Burnout in Palliative Care. Palliative Regional Rounds January 16, 2015 Craig Goldie

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Burnout in Palliative Care. Palliative Regional Rounds January 16, 2015 Craig Goldie"

Transcription

1 Burnout in Palliative Care Palliative Regional Rounds January 16, 2015 Craig Goldie

2 Overview of discussion Define burnout and compassion fatigue Review prevalence of burnout in palliative care Complete self-reflective burnout inventory Discuss local concerns about burnout and recognize areas of strength and weakness

3 Burnout Form of mental distress manifested in normal individuals who experience decreased work performance resulting from negative attitudes and behaviours. Stronger predictor than depression for lower satisfaction with career choice Associated with poorer health Associated with suboptimal patient care practices and medical errors. Emotional exhaustion Feeling overextended Depletion of one s emotional and physical resources Cynicism/depersonalization Negative, callous, or excessively detached responses to various aspects of the job Ineffectiveness Lack of personal accomplishment Feeling of incompetence or underachievement at work May arise from lack of resources and/or above domains

4 Compassion Fatigue Cost of caring for others in emotional pain Felt by some to be similar to PTSD except trauma experienced by another Secondary or vicarious traumatization Can still care/be involved but in compromised way May lead to burnout Hyperarousal Disturbed sleep, irritability Anger, hypervigilance Avoidance Not wanting to go there again Avoid thoughts, feelings, conversations associated with patient s pain and suffering Re-experiencing Intrusive thoughts/dreams Psycho- or physiological distress in response to reminders of working with the dying

5 Symptoms and signs of Burnout: Individual Overwhelming physical/emotional exhaustion Feelings of cynicism/detachment from job Sense of ineffectiveness and lack of accomplishment Over-identification or overinvolvement Irritability and hypervigilance Sleep problems (including nightmares) Social withdrawal Professional or personal boundary violations Poor judgement Perfectionism and rigidity Questioning the meaning of life Questioning prior religious beliefs Interpersonal conflicts Avoidance of emotionally difficult clinical situations Addictive behaviours Numbness and detachment Difficulty concentrating Frequent illness (headache, GI, immune system)

6 Symptoms and signs of Burnout: Team Low morale High job turnover Impaired job function (decreased empathy, increased absenteeism) Staff conflicts

7 Burnout prevalence Variably reported in literature Usually higher in oncology than general medicine or surgery Rates from ~20% to ~60%

8 Burnout prevalence Grunfeld,E

9 Burnout in palliative care Studies have reported that clinicians involved in palliative care have neither more or less stress and burnout than their medical and nursing colleagues. Two international studies (UK and Japan) showed palliative specialists have less stress/burnout than oncologists.

10 Burnout in palliative care Swetz,K

11 Burnout in palliative care Swetz,K

12 Burnout in palliative care Balance between: Environmental stressors Disease, patient/family, occupational role, work environment Personal stressors Demographic, personality, social supports, previous or concurrent stressors Coping strategies Personal and environmental Age Younger caregivers perceive and report more stressors, are more prone to burnout Socioeconomic status Better financial status = better adaptive stance Family status Marriage typically protective Dependents (children/elderly parents) lead to more stress Gender / Race No differences noted Duration of work Variable sometimes unchanged, sometimes increasing with length of employment. Spirituality Religious affiliation is protective against burnout

13 Burnout in palliative care Major palliative care stressors: Constant exposure to death Inadequate time with dying patients Growing workload and increasing number of deaths Inadequate coping with one s own emotional response to dying patients Communication difficulties with patients/relatives Identification with or developing friends with patients Inability to live up to one s own standards Internalized responsibility to provide a good death Feelings of depression, grief, and guilt in response to loss

14 Burnout tool Most commonly used is Maslach Burnout Inventory (MBI) 22 questions Answers range from: Never, few times per year, once a month A few times per month, a few times per week Once a week, every day

15 Protective Measures Kearney,M

16 Group Discussion What do we do well? What could we do better? How can we improve?

17 Strengths Connected, small group of palliative care providers in Kingston Reasonably good support from institutions, colleagues Teaching environment (Residents/Med Students) Patient load generally reasonable

18 Weaknesses No patient registry No good awareness of patient course after leaving us Not always/often notified of patient death No process for memorializing or honoring patients at CCSEO / KGH

19 How can we improve? Communication Support each other Recognize burnout in ourselves and our colleagues

20 All go here from January March

21 Thank you Questions / comments?

22 References Vachon, M. Staff stress in hospice/palliative care: a review. Palliative Medicine 1995;9; Kearney, M et al. Self-care of Physicians Caring for Patients at the End of Life. JAMA 2009; 301:11; Swetz, K et al. Strategies for Avoiding Burnout in Hospice and Palliative Medicine: Peer Advice for Physicians on Achieving Longevity and Fulfillment. JPallMed 2009; 12:9; Grunfeld et al. Cancer care workers in Ontario: prevalence of burnout, job stress and job satisfaction. CMAJ 2000;163-2:

Adult Apgar Test. 1. I am satisfied with the ACCESS I have to my emotions -- to laugh, to be sad, to feel pleasure or even anger.

