Evidence map›Paper›PMID 28196784›Full record

ArticleJournal of pain and symptom management2017

Addressing Palliative Care Clinician Burnout in Organizations: A Workforce Necessity, an Ethical Imperative.

Krista L Harrison, Elizabeth Dzeng, Christine S Ritchie, Tait D Shanafelt, Arif H Kamal, Janet H Bull, Jon C Tilburt, Keith M Swetz

Open access · hybridAbstract read
In one paragraph

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 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
14.8field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 74 citations in OpenAlex.

  1. Article
  2. Article
  3. Gynaecological Cancers in India: The Less Heard Perspectives of Healthcare Providers.International journal of environmental research and public health · 2023
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  4. Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. Acute Stress in Health Workers during Two Consecutive Epidemic Waves of COVID-19.International journal of environmental research and public health · 2021
    Article
  10. Article
  11. Article
  12. Article
  13. From powerlessness to recognition the meaning of palliative care clinicians' experience of suffering.International journal of qualitative studies on health and well-being · 2020
    Article
  14. Article
  15. Article
  16. Article
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  18. Observational
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  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 1 country.

Krista L HarrisonDivision of Geriatrics, School of Medicine, University of California, San Francisco, California, USA; San Francisco Veterans Affairs Medical Center, San Francisco, California, USA. Electronic address: krista.harrison@ucsf.edu.
Elizabeth DzengDivision of Hospital Medicine, School of Medicine, University of California, San Francisco, California, USA.
Christine S RitchieDivision of Geriatrics, School of Medicine, University of California, San Francisco, California, USA.
Tait D ShanafeltHematology, School of Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Arif H KamalDuke Cancer Institute, Duke University, Durham, North Carolina, USA.
Janet H BullFour Seasons Compassion for Life, Flat Rock North Carolina, USA.
Jon C TilburtGeneral Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Keith M SwetzUniversity of Alabama - Birmingham, Birmingham, Alabama, USA; Birmingham Veterans Affairs Medical Center, Birmingham, Alabama, USA.
Mayo Clinic · USUniversity of California, San Francisco · USDuke University · USFour Seasons · USSan Francisco VA Medical Center · USUniversity of Alabama at Birmingham · US

Funding

VARC CoreP30AG044281 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Alexander Keliimoeanu Smith · 2013 to 2026
$19.9M
RESEARCH TRAINING IN GERIATRIC MEDICINET32AG000212 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Alexander Keliimoeanu Smith · 1991 to 2026
$7.7M
Which palliative care quality measures improve patient-centered outcomes?K08HS023681 · AHRQ · DUKE UNIVERSITY · PI KAMAL, ARIF · 2015 to 2019
$733k
AHRQ HHS K08 HS023681NIA NIH HHS P30 AG044281NIA NIH HHS T32 AG000212
6 · The paper itself

Abstract

Clinician burnout reduces the capacity for providers and health systems to deliver timely, high quality, patient-centered care and increases the risk that clinicians will leave practice. This is especially problematic in hospice and palliative care: patients are often frail, elderly, vulnerable, and complex; access to care is often outstripped by need; and demand for clinical experts will increase as palliative care further integrates into usual care. Efforts to mitigate and prevent burnout currently focus on individual clinicians. However, analysis of the problem of burnout should be expanded to include both individual- and systems-level factors as well as solutions; comprehensive interventions must address both. As a society, we hold organizations responsible for acting ethically, especially when it relates to deployment and protection of valuable and constrained resources. We should similarly hold organizations responsible for being ethical stewards of the resource of highly trained and talented clinicians through comprehensive programs to address burnout.

Indexed as

Burnout, ProfessionalHospice CarePalliative CareHumansMoralsPhysiciansSystems AnalysisBurnoutethicshospicemoral distresspalliative care

Identifiers

PMID28196784
PMCPMC5474199
OpenAlexW2587067095

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.