ArticlePloS one2016
Compared to Palliative Care, Working in Intensive Care More than Doubles the Chances of Burnout: Results from a Nationwide Comparative Study.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- New Burnout Evaluation Model Based on the Brief Burnout Questionnaire: Psychometric Properties for Nursing.International journal of environmental research and public health · 2018Pooled it
- Influencing Factors of Nurses' Well-Being in Critical Care During Pandemic Era: A Systematic Review.Public health nursing (Boston, Mass.)Pooled it
- Compassion fatigue: a challenge to comprehensive health care and SDG 3 under the 2030 Agenda.Revista brasileira de enfermagem · 2026Review
- Experiences of providing end-of-life care in adult intensive care units: a qualitative study.BMC nursing · 2025Article
- Exploring the experiences of newly graduated nurses transiting into critical care settings: A descriptive qualitative study.Nursing in critical care · 2025Article
- The influencing factors of nurses' well-being in critical care during pandemic era: a systematic review protocol.Journal of preventive medicine and hygiene · 2024Article
- Factors affecting healthcare workers burnout and their conceptual models: scoping review.BMC psychology · 2024Article
- Perceptions of Quality of Interprofessional Collaboration, Staff Well-Being and Nonbeneficial Treatment: A Comparison between Nurses and Physicians in Intensive and Palliative Care.Healthcare (Basel, Switzerland) · 2024Article
- What are the triggers for palliative care referral in burn intensive care units? Results from a qualitative study based on healthcare professionals' views, clinical experiences and practices.Palliative medicine · 2024Article
- Improving mental health among intensive care unit staff with communication skills training.Frontiers in psychology · 2024Article
- Navigating disagreement and conflict in the context of a brain-based definition of death.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023Review
- Intensive care clincians' information acquisition during the first wave of the Covid 19 pandemic.Journal of the Intensive Care Society · 2023Article
- The experience of providing end-of-life care at home: The emotional experiences of young family physicians.Journal of general and family medicine · 2022Article
- A qualitative evaluation of the hot debrief/follow-up initiative: Implications of readily identifying positive outcomes in an Australian emergency department.Journal of nursing management · 2022Article
- A Qualitative Study of the Role of Palliative Care During the COVID-19 Pandemic: Perceptions and Experiences Among Critical Care Clinicians, Hospital Leaders, and Spiritual Care Providers.The American journal of hospice & palliative care · 2022Article
- Burnout Among Oncology Nurses: The Effects of Providing a Primary Palliative Care Intervention Using CONNECT Protocol.Clinical journal of oncology nursing · 2022Article
- Adaptation and continuous learning: integrative review of coping strategies of palliative care professionals.Palliative medicine · 2022Review
- Critical care work during COVID-19: a qualitative study of staff experiences in the UK.BMJ open · 2021Article
- Burnout Determinants among Nurses Working in Palliative Care during the Coronavirus Disease 2019 Pandemic.International journal of environmental research and public health · 2021Article
- [Psychological care in German intensive care units : Results of a survey among the members of the German Interdisciplinary Association for Intensive Care and Emergency Medicine].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionProfessionals working in intensive and palliative care units, hence caring for patients at the end-of-life, are at risk of developing burnout. Workplace conditions are determinant factors to develop this syndrome among professionals providing end-of-life care.
objectivesTo identify and compare burnout levels between professionals working in intensive and palliative care units; and to assess which workplace experiences are associated with burnout.
methodsA nationwide, multicentre quantitative comparative survey study was conducted in Portugal using the following instruments: Maslach Burnout Inventory-Human Services Survey, Questionnaire of workplace experiences and ethical decisions, and Questionnaire of socio-demographic and professional characteristics. A total of 355 professionals from 10 intensive care and 9 palliative care units participated in the survey. A series of univariate and multivariate logistic regression analyses were performed; odds ratio sidelong with 95% confidence intervals were calculated.
results27% of the professionals exhibited burnout. This was more frequent in intensive care units (OR = 2.525, 95% CI: 1.025-6.221, p = .006). Univariate regression analyses showed that higher burnout levels were significantly associated with conflicts, decisions to withhold/withdraw treatment, and implementing palliative sedation. When controlling for socio-demographic and educational characteristics, and setting (intensive care units versus palliative care units), higher burnout levels were significantly and positively associated with experiencing conflicts in the workplace. Having post-graduate education in intensive/palliative care was significantly but inversely associated to higher burnout levels.
conclusionsCompared to palliative care, working in intensive care units more than doubled the likelihood of exhibiting burnout. Experiencing conflicts (e.g., with patients and/or families, intra and/or inter-teams) was the most significant determinant of burnout and having post-graduate education in intensive/palliative care protected professionals from developing this syndrome. This highlights the need for promoting empowering workplace conditions, such as team empowerment and conflict management. Moreover, findings suggest the need for implementing quality improvement strategies and organizational redesign strategies aimed at integrating the philosophy, principles and practices of palliative care in intensive care units.
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