Adult Apgar Test. 1. I am satisfied with the ACCESS I have to my emotions -- to laugh, to be sad, to feel pleasure or even anger. Adult Apgar Test Score 0=hardly ever 1=sometimes 2=almost always 1. I am satisfied with the ACCESS I have to my emotions -- to laugh, to be sad, to feel pleasure or even anger. 2. I am satisfied that my

More information

Nothing to disclose. Learning Objectives 4/10/2014. Caring for the Caregiver: Taking Care of You (first) and Your Staff (second)

Nothing to disclose. Learning Objectives 4/10/2014. Caring for the Caregiver: Taking Care of You (first) and Your Staff (second) Caring for the Caregiver: Taking Care of You (first) and Your Staff (second) Judith S. Gooding VP Signature Programs March of Dimes NICU Leadership Forum: April 30, 2014 Nothing to disclose Neither I nor

More information

Pulling the thread on the sweater: The significance of trauma-informed practices in the provision of palliative care in a critical care setting.

Pulling the thread on the sweater: The significance of trauma-informed practices in the provision of palliative care in a critical care setting. Pulling the thread on the sweater: The significance of trauma-informed practices in the provision of palliative care in a critical care setting. Dr. Kathleen T. Grimm, MHSc & Sandra Lauer, RN, BSN Objectives

More information

Compassion Fatigue: Are you running on fumes?

Compassion Fatigue: Are you running on fumes? Compassion Fatigue: Are you running on fumes? What is compassion? Feeling deep sympathy and sorrow for another who is stricken by suffering or misfortune, accompanied by a strong desire to alleviate the

More information

Collaboration to Address Compassion Fatigue in Hospital Staff

Collaboration to Address Compassion Fatigue in Hospital Staff Collaboration to Address Compassion Fatigue in Hospital Staff Presenters Sabrina Derrington, MD Jim Manzardo, STB, BCC Kristi Thime, RN, CNML Objectives Understand risk factors for compassion fatigue and

More information

Giving All You Have: Compassion Fatigue, Vicarious Trauma and Burnout.

Giving All You Have: Compassion Fatigue, Vicarious Trauma and Burnout. Giving All You Have: Compassion Fatigue, Vicarious Trauma and Burnout. Hello! I am Jamie Tyrell TYRELL CONSULTING www.tyrellconsulting.com Facebook: @TyrellConsulting Superman Let s get started You owe

More information

COMPASSION FATIGUE & RESILIENCY. Renee Rafferty, MS, LPC Director of Behavioral Health Services Providence Health & Services, Alaska

COMPASSION FATIGUE & RESILIENCY. Renee Rafferty, MS, LPC Director of Behavioral Health Services Providence Health & Services, Alaska COMPASSION FATIGUE & RESILIENCY Renee Rafferty, MS, LPC Director of Behavioral Health Services Providence Health & Services, Alaska The heart can hold what it loves for a lifetime. -Mark Nepo WHAT IS COMPASSION

More information

Oncology Professional Burnout

Oncology Professional Burnout 1 Oncology Professional Burnout Nancy W. Fawzy, DNSc, RN Board President, Triage Cancer This presentation is intended to provide general information on the topics presented. The author is not engaged in

More information

ARE PALLIATIVE CARE PROVIDERS: ON FIRE OR BURNED OUT?

ARE PALLIATIVE CARE PROVIDERS: ON FIRE OR BURNED OUT? ARE PALLIATIVE CARE PROVIDERS: ON FIRE OR BURNED OUT? Burnout happens to highly motivated and committed professionals the type of people who choose to go into hospice and palliative care. Eric Widera,

More information

Clinical Supervision for Healthcare Professionals

Clinical Supervision for Healthcare Professionals Clinical Supervision for Healthcare Professionals An Evaluation May 2017 Contents 1. Acknowledgements... 2 2. Executive Summary... 3 3. Background... 4 4. Methods... 7 5. Results... 9 6. Focus Groups...

More information

PSYCHOSOCIAL ASPECTS OF PALLIATIVE CARE IN MENTAL HEALTH SETTINGS. Dawn Chaitram BSW, RSW, MA Psychosocial Specialist

PSYCHOSOCIAL ASPECTS OF PALLIATIVE CARE IN MENTAL HEALTH SETTINGS. Dawn Chaitram BSW, RSW, MA Psychosocial Specialist PSYCHOSOCIAL ASPECTS OF PALLIATIVE CARE IN MENTAL HEALTH SETTINGS Dawn Chaitram BSW, RSW, MA Psychosocial Specialist WRHA Palliative Care Program April 19, 2017 OUTLINE Vulnerability and Compassion Addressing

More information

Critical Incident 5/7/2018. Defining Critical Incident. Defusing. Defusing and Debriefing

Critical Incident 5/7/2018. Defining Critical Incident. Defusing. Defusing and Debriefing Critical Incident Defusing and Debriefing Defining Critical Incident Any event that overwhelms the normal coping abilities of an emergency worker such as EMS, Fire, Police, and Emergency room personnel.

More information

Compassion Fatigue. Robin Brown-Haithco Director of Spiritual Health and Staff Support. What is Compassion Fatigue?

Compassion Fatigue. Robin Brown-Haithco Director of Spiritual Health and Staff Support. What is Compassion Fatigue? Compassion Fatigue Robin Brown-Haithco Director of Spiritual Health and Staff Support What is Compassion Fatigue? Compassion fatigue is the natural consequence of stress resulting from caring and helping

More information

COMPASSION SATISFACTION: SELF-PRESERVATION FOR ME. By: Sally Moore. Presented at: NACSW Convention 2014 November, 2014 Annapolis, Maryland

COMPASSION SATISFACTION: SELF-PRESERVATION FOR ME. By: Sally Moore. Presented at: NACSW Convention 2014 November, 2014 Annapolis, Maryland COMPASSION SATISFACTION: SELF-PRESERVATION FOR ME By: Sally Moore Presented at: NACSW Convention 2014 November, 2014 Annapolis, Maryland www.nacsw.org info@nacsw.org 888-426-4712 Self-Preservation for

