Burnout After Patient Death: Challenges for Direct Care Workers.

Details

Ressource 1Download: Boerner,Gleason&Jopp_2017.pdf (172.82 [Ko])
State: Public
Version: author
Serval ID
serval:BIB_B6F814AF89DB
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Burnout After Patient Death: Challenges for Direct Care Workers.
Journal
Journal of pain and symptom management
Author(s)
Boerner K., Gleason H., Jopp D.S.
ISSN
1873-6513 (Electronic)
ISSN-L
0885-3924
Publication state
Published
Issued date
09/2017
Peer-reviewed
Oui
Volume
54
Number
3
Pages
317-325
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Direct care workers in long-term care can develop close relationships with their patients and subsequently experience significant grief after patient death. Consequences of this experience for employment outcomes have received little attention.
To investigate staff, institutional, patient, and grief factors as predictors of burnout dimensions among direct care workers who had experienced recent patient death; determine which specific aspects of these factors are of particular importance; and establish grief as an independent predictor of burnout dimensions.
Participants were 140 certified nursing assistants and 80 homecare workers who recently experienced patient death. Data collection involved comprehensive semistructured in-person interviews. Standardized assessments and structured questions addressed staff, patient, and institutional characteristics, grief symptoms and grief avoidance, as well as burnout dimensions (depersonalization, emotional exhaustion, and personal accomplishment).
Hierarchical regressions revealed that grief factors accounted for unique variance in depersonalization, over and above staff, patient, and institutional factors. Supervisor support and caregiving benefits were consistently associated with higher levels on burnout dimensions. In contrast, coworker support was associated with a higher likelihood of depersonalization and emotional exhaustion.
Findings suggest that grief over patient death plays an overlooked role in direct care worker burnout. High supervisor support and caregiving benefits may have protective effects with respect to burnout, whereas high coworker support may constitute a reflection of burnout.
Keywords
Adult, Aged, Burnout, Professional/etiology, Burnout, Professional/psychology, Death, Depersonalization/etiology, Female, Grief, Home Health Aides/psychology, Humans, Interviews as Topic, Male, Middle Aged, Nurses' Aides/psychology, Regression Analysis, Social Support, Young Adult, Burnout dimensions, bereavement, caregiving, direct care staff, employment outcome, grief, homecare workers, nursing assistants, patient death
Pubmed
Web of science
Open Access
Yes
Create date
22/09/2017 13:38
Last modification date
20/08/2019 15:25
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