Top

Optie A:

Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
Optie B:

Deel de link per e-mail
Link delen

Tip

Swipe om te navigeren naar een ander artikel

05-01-2021 | ORIGINAL PAPER

The Relationship Between Present-Centered Awareness and Attention, Burnout, and Compassion Fatigue in Oncology Health Professionals

Tijdschrift:: Mindfulness

Auteurs:: Jamie Hegel, Georgia K. B. Halkett, Penelope Schofield, Clare S. Rees, Brody Heritage, Sahil Suleman, Laura Inhestern, Thomas Butler, Margaret I. Fitch, Lauren J. Breen

» Toegang tot de volledige tekst krijgen

Belangrijke opmerkingen

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Abstract

Objectives

Oncology health professionals experience high levels of burnout and compassion fatigue, affecting their health and the care they provide. This study aimed to establish whether present-centered awareness and attention (a component of mindfulness) is uniquely associated with burnout and compassion fatigue in oncology professionals.

Methods

An international sample of oncology professionals (n = 118) completed an online questionnaire with validated measures of present-centered awareness and attention, empathy, compassion fatigue, and burnout. Hierarchical multiple regressions were used to model relations among the independent variable (present-centered awareness and attention) and the criterion variables of burnout (disengagement, exhaustion) and compassion fatigue (compassion satisfaction, compassion burnout, secondary traumatic stress) after statistically controlling for empathy, age, gender, years of experience, and patient contact hours.

Results

Mean hours of patient contact per week was 23.52 (SD = 13.62), with 26 (22.03%) reporting 40 h or more. Higher hours of patient contact per week were positively associated with secondary traumatic stress. Present-centered awareness and attention was associated with lower disengagement, lower emotional exhaustion, higher compassion satisfaction, lower secondary traumatic stress, and lower compassion burnout. In each model, present-centered awareness accounted for unique variance after controlling for age, gender, years of experience, patient contact hours per week, and empathy scores. The amount of unique variance accounted for by present-centered awareness ranged from 4 to 10%.

Conclusions

Oncology professionals reporting higher levels of present-centered awareness and attention reported higher compassion satisfaction and lower secondary traumatic stress, compassion burnout, exhaustion, and disengagement. Promoting present-centered awareness may be a mechanism that contributes to less burnout in oncology professionals.

Log in om toegang te krijgen

Hier inloggen

Met onderstaand(e) abonnement(en) heeft u direct toegang:

BSL Psychologie Totaal

Met BSL Psychologie Totaal blijf je als professional steeds op de hoogte van de nieuwste ontwikkelingen binnen jouw vak. Met het online abonnement heb je toegang tot een groot aantal boeken, protocollen, vaktijdschriften en e-learnings op het gebied van psychologie en psychiatrie. Zo kun je op je gemak en wanneer het jou het beste uitkomt verdiepen in jouw vakgebied.

Meer informatie

Abendroth, M., & Flannery, J. (2016). Predicting the risk of compassion fatigue: a study of hospice nurses. Journal of Hospice and Palliative Nursing, 8(6), 346–356. https://doi.org/10.1097/00129191-200611000-0000. CrossRef

Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27–45. https://doi.org/10.1177/1073191105283504. CrossRefPubMed

Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., Segal, Z. V., Abbey, S., Speca, M., Velting, D., & Devins, G. (2004). Mindfulness: a proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241. https://doi.org/10.1093/clipsy.bph077. CrossRef

Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822–848. https://doi.org/10.1037/0022-3514.84.4.822. CrossRefPubMed

Bürkner, P.-C. (2017). brms: an R package for Bayesian multilevel models using Stan. Journal of Statistical Software, 80(1), 1–28. https://doi.org/10.18637/jss.v080.i01. CrossRef

Carre, A., Stefaniak, N., D'Ambrosio, F., Bensalah, L., & Besche-Richard, C. (2013). The Basic Empathy Scale in adults (BES-A): factor structure of a revised form. Psychological Assessment, 25(3), 679–691. https://doi.org/10.1037/a0032297. CrossRefPubMed

Cass, I., Duska, L. R., Blank, S. V., Cheng, G., duPont, N. C., Frederick, P. J., Hill, E. K., Matthews, C. M., Pua, T. L., Rath, K. S., Ruskin, R., Thaker, P. H., Berchuck, A., Gostout, B. S., Kushner, D. M., & Fowler, J. M. (2016). Stress and burnout among gynecologic oncologists: a society of gynecologic oncology evidence-based review and recommendations. Gynecologic Oncology, 143(2), 421–427. https://doi.org/10.1016/j.ygyno.2016.08.319. CrossRefPubMed