More information

Mrs Catherine Smith RGN/RMN/MBA PHD Student University of Southampton UK

Mrs Catherine Smith RGN/RMN/MBA PHD Student University of Southampton UK Mrs Catherine Smith RGN/RMN/MBA PHD Student University of Southampton UK Ahola et al (2009), described a positive experience of the work environment being related to work engagement and professional commitment,

More information

Reiki for Wellness: Clinical and Corporate Setting

Reiki for Wellness: Clinical and Corporate Setting Reiki for Wellness: Clinical and Corporate Setting Robin Fuerst, PharmD ICRT Senior Licensed Reiki Master Teacher & ICRT Mentor Teacher Certified Aromatherapist & Labyrinth Facilitator Bryce Goebel ICRT

More information

Addressing Physician Burnout: How to Keep Sane When Things Seem Insane

Addressing Physician Burnout: How to Keep Sane When Things Seem Insane Addressing Physician Burnout: How to Keep Sane When Things Seem Insane Charles P. Samenow, MD, MPH Department of Psychiatry George Washington University Goals To describe physician burnout To understand

More information

Organizational strategies to address physician burnout

Organizational strategies to address physician burnout Organizational strategies to address physician burnout David J Schonfeld, MD, FAAP Suzanne Dworak-Peck School of Social Work and Pediatrics University of Southern California and Children s Hospital Los

More information

Predicting the Risk of Compassion Fatigue: An Empirical Study of Hospice Nurses By Maryann Abendroth, MSN, RN Executive Summary September 1, 2005

Predicting the Risk of Compassion Fatigue: An Empirical Study of Hospice Nurses By Maryann Abendroth, MSN, RN Executive Summary September 1, 2005 Predicting the Risk of Compassion Fatigue: An Empirical Study of Hospice Nurses By Maryann Abendroth, MSN, RN Executive Summary September 1, 2005 Compassion fatigue (CF), is a secondary traumatic stress

More information

Physician Margin, Overload and Burnout

Physician Margin, Overload and Burnout Physician Margin, Overload and Burnout Black Hills Pediatric Symposium June 23, 2017 Craig J. Uthe, MD AAFP ASAM Sanford Family Physician, Internal Locum Tenens Sanford Medical Director of Clinic Services,

More information

Self-care and burnout

Self-care and burnout Self-care and burnout Karen Brouhard, LICSW Faculty and Staff Assistance Office Boston University Resilience and Mindfulness Program for Physicians Bringing Intention, Attention and Reflection to Clinical

More information

Walking the Walk Individual Creative Tools for Transforming Compassion Fatigue & Vicarious Trauma

Walking the Walk Individual Creative Tools for Transforming Compassion Fatigue & Vicarious Trauma Walking the Walk Individual Creative Tools for Transforming Compassion Fatigue & Vicarious Trauma Kay Glidden, M.S., Certified Compassion Fatigue Specialist & Trainer Beth Reynolds-Lewis, B.S., Certified

More information

Moral Distress and Burnout: Clinicians

Moral Distress and Burnout: Clinicians Moral Distress and Burnout: Clinicians Sean M Bagshaw, MD, MSc Department of Critical Care Medicine, University of Alberta, Edmonton, Canada CCCF, Toronto, Canada October 2, 2017 13:30 13:50 2017 Disclosures

More information

Compassion fatigue among nurses working with older adults

Compassion fatigue among nurses working with older adults 1 Compassion fatigue among nurses working with older adults Kay L.Kolthoff, Susan E.Hickman Abstract Nursing who care for older patients are exposed to significant suffering and loss that can lead to the

More information

CLINICAL. Diane Bradley, PhD, RN, NEA-BC, CPHQ, FACHE, FACHCA Regional Chief Clinical Officer, HealthTechS3. April 2017

CLINICAL. Diane Bradley, PhD, RN, NEA-BC, CPHQ, FACHE, FACHCA Regional Chief Clinical Officer, HealthTechS3. April 2017 April 2017 CLINICAL Diane Bradley, PhD, RN, NEA-BC, CPHQ, FACHE, FACHCA Regional Chief Clinical Officer, HealthTechS3 Many clinicians would gladly invite leaders to walk in their shoes for a day as a means

More information

Prevalence of Stress and Coping Mechanism Among Staff Nurses of Intensive Care Unit in a Selected Hospital

Prevalence of Stress and Coping Mechanism Among Staff Nurses of Intensive Care Unit in a Selected Hospital International Journal of Neurosurgery 2018; 2(1): 8-12 http://www.sciencepublishinggroup.com/j/ijn doi: 10.11648/j.ijn.20180201.12 Prevalence of Stress and Coping Mechanism Among Staff Nurses of Intensive

More information

T211 Early Career Burnout in Physician Assistants: A National Survey. Amanda Chapman, MMS, PA-C

T211 Early Career Burnout in Physician Assistants: A National Survey. Amanda Chapman, MMS, PA-C T211 Early Career Burnout in Physician Assistants: A National Survey Amanda Chapman, MMS, PA-C achapm@midwestern.edu Introduction Burnout Syndrome: Prolonged response to chronic emotional and interpersonal

More information

Caring for Our Caregivers

Caring for Our Caregivers Caring for Our Caregivers Burnout: meeting the needs of the care team Theresa Weisenbach MBA, MSN, RN, NE-BC, BMTCN, OCN Franciscan Health Director of Nursing, Bone Marrow Transplant & Oncology Administrative

