Building Resiliency in a Palliative Care Team: A Pilot Study
Darshan H Mehta1, Giselle K Perez2, Lara Traeger3
1Benson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Journal of Pain and Symptom Management
|November 10, 2015
Summary
Palliative care clinicians experienced reduced stress and improved perspective-taking after a team-based resiliency program. This relaxation response intervention proved feasible and beneficial for clinician well-being.
Area of Science:
- Medical Education
- Psychology
- Palliative Care
Background:
- Palliative care clinicians (PCCs) face high burnout risk due to chronic stress from caring for seriously ill patients.
- Burnout in PCCs can result in absenteeism, communication errors, medical mistakes, and staff turnover.
- Effective stress-coping interventions are crucial for this vulnerable professional group.
Purpose of the Study:
- To assess the feasibility of the Relaxation Response Resiliency Program for Palliative Care Clinicians.
- To evaluate the program's impact on stress and resiliency in a multidisciplinary PCC cohort.
- To determine if the intervention could decrease stress and enhance resilience.
Main Methods:
- A physician-led, two-month intervention comprising five sessions (12 hours total).
- Feasibility assessed by attendance and attrition rates; pre- and post-intervention data collected.
- Nonparametric statistical tests analyzed changes in perceived stress, affect, perspective-taking, optimism, life satisfaction, and self-efficacy.
Main Results:
- The program was feasible, with high attendance (at least 4/5 sessions) and no participant attrition.
- Post-intervention, participants demonstrated significant reductions in perceived stress.
- Improvements were observed in participants' perspective-taking abilities.
Conclusions:
- A novel, team-based resiliency intervention utilizing the relaxation response was feasible for PCCs.
- The findings suggest this intervention may enhance resiliency and mitigate stress-related negative impacts.
- This approach shows promise for protecting PCCs from burnout and improving well-being.
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