number of professionals were emotionally exhausted (11%) or not fulfilled at work (20%), whereas most of them complained of depersonalization symptoms (67%). Emotional exhaustion and depersonalization were found to be associated with avoidance coping strategies, whereas problem-solving and positive attitude were negatively associated with emotional exhaustion and positively with personal accomplishment. Moreover, using avoidance strategies was related to a worse psychological and physical condition.
Conclusions:
Findings suggest the need to provide professionals training programs about coping and communication skills tailored to fit the professionals’ needs according to their work experience in palliative care and aimed at improving the approach to patients and relatives.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Burnout</subject><subject>Burnout, Psychological</subject><subject>Caregivers - psychology</subject><subject>Coping</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Health Personnel - psychology</subject><subject>Home health care</subject><subject>Home Health Nursing</subject><subject>Hospice care</subject><subject>Humans</subject><subject>Italy</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Middle Aged</subject><subject>Nonprofit organizations</subject><subject>Nurses</subject><subject>Nursing assistants</subject><subject>Palliative care</subject><subject>Palliative Care - psychology</subject><subject>Psychological aspects</subject><subject>Quantitative analysis</subject><subject>Surveys and Questionnaires</subject><issn>0825-8597</issn><issn>2369-5293</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kM1Lw0AUxBdRbK3ePcmC5-h-ZLNZL6JB20JB8QOPYZO8pClpt-5uBP97t7QqCJ7eYX4zwxuETim5oFTKS5IykQolqUqZFIruoSHjiYoEU3wfDTdytNEH6Mi5BSFEEkYO0YATyWSwDNH4trcr03vcrvDELAE_6q5rtW8_AGfawhV-m2uPpw77OeAn0wE2Nc7Mul01-Nlb7aFpwV0fo4Nadw5OdneEXu_vXrJJNHsYT7ObWVTyRPiIVlJqXmjJRakVK2NGSZrUdaxUzDiLJdUUIJVQAVcMiiKGkougsIIKrTQfofNt7tqa9x6czxcmfBAq80BJThIa80CRLVVa45yFOl_bdqntZ05Jvlku_7tcsJztgvtiCdWP4XuqAERbwOkGflv_DfwCU3RzGQ</recordid><startdate>202001</startdate><enddate>202001</enddate><creator>Ercolani, Giacomo</creator><creator>Varani, Silvia</creator><creator>Peghetti, Barbara</creator><creator>Franchini, Luca</creator><creator>Malerba, Maria Beatrice</creator><creator>Messana, Rossana</creator><creator>Sichi, Vittoria</creator><creator>Pannuti, Raffaella</creator><creator>Pannuti, Franco</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><orcidid>https://orcid.org/0000-0002-3029-8085</orcidid></search><sort><creationdate>202001</creationdate><title>Burnout in Home Palliative Care: What Is the Role of Coping Strategies?</title><author>Ercolani, Giacomo ; Varani, Silvia ; Peghetti, Barbara ; Franchini, Luca ; Malerba, Maria Beatrice ; Messana, Rossana ; Sichi, Vittoria ; Pannuti, Raffaella ; Pannuti, Franco</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-1d77a3ba735ca92c421086ff4994232471a1ee87ede392ebb4ec352322b15a9a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Burnout</topic><topic>Burnout, Psychological</topic><topic>Caregivers - psychology</topic><topic>Coping</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Health Personnel - psychology</topic><topic>Home health care</topic><topic>Home Health Nursing</topic><topic>Hospice care</topic><topic>Humans</topic><topic>Italy</topic><topic>Male</topic><topic>Medical personnel</topic><topic>Middle Aged</topic><topic>Nonprofit organizations</topic><topic>Nurses</topic><topic>Nursing assistants</topic><topic>Palliative care</topic><topic>Palliative Care - psychology</topic><topic>Psychological aspects</topic><topic>Quantitative analysis</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ercolani, Giacomo</creatorcontrib><creatorcontrib>Varani, Silvia</creatorcontrib><creatorcontrib>Peghetti, Barbara</creatorcontrib><creatorcontrib>Franchini, Luca</creatorcontrib><creatorcontrib>Malerba, Maria Beatrice</creatorcontrib><creatorcontrib>Messana, Rossana</creatorcontrib><creatorcontrib>Sichi, Vittoria</creatorcontrib><creatorcontrib>Pannuti, Raffaella</creatorcontrib><creatorcontrib>Pannuti, Franco</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>Journal of palliative care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ercolani, Giacomo</au><au>Varani, Silvia</au><au>Peghetti, Barbara</au><au>Franchini, Luca</au><au>Malerba, Maria Beatrice</au><au>Messana, Rossana</au><au>Sichi, Vittoria</au><au>Pannuti, Raffaella</au><au>Pannuti, Franco</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Burnout in Home Palliative Care: What Is the Role of Coping Strategies?</atitle><jtitle>Journal of palliative care</jtitle><addtitle>J Palliat Care</addtitle><date>2020-01</date><risdate>2020</risdate><volume>35</volume><issue>1</issue><spage>46</spage><epage>52</epage><pages>46-52</pages><issn>0825-8597</issn><eissn>2369-5293</eissn><abstract>Objective:
The study examines psychophysical distress of health-care professionals providing home-based palliative care. The aim is to investigate potential correlations between dimensions of burnout and different coping strategies.
Methods:
The present study is an observational cross-sectional investigation. The study involved all the home palliative care teams of an Italian nonprofit organization. Of a total of 275 practitioners working for the organization, 207 (75%) decided to participate in the study and complete questionnaires. Questionnaires employed were Maslach Burnout Inventory, General Health Questionnaire 12, Psychophysiological Questionnaire of CBA 2.0, and Coping Orientation to Problems Experienced. Professionals were physicians (50%), nurses (36%), and psychologists (14%). There were no exclusion criteria. Data were processed by SPSS 23 and analyses employed were Spearman ρ, Mann-Whitney U test, and 1-way analysis of variance on ranks.
Results:
Among participants, a low number of professionals were emotionally exhausted (11%) or not fulfilled at work (20%), whereas most of them complained of depersonalization symptoms (67%). Emotional exhaustion and depersonalization were found to be associated with avoidance coping strategies, whereas problem-solving and positive attitude were negatively associated with emotional exhaustion and positively with personal accomplishment. Moreover, using avoidance strategies was related to a worse psychological and physical condition.
Conclusions:
Findings suggest the need to provide professionals training programs about coping and communication skills tailored to fit the professionals’ needs according to their work experience in palliative care and aimed at improving the approach to patients and relatives.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>30727827</pmid><doi>10.1177/0825859719827591</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-3029-8085</orcidid></addata></record> |
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| ispartof | Journal of palliative care, 2020-01, Vol.35 (1), p.46-52 |
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| source | MEDLINE; SAGE Complete A-Z List |
| subjects | Adaptation, Psychological Adult Burnout Burnout, Psychological Caregivers - psychology Coping Cross-Sectional Studies Female Health Personnel - psychology Home health care Home Health Nursing Hospice care Humans Italy Male Medical personnel Middle Aged Nonprofit organizations Nurses Nursing assistants Palliative care Palliative Care - psychology Psychological aspects Quantitative analysis Surveys and Questionnaires |
| title | Burnout in Home Palliative Care: What Is the Role of Coping Strategies? |
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