More information

Establishing Work-Life Balance to Keep Health Care Safe DR. MUNIDASA WINSLOW

Establishing Work-Life Balance to Keep Health Care Safe DR. MUNIDASA WINSLOW Establishing Work-Life Balance to Keep Health Care Safe DR. MUNIDASA WINSLOW Introduction Dr. Munidasa Winslow Consultant Psychiatrist and Executive Medical Director at Promises Healthcare Adjunct Associate

More information

Objectives. Disclosures. APNA 28th Annual Conference Session 4033: October 25, Wieland, Dawson, Lauerer 1

Objectives. Disclosures. APNA 28th Annual Conference Session 4033: October 25, Wieland, Dawson, Lauerer 1 Self care for Secondary Trauma Experienced by Child and Adolescent Nurses American Psychiatric Nurses Association 28 th Annual Conference, 2014 Indianapolis, Indiana Diane M. Wieland, PhD, MSN, RN, PMHCNS

More information

Learning Objectives 9/10/2018

Learning Objectives 9/10/2018 The Hidden Costs of Caring and Caregiving: Compassion Fatigue and Burnout in Healthcare Professionals and Informal Caregivers Erin B. Povse Kennesaw State University May 2018 erin.povse@piedmont.org Learning

More information

Section V Disaster Mental Health Services Team and Program Development

Section V Disaster Mental Health Services Team and Program Development Disaster Mental Health Services Disaster Mental Health Services Team and Program Development Section V Disaster Mental Health Services Team and Program Development TEAM FORMATION AND SELECTION Staffing

More information

What Maters Most at the End of Life

What Maters Most at the End of Life What Maters Most at the End of Life Maria Roesler, RN, MSN Director of Program Development Barnabas Health Home Care and Hospice A Partnership with VNA Health Group Patient s Wishes at the End of Life

More information

JBI Database of Systematic Reviews & Implementation Reports 2013;11(12) 81-93

JBI Database of Systematic Reviews & Implementation Reports 2013;11(12) 81-93 Meaningfulness, appropriateness and effectiveness of structured interventions by nurse leaders to decrease compassion fatigue in healthcare providers, to be applied in acute care oncology settings: a systematic

More information

Stress and burnout in doctors

Stress and burnout in doctors Who s looking after the doctor s health? Stress and burnout in doctors Dr Blánaid Hayes, Consultant Occupational Physician (Beaumont Hospital), Dean of Faculty of Occupational Medicine, Royal College of

More information

ADMINISTRATIVE STRATEGIES TO REDUCE BURNOUT: DEFINING AND IDENTIFYING BURNOUT IN YOUR ORGANIZATION MAY 31, :00PM ET

ADMINISTRATIVE STRATEGIES TO REDUCE BURNOUT: DEFINING AND IDENTIFYING BURNOUT IN YOUR ORGANIZATION MAY 31, :00PM ET STAR² CENTER ADMINISTRATIVE STRATEGIES TO REDUCE BURNOUT: DEFINING AND IDENTIFYING BURNOUT IN YOUR ORGANIZATION MAY 31, 2018 3:00PM ET ACU ACU is a nonprofit, transdisciplinary organization of clinicians,

More information

02/06/2017. Emotion - Work Variables in Palliative Care. Requirement to display or suppress emotions on the job

02/06/2017. Emotion - Work Variables in Palliative Care. Requirement to display or suppress emotions on the job Mary L.S. Vachon, PhD, RN Psychotherapy Adjunct Professor, Dept. of Psychiatry and Dalla Lana School of Public Health, University of Toronto Clinical Consultant, Wellspring maryvachon@sympatico.ca Can

More information

4/13/2017. Mindfulness: An Intervention for Stress Management. Conflicts of Interest. Learning Objectives. Identify two causes of work-related stress

4/13/2017. Mindfulness: An Intervention for Stress Management. Conflicts of Interest. Learning Objectives. Identify two causes of work-related stress Mindfulness: An Intervention for Stress Management Kandice Duns, BSN, RN Assistant Nurse Manager UC Davis Medical Center Conflicts of Interest Learning Objectives Identify two causes of work-related stress

More information

Caregivers: Supporting loved ones at the end-of-life

Caregivers: Supporting loved ones at the end-of-life Caregivers: Supporting loved ones at the end-of-life Presented by Louise Hanvey, Project Manager, Canadian Hospice Palliative Care Association, and Erin Bezemer, RN, Manager of Clinical Practice at We

More information

Caring for Babies and their Families: Providing Psychosocial Support in the NICU Course Outline with Objectives December 22, 2017

Caring for Babies and their Families: Providing Psychosocial Support in the NICU Course Outline with Objectives December 22, 2017 Caring for Babies and their Families: Providing Psychosocial Support in the NICU Course Outline with Objectives December 22, 2017 NAVIGATING THIS COURSE 1. Navigation 2. Definition of navigation icons

More information

Dignity & Compassion in Care

Dignity & Compassion in Care Dignity & Compassion in Care What is compassion A sensitivity to the suffering of self and others, with a deep commitment to try and relieve it The Dalai Lama (1995) The 6 C s People who use health and

More information

Welcome. Self-Care Basics in HCH Settings. Tuesday, January 8, We will begin promptly at 1 p.m. Eastern.