Coffey, K. A., & Hartman, M. (2008). Mechanisms of action in the inverse relationship between mindfulness and psychological distress. Journal of Evidence-Based Integrative Medicine, 13(2), 79–91. https://doi.org/10.1177/1533210108316307. CrossRef

Cusack, L., Smith, M., Hegney, D., Rees, C. S., Breen, L. J., Witt, R. R., Rogers, C., Williams, A., Cross, W., & Cheung, K. (2016). Exploring environmental factors in nursing workplaces that promote psychological resilience: constructing a unified theoretical model. Frontiers in Psychology, 7, 600. https://doi.org/10.3389/fpsyg.2016.00600. CrossRefPubMedPubMedCentral

Demerouti, E., Bakker, A. B., Vardakou, I., & Kantas, A. (2003). The convergent validity of two burnout instruments: a multitrait-multimethod analysis. European Journal of Psychological Assessment, 19(1), 12–23. https://doi.org/10.1027//1015-5759.19.1.12. CrossRef

Dobkin, P. L., & Laliberte, V. (2014). Being a mindful clinical teacher: Can mindfulness enhance education in a clinical setting? Medical Teacher, 36(4), 347–352. https://doi.org/10.3109/0142159X.2014.887834. CrossRefPubMed

Duarte, J., & Pinto-Gouveia, J. (2017). The role of psychological factors in oncology nurses’ burnout and compassion fatigue symptoms. European Journal of Oncology Nursing, 28, 114–121. https://doi.org/10.1016/j.ejon.2017.04.002. CrossRefPubMed

Figley, C. R. (1995). Compassion fatigue: coping with secondary traumatic stress disorder in those who treat the traumatized. New York: Brunner/Mazel.

Gilmartin, H., Goyal, A., Hamati, M. C., Mann, J., Saint, S., & Chopra, V. (2017). Brief mindfulness practices for healthcare providers: a systematic literature review. American Journal of Medicine, 130(10), 1219.e1211–1219.e1217. https://doi.org/10.1016/j.amjmed.2017.05.041. CrossRef

Hegney, D. G., Craigie, M., Hemsworth, D., Osseiran-Moisson, R., Aoun, S., Francis, K., & Drury, V. (2014). Compassion satisfaction, compassion fatigue, anxiety, depression and stress in registered nurses in Australia: study 1 results. Journal of Nursing Management, 22(4), 506–518. https://doi.org/10.1111/jonm.12160. CrossRefPubMed

Hunt, P. A., Denieffe, S., & Gooney, M. (2017). Burnout and its relationship to empathy in nursing: a review of the literature. Journal of Research in Nursing, 22(1–2), 7–22. https://doi.org/10.1177/1744987116678902. CrossRef

Jasperse, M., Herst, P., & Dungey, G. (2014). Evaluating stress, burnout and job satisfaction in New Zealand radiation oncology departments. European Journal of Cancer Care, 23(1), 82–88. https://doi.org/10.1111/ecc.12098. CrossRefPubMed

Jensen, C. G., Niclasen, J., Vangkilde, S. A., Petersen, A., & Hasselbalch, S. G. (2016). General inattentiveness is a long-term reliable trait independently predictive of psychological health: Danish validation studies of the Mindful Attention Awareness Scale. Psychological Assessment, 28, e70–e87. https://doi.org/10.1037/pas0000196. CrossRefPubMed

Johnson, C. (1992). Coping with compassion fatigue. Nursing, 22(4), 118–120.

Jolliffe, D., & Farrington, D. P. (2006). Development and validation of the Basic Empathy Scale. Journal of Adolescence, 29(4), 589–611. https://doi.org/10.1016/j.adolescence.2005.08.010. CrossRefPubMed

Kellner, M. E. (2001). Emergency medical professionals experiencing healthcare re-structure: Coping, empathy, and spirituality in relation to work-stress. (Doctoral dissertation) Available from ProQuest Dissertations Publishing. (UMI No. 9992969).

Klein, A., Taieb, O., Xavier, S., Baubet, T., & Reyre, A. (2020). The benefits of mindfulness-based interventions on burnout among health professionals: a systematic review. Explore, 16, 35–43. https://doi.org/10.1016/j.explore.2019.09.002. CrossRefPubMed

Krasner, M. S., Epstein, R. M., Beckman, H., Suchman, A. L., Chapman, B., Mooney, C. A., & Quill, T. E. (2009). Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. JAMA, 302(12), 1284–1293. https://doi.org/10.1001/jama.2009.1384. CrossRefPubMed

Kruschke, J. K. (2015). Doing Bayesian data analysis: a tutorial with R, JAGS, and Stan (2nd ed.). Elsevier.

