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Work-related stress and burnout affects everyone, but clinicians are especially susceptible due to their work environment.1 The COVID-19 pandemic has exacerbated the amount of stress, burnout, and compassion fatigue that providers feel.1 By supporting organizational efforts to reduce stressors in the workplace, providers can support themselves whilst caring for others. Laura van Dernoot Lipsky, in their book Trauma Stewardship, states that "By developing the deep sense of awareness needed to care for ourselves while caring for others and the world around us, we can greatly enhance our potential to work for change, ethically and with integrity, for generations to come”.2 The resources in this section are focused on systems-level improvements to help organizations reduce stress and burnout among their clinicians.
Work-related stress and burnout affects everyone, but clinicians are especially susceptible due to their work environment.1 The COVID-19 pandemic has exacerbated the amount of stress, burnout, and compassion fatigue that providers feel.1 By supporting organizational efforts to reduce stressors in the workplace, providers can support themselves whilst caring for others. Laura van Dernoot Lipsky, in their book Trauma Stewardship, states that "By developing the deep sense of awareness needed to care for ourselves while caring for others and the world around us, we can greatly enhance our potential to work for change, ethically and with integrity, for generations to come”.2 The resources in this section are focused on systems-level improvements to help organizations reduce stress and burnout among their clinicians.
Mindfulness, Compassion Fatigue, Burnout and Stress
Mindfulness, Compassion Fatigue, Burnout and Stress
Resources For Organizations
Resources For Organizations
Other Resources for Caring for Caregivers
Other Resources for Caring for Caregivers
Reference List
Reference List
Healthcare Workers: Work Stress & Mental Health. Centers for Disease Control and Prevention. https://www.cdc.gov/niosh/topics/healthcare/workstress.html. Published June 30, 2016. Accessed August 3, 2022.
Van Der Lipsky L, Burk C, Conte JR. Trauma stewardship: An everyday guide to caring for self while caring for others. traumastewardship.com. https://traumastewardship.com/product/trauma-stewardship-everyday-guide-caring-self-caring-others/. Published 2007. Accessed August 15, 2022.
Quick safety issue 50: Developing resilience to combat nurse burnout . jointcommission.org. https://www.jointcommission.org/resources/news-and-multimedia/newsletters/newsletters/quick-safety/quick-safety-50-developing-resilience-to-combat-nurse-burnout/#.Yu17ZXbMIuU. Accessed August 5, 2022.
Morse G, Salyers MP, Rollins AL, Monroe-DeVita M, Pfahler C. Burnout in mental health services: A review of the problem and its remediation. Adm Policy Ment Health. 2011;39(5):341-352. doi:10.1007/s10488-011-0352-1
Stress management for physicians: AAPL. American Association for Physician Leadership. https://www.physicianleaders.org/resources/wellness/stress-management. Accessed August 8, 2022.
Buck K, Williamson M, Ogbeide S, Norberg B. Family physician burnout and resilience: A cross-sectional analysis. Fam Med. 2019;51(8):657-663. doi:10.22454/fammed.2019.424025
Cavanagh N, Cockett G, Heinrich C, et al. Compassion Fatigue in healthcare providers: A systematic review and meta-analysis. Nurs Ethics. 2019;27(3):639-665. doi:10.1177/0969733019889400
Ratanawongsa, N., Roter, D., Beach, M.C. et al. Physician Burnout and Patient-Physician Communication During Primary Care Encounters. J Gen Intern Med 23, 1581–1588 (2008). https://doi.org/10.1007/s11606-008-0702-1
Rebekah Apple MA. Mindfulness matters: A powerful resource for stressed physician leaders. American Association for Physician Leadership. https://www.physicianleaders.org/news/mindfulness-matters-powerful-resource-stressed-physician-leaders. Accessed August 8, 2022.
van Wietmarschen H, Tjaden B, van Vliet M, Battjes-Fries M, Jong M. Effects of mindfulness training on perceived stress, self-compassion, and self-reflection of Primary Care Physicians: A mixed-methods study. BJGP Open. 2018;2(4). doi:10.3399/bjgpopen18x101621
Moral Injury in Health Care Workers. ptsd.va.gov. https://www.ptsd.va.gov/professional/treat/cooccurring/moral_injury_hcw.asp#:~:text=Moral%20injury%20can%20occur%20when,lead%20to%20a%20negative%20outcome. Published May 18, 2020. Accessed August 9, 2022.