Welcome. Self-Care Basics in HCH Settings. Tuesday, January 8, We will begin promptly at 1 p.m. Eastern. Welcome Self-Care Basics in HCH Settings 1 Tuesday, January 8, 2013 We will begin promptly at 1 p.m. Eastern. Event Host: Victoria Raschke, MA Director of TA and Training National Health Care for the Homeless

More information

Running head: PREVENTING BURNOUT AND COMPASSION FATIGUE 1. Findings from a Systematic Review. By Natalie Scharf

Running head: PREVENTING BURNOUT AND COMPASSION FATIGUE 1. Findings from a Systematic Review. By Natalie Scharf Running head: PREVENTING BURNOUT AND COMPASSION FATIGUE 1 Can we prevent burnout and fatigue in the oncology nursing population? Findings from a Systematic Review By Natalie Scharf Senior Honors Thesis

More information

Course Materials & Disclosure

Course Materials & Disclosure E L N E C End-of-Life Nursing Education Consortium Module 7 Loss, Grief, & Bereavement Course Materials & Disclosure Course materials including handout(s) and conflict of interest disclosure statement

More information

Disclosures. From Burnout to Resilience: Building Capacity to Thrive at Work. Arif Kamal MD, MBA,

Disclosures. From Burnout to Resilience: Building Capacity to Thrive at Work. Arif Kamal MD, MBA, From Burnout to Resilience: Building Capacity to Thrive at Work Arif Kamal MD, MBA, MHS @arifkamalmd www.resilientclinician.org Disclosures 1 Objectives Learners will be able to describe the current prevalence

More information

Coping With Caregiver Stress: Adapting and Thriving as a Caregiver. Morgen Hartford, MSW Southern Arizona Regional Program Manager

Coping With Caregiver Stress: Adapting and Thriving as a Caregiver. Morgen Hartford, MSW Southern Arizona Regional Program Manager Coping With Caregiver Stress: Adapting and Thriving as a Caregiver Morgen Hartford, MSW Southern Arizona Regional Program Manager Objectives Identify who is a caregiver Understand issues that caregiving

More information

Caring for Carers. Includes Caregiver Health Checklists

Caring for Carers. Includes Caregiver Health Checklists Caring for Carers Includes Caregiver Health Checklists The role of carer can provide great satisfaction, but being a caregiver can also be very emotionally stressful between a third and a half of carers

More information

Physician Well-Being: Why Should Anyone Care?

Physician Well-Being: Why Should Anyone Care? Physician Well-Being: Why Should Anyone Care? September 7, 2018 Presenter: Colin P. West, MD, PhD Professor of Medicine, Medical Education, and Biostatistics Division of General Internal Medicine Division

More information

"Me Time": Investing in Self Care to Stay Centered during Stressful Times

Me Time: Investing in Self Care to Stay Centered during Stressful Times Annual Conference- Atlanta, Georgia - August 23, 2016 "Me Time": Investing in Self Care to Stay Centered during Stressful Times Sandra Edmonds Crewe, Ph.D., ACSW Dean and Professor of Social Work 1. Understand

More information

Emotional Exhaustion, Depersonalization, and Feelings of Decreased Personal Accomplishment Oh My: What Message Are We Sending To Our Students?

Emotional Exhaustion, Depersonalization, and Feelings of Decreased Personal Accomplishment Oh My: What Message Are We Sending To Our Students? University of Nebraska Medical Center DigitalCommons@UNMC Posters and Presentations: Physical Therapy Physical Therapy 0-208 Emotional Exhaustion, Depersonalization, and Feelings of Decreased Personal

More information

Enhancing Caregiver Resilience The Role of Staff Support

Enhancing Caregiver Resilience The Role of Staff Support Enhancing Caregiver Resilience The Role of Staff Support Albert W. Wu, MD, MPH Johns Hopkins Bloomberg School of Public Health Bonn, 29 March 2017 Wu AW 2017 Burnout When passionate, committed people become

More information

Wellness: an Opportunity or an Oxymoron for Medical Educators?

Wellness: an Opportunity or an Oxymoron for Medical Educators? Wellness: an Opportunity or an Oxymoron for Medical Educators? APPD LEAD Conference Richard P. Shugerman, MD Rebecca R. Swan, MD Goal for this session: For leaders in education to recognize the importance

More information

TBI and the Caregiver. TBI and the Caregiver. The Role of the Caregiver after Traumatic Brain Injury TBI TBI DR. CHIARAVALLOTI HAS NO

TBI and the Caregiver. TBI and the Caregiver. The Role of the Caregiver after Traumatic Brain Injury TBI TBI DR. CHIARAVALLOTI HAS NO The Role of the Caregiver after Traumatic Brain Injury Nancy D. Chiaravalloti, Ph.D. Director of Neuroscience and Neuropsychology Director of Traumatic Brain Injury Research DR. CHIARAVALLOTI HAS NO DISCLOSURES

More information

Rehan Qayyum, MD MHS. Burnout

Rehan Qayyum, MD MHS. Burnout Burnout Burnout is a psychological syndrome resulting from a prolonged response to chronic interpersonal stressors, usually on the job. Before this term was taken up by psychologists, people used the term

More information

Self-Care for Nurses: Staying in Balance

Self-Care for Nurses: Staying in Balance Self-Care for Nurses: Staying in Balance Lisa Rosenzweig, PhD Psychologist MJHS Bereavement Coordinator May 10, 2016 Financial Disclosures Lisa Rosenzweig, PhD has no financial arrangements or affiliations

More information

Evaluating post-trauma functioning in Haitian Health Promoters and Nursing Students

Evaluating post-trauma functioning in Haitian Health Promoters and Nursing Students Evaluating post-trauma functioning in Haitian Health Promoters and Nursing Students Kim Robinson, PhD & Ellen Palmer, PhD, Jocelyne Arnoux, RN, Marie Yolande Nazaire, RN Grace Children s Hospital in Port