Litten, V., Roberts, L. D., Ladyshewsky, R. K., Castell, E., & Kane, R. (2018). The influence of academic discipline on empathy and psychopathic personality traits in undergraduate students. Personality and Individual Differences, 123, 145–150. https://doi.org/10.1016/j.paid.2017.11.025. CrossRef

Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. Journal of Occupational Behavior, 2(2), 99–113. https://doi.org/10.1002/job.4030020205. CrossRef

McElreath, R. (2018). Statistical rethinking: a Bayesian course with examples in R and Stan. Boca Raton: CRC Press. CrossRef

Mills, J., Wand, T., & Fraser, J. A. (2018). Exploring the meaning and practice of self-care among palliative care nurses and doctors: a qualitative study. BMC Palliative Care, 17(1). https://doi.org/10.1186/s12904-018-0318-0.

Najjar, N., Davis, L. W., Beck-Coon, K., & Carney Doebbeling, C. (2009). Compassion fatigue: a review of the research to date and relevance to cancer-care providers. Journal of Health Psychology, 14(2), 267–277. https://doi.org/10.1177/1359105308100211. CrossRefPubMed

Osman, A., Lamis, D. A., Bagge, C. L., Freedenthal, S., & Barnes, S. M. (2015). The Mindful Attention Awareness Scale: further examination of dimensionality, reliability, and concurrent validity estimates. Journal of Personality Assessment, 98(2), 189–199. https://doi.org/10.1080/00223891.2015.1095761. CrossRefPubMed

Perron, B., & Hiltz, B. (2006). Burnout and secondary trauma among forensic interviewers of abused children. Child and Adolescent Social Work Journal, 23, 216–234. https://doi.org/10.1007/s10560-005-0044-3. CrossRef

Peterson, U., Demerouti, E., Bergström, G., Asberg, M., & Nygren, Å. (2008). Work characteristics and sickness absence in burnout and nonburnout groups: a study of Swedish health care workers. International Journal of Stress Management, 15(2), 153–172. https://doi.org/10.1037/1072-5245.15.2.153. CrossRef

Podsakoff, P. M., MacKenzie, S. B., Lee, J. Y., & Podsakoff, N. P. (2003). Common method biases in behavioral research: a critical review of the literature and recommended remedies. Journal of Applied Psychology, 88(5), 879–903. https://doi.org/10.1037/0021-9010.88.5.879. CrossRef

R Core Team. (2020). R: a language and environment for statistical computing. Vienna: R Foundation for Statistical Computing https://www.R-project.org/.

Rees, C., Craigie, M., Slatyer, S., Heritage, B., Harvey, C., Brough, P., & Hegney, D. (2018). Mindful self-care and resiliency (MSCR): protocol for a pilot trial of a brief mindfulness intervention to promote occupational resilience in rural general practitioners. BMJ Open, 8(6), e021027. https://doi.org/10.1136/bmjopen-2017-021027. CrossRefPubMedPubMedCentral

Revelle, W., & Condon, D. M. (2019). Reliability from α to ω: a tutorial. Psychological Assessment, 31(12), 1395–1411. https://doi.org/10.1037/pas0000754. CrossRefPubMed

Samios, C. (2017). Burnout and psychological adjustment in mental health workers in rural Australia: the roles of mindfulness and compassion satisfaction. Mindfulness, 9(4), 1088–1099. https://doi.org/10.1007/s12671-017-0844-5. CrossRef

Scanlan, J. N., & Still, M. (2019). Relationships between burnout, turnover intention, job satisfaction, job demands and job resources for mental health personnel in an Australian mental health service. BMC Health Services Research, 19, 62. https://doi.org/10.1186/s12913-018-3841-z. CrossRefPubMedPubMedCentral

Schaufeli, W. B., Leiter, M. P., Maslach, C., & Jackson, S. E. (1996). The MBI-general survey. In C. Maslach, S. E. Jackson, & M. P. Leiter (Eds.), Maslach Burnout Inventory manual (3rd ed.). Consulting Psychologists Press.