Shapiro DE, Duquette C, Abbott LM, Babineau T, Pearl A, Haidet P. Beyond burnout: A physician wellness hierarchy designed to prioritize interventions at the systems level. Am J Med. 2019;132(5):556-563. doi:10.1016/j.amjmed.2018.11.028
Linzer M, Poplau S, Grossman E, et al. A cluster randomized trial of interventions to improve work conditions and clinician burnout in primary care: Results from the Healthy Work Place (HWP) study. J Gen Intern Med. 2015;30(8):1105-1111. doi:10.1007/s11606-015-3235-4
Shanafelt T, Trockel M, Ripp J, Murphy ML, Sandborg C, Bohman B. Building a program on well-being. Acad Med. 2019;94(2):156-161. doi:10.1097/acm.0000000000002415
Checklist for health care leadership to take action against clinician burnout. National Academy of Medicine. https://nam.edu/systems-approaches-to-improve-patient-care-by-supporting-clinician-well-being/checklist-for-health-care-leadership-to-take-action-against-clinician-burnout/. Published November 6, 2020. Accessed August 5, 2022.
Gregory ST, Menser T, Gregory BT. An organizational intervention to reduce physician burnout. J Healthc Manage. 2018;63(5):338-352. doi:10.1097/jhm-d-16-00037
DeChant PF, Acs A, Rhee KB, et al. Effect of organization-directed workplace interventions on physician burnout: A systematic review. Mayo Clin Proc: Innov Qual Out. 2019;3(4):384-408. doi:10.1016/j.mayocpiqo.2019.07.006
Brand SL, Thompson Coon J, Fleming LE, Carroll L, Bethel A, Wyatt K. Whole-system approaches to improving the health and wellbeing of Healthcare Workers: A systematic review. PLOS ONE. 2017;12(12). doi:10.1371/journal.pone.0188418
ProQOL. Self-care tools. ProQOL. https://proqol.org/self-care-tools-1. Accessed August 5, 2022.
Linzer M, Poplau S, Prasad K, et al. Characteristics of health care organizations associated with Clinician Trust. JAMA Netw Open. 2019;2(6). doi:10.1001/jamanetworkopen.2019.6201
Professional Quality of Life (ProQOL) Version 5 Full Assessment. Professional Quality of Life Measure (proqol 5.0). https://survey.alchemer.com/s3/6727286/Professional-Quality-of-Life-Measure-ProQOL-5-0. Accessed August 8, 2022.
Gardner RL, Cooper E, Haskell J, et al. Physician stress and burnout: The impact of health information technology. J Am Med Inform Assoc. 2018;26(2):106-114. doi:10.1093/jamia/ocy145
Talbot SG, Dean W. Physicians aren't 'burning out.' they're suffering from moral injury. STAT. https://www.statnews.com/2018/07/26/physicians-not-burning-out-they-are-suffering-moral-injury/. Published June 23, 2021. Accessed August 9, 2022.
Čartolovni A, Stolt M, Scott PA, Suhonen R. Moral injury in healthcare professionals: A scoping review and discussion. Nurs Ethics. 2021;28(5):590-602. doi:10.1177/0969733020966776
Tessman, L. Moral distress in health care: when is it fitting?. Med Health Care and Philos 23, 165–177 (2020). https://doi.org/10.1007/s11019-020-09942-7
Anti-racism Resources for Self-Care. projects.iq.harvard.edu. https://projects.iq.harvard.edu/antiracismresources/bipoc/selfcare. Published 2022. Accessed August 15, 2022.
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