More information

Physician Burnout and Distress: Causes, Consequences, and a Structure For Solutions

Physician Burnout and Distress: Causes, Consequences, and a Structure For Solutions Physician Burnout and Distress: Causes, Consequences, and a Structure For Solutions January 5, 2017 Presenter: Colin P. West, MD, PhD Professor of Medicine, Medical Education, and Biostatistics Division

More information

Stress, Coping and Resilience of Cancer Nurses at Two Hospitals Professor Anne Williams

Stress, Coping and Resilience of Cancer Nurses at Two Hospitals Professor Anne Williams Stress, Coping and Resilience of Cancer Nurses at Two Hospitals Professor Anne Williams Dr Nigel Williams, Dr Susan Slatyer, Professor Leanne Monterosso, Dr Anna Petterson, Professor Paul Morrison, Dr

More information

Compassion Mitigates Burnout

Compassion Mitigates Burnout Washington Patient Safety Coalition Foundation for Health Care Quality Care for the Caregiver/Colleague Compassion Mitigates Burnout Michael J. Goldberg, MD Seattle Children s Hospital Seattle WA Schwartz

More information

Burnout, Renewal & Mindfulness. Joe Dreher MD, Frank Chessa, PhD & Christine Hein, MD

Burnout, Renewal & Mindfulness. Joe Dreher MD, Frank Chessa, PhD & Christine Hein, MD Burnout, Renewal & Mindfulness Joe Dreher MD, Frank Chessa, PhD & Christine Hein, MD 2 The Imperative There is a strange machismo that pervades medicine. Doctors, especially fledgling doctors like me,

More information

Chandni Dalia Gillian Colville Kirsty Abbas Joe Brierley Great Ormond St 2013

Chandni Dalia Gillian Colville Kirsty Abbas Joe Brierley Great Ormond St 2013 Chandni Dalia Gillian Colville Kirsty Abbas Joe Brierley Great Ormond St 2013 Setting Tertiary children s hospital PICU/NICU High acuity > 90% children invasively ventilated UK average 65 % Largest training

More information

Barriers to compassion in primary care. Nathan S. Consedine, PhD Department of Psychological Medicine, University of Auckland

Barriers to compassion in primary care. Nathan S. Consedine, PhD Department of Psychological Medicine, University of Auckland Barriers to compassion in primary care Nathan S. Consedine, PhD Department of Psychological Medicine, University of Auckland Invited presentation at the NZMA s Rotorua GP CME Conference, Rotorua, June,

More information

Ian Nisonson, M.D. 11/2/2017

Ian Nisonson, M.D. 11/2/2017 Ian Nisonson, M.D., FACS Conference Director President of Baptist-South Miami Medical Staff (1997-1999) Senior Active Medical Staff, Baptist Hospital of Miami Adjunct Assistant Professor, Herbert Wertheim

More information

End of Life Care To Care is to Dare. Salah Zeineldine, MD FACP American University of Beirut

End of Life Care To Care is to Dare. Salah Zeineldine, MD FACP American University of Beirut End of Life Care To Care is to Dare Salah Zeineldine, MD FACP American University of Beirut The End Points Differentiate between Good Death and Bad Death Recognize the modifiable dimensions in End Of Life

More information

TRINITY HEALTH THE VALUE OF SPIRITUAL CARE

TRINITY HEALTH THE VALUE OF SPIRITUAL CARE TRINITY HEALTH THE VALUE OF SPIRITUAL CARE 2015 Trinity Health, Livonia, MI 20555 Victor Parkway Livonia, Michigan 48152?k The Good Samaritan MISSION We, Trinity Health, serve together in the spirit of

More information

Shevander Dykes, MA, LPC, NCC, CCTP, MAC

Shevander Dykes, MA, LPC, NCC, CCTP, MAC Presented by: Shevander Dykes, MA, LPC, NCC, CCTP, MAC Licensed Professional Counselor National Certified Counselor Certified Clinical Trauma Professional Master Addiction Counselor Shevander Dykes is

More information

Measuring Pastoral Care Performance

Measuring Pastoral Care Performance PASTORAL CARE Measuring Pastoral Care Performance RABBI NADIA SIRITSKY, DMin, MSSW, BCC; CYNTHIA L. CONLEY, PhD, MSW; and BEN MILLER, BSSW BACKGROUND OF THE PROBLEM There is a profusion of research in

More information

SELF CARE AND RESILIENCE FOR NURSES

SELF CARE AND RESILIENCE FOR NURSES SELF CARE AND RESILIENCE FOR NURSES DELIVERED BY EILEEN HOPKINS, RGN, RCN. PROFESSIONAL LIFE COACH & TRAINER 19/02/18 ST. ITA S PORTRANE MY NURSING JOURNEY MY LIFE TODAY COMPASSION FATIGUE 4 AREAS WE WILL

More information

Developing a Resiliency Program For Palliative Care Clinicians (PCC)

Developing a Resiliency Program For Palliative Care Clinicians (PCC) Developing a Resiliency Program For Palliative Care Clinicians (PCC) Giselle K. Perez, PhD, Vivian Haime, BS, Vicki Jackson, MD, Darshan Mehta, MD, Elyse R. Park, PhD, MPH The Benson-Henry Institute for

More information

Integrated Care Condolence Teams for Missing, Injured or Deceased Standards and Procedures

Integrated Care Condolence Teams for Missing, Injured or Deceased Standards and Procedures Integrated Care Condolence Teams for Missing, Injured or Deceased Standards and Procedures Disaster Cycle Services Standards & Procedures DCS SP Respond January 2016 Change Log Date Page(s) Section Change

