ArticleJournal of pain and symptom management2017
"It Is Like Heart Failure. It Is Chronic … and It Will Kill You": A Qualitative Analysis of Burnout Among Hospice and Palliative Care Clinicians.
Article in Journal of pain and symptom management, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
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
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 102 citations in OpenAlex.
- Interventions to Improve Mental Health, Well-Being, Physical Health, and Lifestyle Behaviors in Physicians and Nurses: A Systematic Review.American journal of health promotion : AJHP · 2020Pooled it
- Healthcare interprofessional palliative care educational needs: a qualitative multiple case study in Jamaica.BMC medical education · 2026Article
- A systematic scoping review of mentor training in medical education between 2000 and 2024.BMC medical education · 2025Article
- Acknowledging existential moments and meaning-making in palliative care: A hermeneutic study of physicians' experience.Palliative & supportive care · 2025Article
- The influence of the hidden curriculum on the risk of burnout in junior doctors in a palliative medicine rotation - a qualitative exploratory study.BMC palliative care · 2025Article
- A systematic scoping review of mentoring support on professional identity formation.BMC medical education · 2024Article
- Mentoring as a complex adaptive system - a systematic scoping review of prevailing mentoring theories in medical education.BMC medical education · 2024Article
- 'So being here is. . . I feel like I'm being a social worker again, at the hospice': Using interpretative phenomenological analysis to explore social workers' experiences of hospice work.Palliative medicine · 2024Article
- Emotional experiences in palliative care and professional quality of life: a qualitative approach.Palliative care and social practice · 2024Article
- The effectiveness of Balint group work on the quality of work life, resilience, and nurse-patient communication skills among psychiatric nurses: a randomized controlled trial.Frontiers in psychology · 2024Article
- A new scale assessing the stressors and rewards of children's hospice work.BMC palliative care · 2023Article
- Physician-patient boundaries in palliative care.BMC palliative care · 2023Article
- How hospital chaplains develop and use rituals to address medical staff distress.SSM. Qualitative research in health · 2022Article
- "Going through the motions": A qualitative exploration of the impact of emergency medicine resident burnout on patient care.AEM education and training · 2022Article
- What Is Autistic Burnout? A Thematic Analysis of Posts on Two Online Platforms.Autism in adulthood · 2022Article
- A Pilot Observational Exploratory Study of Well-Being in Hospice Interdisciplinary Team Members.The American journal of hospice & palliative care · 2022Observational
- "That Little Bit of Time": Transition-to-Hospice Perspectives From Hospice Staff and Bereaved Family.Innovation in aging · 2022Article
- "I felt useless": a qualitative examination of COVID-19's impact on home-based primary care providers in New York.Home health care services quarterly · 2021Article
- A Scoping Review of Health Information Technology in Clinician Burnout.Applied clinical informatics · 2021Article
- "Necessary Compromises": A Qualitative Exploration of the Influence of Burnout on Resident Education.AEM education and training · 2021Article
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Authors and funding
7 authors at 5 institutions in 1 country.
Funding
Abstract
contextAlthough prior surveys have identified rates of self-reported burnout among palliative care clinicians as high as 62%, limited data exist to elucidate the causes, ameliorators, and effects of this phenomenon.
objectivesWe explored burnout among palliative care clinicians, specifically their experiences with burnout, their perceived sources of burnout, and potential individual, interpersonal, organizational, and policy-level solutions to address burnout.
methodsDuring the 2014 American Academy of Hospice and Palliative Medicine/Hospice and Palliative Nurses Association Annual Assembly, we conducted three focus groups to examine personal narratives of burnout, how burnout differs within hospice and palliative care, and strategies to mitigate burnout. Two investigators independently analyzed data using template analysis, an inductive/deductive qualitative analytic technique.
resultsWe interviewed 20 palliative care clinicians (14 physicians, four advanced practice providers, and two social workers). Common sources of burnout included increasing workload, tensions between nonspecialists and palliative care specialists, and regulatory issues. We heard grave concerns about the stability of the palliative care workforce and concerns about providing high-quality palliative care in light of a distressed and overburdened discipline. Participants proposed antiburnout solutions, including promoting the provision of generalist palliative care, frequent rotations on-and-off service, and organizational support for self-care. We observed variability in sources of burnout between clinician type and by practice setting, such as role monotony among full-time clinicians.
conclusionOur results reinforce and expand on the severity and potential ramifications of burnout on the palliative care workforce. Future research is needed to confirm our findings and investigate interventions to address or prevent burnout.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.