Schaufeli, W. B., Bakker, A. B., Hoogduin, K., Schaap, C., & Kladler, A. (2001). On the clinical validity of the Maslach Burnout Inventory and the Burnout Measure. Psychology and Health, 16, 565–582. https://doi.org/10.1080/08870440108405527. CrossRefPubMed

Schaufeli, W. B., Leiter, M. P., & Maslach, C. (2009). Burnout: 35 years of research and practice. Career Development International, 14(3), 204–220. https://doi.org/10.1108/13620430910966406. CrossRef

Shoji, K., Lesnierowska, M., Smoktunowicz, E., Bock, J., Luszczynska, A., Benight, C. C., & Cieslak, R. (2015). What comes first, job burnout or secondary traumatic stress? Findings from two longitudinal studies from the U.S. and Poland. PLoS ONE, 10(8), e0136730. https://doi.org/10.1371/journal.pone.0136730. CrossRefPubMedPubMedCentral

Silver, J., Caleshu, C., Casson-Parkin, S., & Ormond, K. (2018). Mindfulness among genetic counselors is associated with increased empathy and work engagement and decreased burnout and compassion fatigue. Journal of Genetic Counseling, 27(5), 1175–1186. https://doi.org/10.1007/s10897-018-0236-6. CrossRefPubMed

Slatyer, S., Craigie, M., Heritage, B., Davis, S., & Rees, C. (2017). Evaluating the effectiveness of a brief mindful self-care and resiliency (MSCR) intervention for nurses: a controlled trial. Mindfulness, 9(2), 534–546. https://doi.org/10.1007/s12671-017-0795-x. CrossRef

Stamm, B. H. (2010). The concise ProQOL manual (2nd ed). https://proqol.org/uploads/ProQOLManual.pdf.

Taylor, N. Z., & Millear, P. M. R. (2016). The contribution of mindfulness to predicting burnout in the workplace. Personality and Individual Differences, 89, 123–128. https://doi.org/10.1016/j.paid.2015.10.005. CrossRef

Trufelli, D. C., Bensi, C. G., Garcia, J. B., Narahara, J. L., Abrao, M. N., Diniz, R. W., Da Costa Miranda, V., Soares, H. P., & Del Giglio, A. (2008). Burnout in cancer professionals: a systematic review and meta-analysis. European Journal of Cancer Care, 17(6), 524–531. https://doi.org/10.1111/j.1365-2354.2008.00927.x. CrossRefPubMed

Turnell, A., Rasmussen, V., Butow, P., Juraskova, I., Kirsten, L., Wiener, L., Patenaude, A., Hoekstra-Weebers, J., & Grassi, L. (2016). An exploration of the prevalence and predictors of work-related well-being among psychosocial oncology professionals: an application of the job demands-resources model. Palliative and Supportive Care, 14(1), 33–41. https://doi.org/10.1017/S1478951515000693. CrossRefPubMed

Van Dam, N. T., Earleywine, M., & Borders, A. (2010). Measuring mindfulness? An item response theory analysis of the Mindful Attention Awareness Scale. Personality and Individual Differences, 49(7), 805–810. https://doi.org/10.1016/j.paid.2010.07.020. CrossRef

van Mol, M. M., Kompanje, E. J., Benoit, D. D., Bakker, J., & Nijkamp, M. D. (2015). The prevalence of compassion fatigue and burnout among healthcare professionals in intensive care units: a systematic review. PLoS One, 10(8), e0136955. https://doi.org/10.1371/journal.pone.0136955. CrossRefPubMedPubMedCentral

Wagaman, M. A., Geiger, J. M., Shockley, C., & Segal, E. A. (2015). The role of empathy in burnout, compassion satisfaction, and secondary traumatic stress among social workers. Social Work, 60(3), 201–209. https://doi.org/10.1093/sw/swv014. CrossRefPubMed

Wilkinson, H., Whittington, R., Perry, L., & Eames, C. (2017). Examining the relationship between burnout and empathy in healthcare professionals: a systematic review. Burnout Research, 6, 18–29. https://doi.org/10.1016/j.burn.2017.06.003. CrossRefPubMedPubMedCentral

Xu, W., An, Y., Ding, X., Yuan, G., Zhuang, Y., & Goh, P. (2017). Dispositional mindfulness, negative posttraumatic beliefs, and academic burnout among adolescents following the 2016 Yancheng tornado. Personality and Individual Differences, 116, 405–409. https://doi.org/10.1016/j.paid.2017.05.029. CrossRef

Yates, M., & Samuel, V. (2019). Burnout in oncologists and associated factors: a systematic literature review and meta-analysis. European Journal of Cancer Care, 28(3), e13094. https://doi.org/10.1111/ecc.13094. CrossRefPubMed

Titel: The Relationship Between Present-Centered Awareness and Attention, Burnout, and Compassion Fatigue in Oncology Health Professionals
Auteurs:: Jamie Hegel
Georgia K. B. Halkett
Penelope Schofield
Clare S. Rees
Brody Heritage
Sahil Suleman
Laura Inhestern
Thomas Butler
Margaret I. Fitch
Lauren J. Breen
Publicatiedatum: 05-01-2021
DOI: https://doi.org/10.1007/s12671-020-01591-4
Uitgeverij: Springer US
Tijdschrift: Mindfulness
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Tip