More information

Objectives. Literature Search. Background. Courageous Caring to Promote Compassion Satisfaction. Courageous Care: Theme NOTE:

Objectives. Literature Search. Background. Courageous Caring to Promote Compassion Satisfaction. Courageous Care: Theme NOTE: Courageous Care: 2015-2016 Theme Courageous Caring to Promote Compassion Satisfaction Tara L. Sacco RN, MS, CCRN, AGCNS-BC, ACCNS-AG 2015 Critical Care Symposium Rochester, NY 1 4 Objectives Differentiate

More information

Burnout Among Health Care Professionals

Burnout Among Health Care Professionals Burnout Among Health Care Professionals NAM Action Collaborative on Clinician Well-being and Resilience Research, Data, and Metrics Taskforce Lotte Dyrbye, MD, MHPE, FACP Professor of Medicine & Medical

More information

Physician Burnout: What Is It and What Causes It?

Physician Burnout: What Is It and What Causes It? Physician Burnout: What Is It and What Causes It? By Michael Baron, MD, MPH, FASAM Editor's Note: This is part two in a four-part series on physician burnout. Part one was published in the January 2018

More information

Path to Transformation Concept Paper Comments and Recommendations. Palliative Care Community Partners (PCCP)

Path to Transformation Concept Paper Comments and Recommendations. Palliative Care Community Partners (PCCP) Path to Transformation Concept Paper Comments and Recommendations Palliative Care Community Partners (PCCP) c/o Hospice Care of America, Inc., 3815 N Mulford Rd, Rockford, IL / (815)316-2697 As part of

More information

52 accc-cancer.org March April 2019 OI. Removing the Blame from Burnout

52 accc-cancer.org March April 2019 OI. Removing the Blame from Burnout 52 accc-cancer.org March April 2019 OI Removing the Blame from Burnout BY ACCC EDITORIAL STAFF The benefits of addressing clinician and staff stress on an institutional level for cancer patients can be

More information

Presented by Rosalie Lo, PsyD Senior Clinical Psychologist Certified Traumatologist

Presented by Rosalie Lo, PsyD Senior Clinical Psychologist Certified Traumatologist Presented by Rosalie Lo, PsyD Senior Clinical Psychologist Certified Traumatologist Corporate Clinical Psychology Services (CCPS) Hospital Authority, Hong Kong Challenges Facing HCWs They experience

More information

Palliative Care. Care for Adults With a Progressive, Life-Limiting Illness

Palliative Care. Care for Adults With a Progressive, Life-Limiting Illness Palliative Care Care for Adults With a Progressive, Life-Limiting Illness Summary This quality standard addresses palliative care for people who are living with a serious, life-limiting illness, and for

More information

The Secret to Achieving Joy and Avoiding Burnout at Work!

The Secret to Achieving Joy and Avoiding Burnout at Work! The Secret to Achieving Joy and Avoiding Burnout at Work! Evelyn Clingerman, PhD, RN, CNE, FNAP Executive Director, The Bonnie Wesorick Center for Health Care Transformation Kirkhof College of Nursing

More information

Burnout among UPM Teachers of Postgraduate Studies. Naemeh Nahavandi

Burnout among UPM Teachers of Postgraduate Studies. Naemeh Nahavandi Burnout among UPM Teachers of Postgraduate Studies Naemeh Nahavandi Introduction The concept of burnout has become an issue for a long time. At first it was introduced in health care professions; however,

More information

The Antidote To Suffering: How Compassionate Connected Care Improves Quality, Safety, and Experience. Christy Dempsey Chief Nursing Officer

The Antidote To Suffering: How Compassionate Connected Care Improves Quality, Safety, and Experience. Christy Dempsey Chief Nursing Officer The Antidote To Suffering: How Compassionate Connected Care Improves Quality, Safety, and Experience Christy Dempsey Chief Nursing Officer Advancing the Industry Toward Transformation 2018 Press Ganey

More information

Supporting family caregivers of seniors: improving care and caregiver outcomes in End-of-life care.

Supporting family caregivers of seniors: improving care and caregiver outcomes in End-of-life care. Supporting family caregivers of seniors: improving care and caregiver outcomes in End-of-life care. Dr. Jasneet Parmar, Dr. Suzette Bremault-Phillips, Ms. Melissa Johnson Covenant Health s 25 th Annual

More information

CRASH 2019 The Relationship Between Wellness, Resilience and Quality Alison Brainard MD, Norah Janosy MD, Melanie Donnelly MD February, 2018

CRASH 2019 The Relationship Between Wellness, Resilience and Quality Alison Brainard MD, Norah Janosy MD, Melanie Donnelly MD February, 2018 Objectives CRASH 2019 The Relationship Between Wellness, Resilience and Quality Alison Brainard MD, Norah Janosy MD, Melanie Donnelly MD February, 2018 Understand burnout the features, risk factors, signs

More information

International Journal of Informative & Futuristic Research

International Journal of Informative & Futuristic Research Volume 3 Issue 1 September 2015 International Journal of Informative & Futuristic Research Symptoms Of Occupational Stress Among Paper ID IJIFR/ V3/ E1/ 018 Page No. 83-89 Subject Area Commerce Key Words

More information

Caring for the caregiver

Caring for the caregiver Caring for the caregiver AIMEE BECKER, MD, MBA BRIDGET MULDOWNEY, MD Objectives Define occupational burnout and identify causes Describe the difference between stress and burnout Develop an awareness of

