Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

Burnout in Palliative Care Settings Compared With Other Settings: A Systematic Review

Parola, Vitor RN, MSc; Coelho, Adriana RN, MSc; Cardoso, Daniela RN; Sandgren, Anna PhD, RN; Apóstolo, João PhD, RN

Journal of Hospice & Palliative Nursing: October 2017 - Volume 19 - Issue 5 - p 442–451
doi: 10.1097/NJH.0000000000000370
Feature Articles
Buy

A systematic review, using the guideline of the Joanna Briggs Institute, was conducted to explore the effect of working in palliative care settings, compared with other settings, on burnout among health care professionals. Multiple databases were searched—CINAHL, PubMed, Scopus, and SciELO—as well as gray literature for studies published since 1975 that compared health professionals caring for patients older than 18 years in specialized palliative care settings (palliative care units, home care, or hospices) with health professionals working in other settings. Of the 539 studies retrieved, 7 cross-sectional studies were included in this review. Of these, six were conducted with nurses, and six used the Maslach Burnout Inventory. Working in palliative care (palliative care unit or hospices) was associated with lower levels of emotional exhaustion and depersonalization, as well as higher levels of personal accomplishment, compared with working in other settings. Evidence indicates that burnout levels seem to be lower among professionals working in palliative care compared with professionals working in other settings. Further research is needed to explore the strategies used by nurses working in palliative care that help them deal with burnout and to apply these same strategies to professionals working in other settings.

Vitor Parola, RN, MSc, is PhD student, Abel Salazar Institute of Biomedical Sciences, University of Porto, Portugal, and guest assistant, Nursing School of Coimbra, Portugal Centre for Evidence-Based Practice: A Joanna Briggs Institute Centre of Excellence.

Adriana Coelho, RN, MSc, is PhD student, Abel Salazar Institute of Biomedical Sciences, University of Porto, Portugal, and guest assistant, Nursing School of Coimbra, Portugal Centre for Evidence-Based Practice: A Joanna Briggs Institute Centre of Excellence.

Daniela Cardoso, RN, is PhD student and research grant holder, Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Portugal Centre for Evidence-Based Practice: A Joanna Briggs Institute Centre of Excellence.

Anna Sandgren, PhD, RN, is senior lecturer, Department of Health and Caring Sciences, and director, Center for Collaborative Palliative Care, Linnaeus University, Växjö, Sweden.

João Apóstolo, PhD, RN, is professor, Nursing School of Coimbra, and deputy director of Portugal Centre for Evidence-Based Practice: A Joanna Briggs Institute Centre of Excellence, Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Portugal.

Address correspondence to Vitor Parola, RN, MSc, Avenida Bissaya Barreto, Apartado 7001, 3046-851 Coimbra, Portugal (vitorparola@esenfc.pt).

This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors. The authors have no conflicts of interest to disclose.

© 2017 by The Hospice and Palliative Nurses Association.