More information

Compassion Fatigue: An Expert Interview With Charles R. Figley, MS, PhD

Compassion Fatigue: An Expert Interview With Charles R. Figley, MS, PhD Compassion Fatigue: An Expert Interview With Charles R. Figley, MS, PhD Medscape Psychiatry & Mental Health. 2005;10(2) 2005 Medscape Posted 10/17/2005 Editor's Note: Disasters such as Hurricane Katrina

More information

Palliative Care Competencies for Occupational Therapists

Palliative Care Competencies for Occupational Therapists Principles of Palliative Care Demonstrates an understanding of the philosophy of palliative care Demonstrates an understanding that a palliative approach to care starts early in the trajectory of a progressive

More information

WHAT TO SAY WHEN SOMEONE S GRIEVING. Presented by Military & Family Life Counselors

WHAT TO SAY WHEN SOMEONE S GRIEVING. Presented by Military & Family Life Counselors WHAT TO SAY WHEN SOMEONE S GRIEVING Presented by Military & Family Life Counselors OBJECTIVES Participants will learn: The nature and stages of grief Ways to assist the bereaved What to say and what not

More information

Taking Our Own Pulse: Physician Wellness as a Personal, Institutional, and Political Imperative

Taking Our Own Pulse: Physician Wellness as a Personal, Institutional, and Political Imperative Taking Our Own Pulse: Physician Wellness as a Personal, Institutional, and Political Imperative June 4: Catherine Cheng, MD June 11: Doris Gunderson, MD June 18: Derek Puddester, MD June 25: Mark Linzer,

More information

Healing Our Own. The Second Victim Phenomenon & a New Approach to Quality Care. September, 2014 Joshua Clark, RN, CPPS

Healing Our Own. The Second Victim Phenomenon & a New Approach to Quality Care. September, 2014 Joshua Clark, RN, CPPS Healing Our Own The Second Victim Phenomenon & a New Approach to Quality Care September, 2014 Joshua Clark, RN, CPPS Objectives Define the term "Second Victim Discuss how the Second Victim concept materialized

More information

MANAGING TIME AND STRESS. There is an old saying that : time is money. In health care, time affects both money and quality

MANAGING TIME AND STRESS. There is an old saying that : time is money. In health care, time affects both money and quality MANAGING TIME AND STRESS 1 There is an old saying that : time is money. In health care, time affects both money and quality 2 1 The Present Yesterday is History Tomorrow s a Mystery But Today is a Gift

More information

Standards of Practice for Hospice Programs (2010) (Veteran-related Standards)

Standards of Practice for Hospice Programs (2010) (Veteran-related Standards) Standards of Practice for Hospice Programs (2010) (Veteran-related Standards) National Hospice and Palliative Care Organizations (NHPCO) Standards of Practice for Hospice Programs (2010) is a valuable

More information

Compassion fatigue in oncology nursing: A witness to suffering

Compassion fatigue in oncology nursing: A witness to suffering continuing education educational objectives After participating in this activity, clinicians should be better able to Identify the difference between burnout and compassion fatigue/secondary traumatic

More information

Perceptions of the role of the hospital palliative care team

Perceptions of the role of the hospital palliative care team NTResearch Perceptions of the role of the hospital palliative care team Authors Catherine Oakley, BSc, RGN, is Macmillan lead cancer nurse, St George s Hospital NHS Trust, London; Kim Pennington, BSc,

More information

A Study of Stress and Its Management Strategies among Nursing Staff at Selected Hospitals in South India

A Study of Stress and Its Management Strategies among Nursing Staff at Selected Hospitals in South India Page1 A Study of Stress and Its Management Strategies among Nursing Staff at Selected Hospitals in South India K. Vijaya Nirmala Department of Management Studies, Sri Venkateswara University, Tirupati,

More information

What is palliative care?

What is palliative care? What is palliative care? Hamilton Health Sciences and surrounding communities Palliative care is a way of providing health care that focuses on improving the quality of life for you and your family when

More information

Adverse Events and the Second Victim

Adverse Events and the Second Victim Adverse Events and the Second Victim Albert Wu, MD, MPH, FACP Johns Hopkins University 1 Wu AW, BMJ 2000 Definition A health care provider involved in an unanticipated adverse patient event and/or medical

More information

INTERVENTIONS FOR DOCTORS IN DIFFICULTY

INTERVENTIONS FOR DOCTORS IN DIFFICULTY INTERVENTIONS FOR DOCTORS IN DIFFICULTY Jenny Firth-Cozens London Deanery Why interventions are necessary Doctors stress and depression levels are higher than the workforce as a whole Alcohol problems

More information

E-Learning Module G: Social Domain

E-Learning Module G: Social Domain E-Learning Module G: Social Domain This Module requires the learner to have read Chapter 7 of the Fundamentals Program Guide and the other required readings associated with the topic. Revised: August 2017

More information

Factors related to staff stress in HIV/AIDS related palliative care

Factors related to staff stress in HIV/AIDS related palliative care Research Article Factors related to staff stress in HIV/AIDS related palliative care Prabha S. Chandra, K. R. Jairam, Anila Jacob Department of Psychiatry, NIMHANS, Bangalore, India Correspondence: Dr.

More information

Agenda. Office of Clinician Support. Staff Responses to An Adverse Event. A Safe Place To Talk. Traumatic Stress Symptoms

Agenda. Office of Clinician Support. Staff Responses to An Adverse Event. A Safe Place To Talk. Traumatic Stress Symptoms Office of Clinician Support: Caring for Children s Hospital Clinicians David R. DeMaso, MD Psychiatrist-in-Chief & Chairman of Psychiatry Children s Hospital Boston Professor of Psychiatry & Pediatrics

More information