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Burnout, Moral Distress, Work-Life Balance, and Career Satisfaction among Hematopoietic Cell Transplantation Professionals.
Neumann, Joyce L; Mau, Lih-Wen; Virani, Sanya; Denzen, Ellen M; Boyle, Deborah A; Boyle, Nancy J; Dabney, Jane; De KeselLofthus, Alexandra; Kalbacker, Marion; Khan, Tippu; Majhail, Navneet S; Murphy, Elizabeth A; Paplham, Pamela; Parran, Leslie; Perales, Miguel-Angel; Rockwood, Todd H; Schmit-Pokorny, Kim; Shanafelt, Tait D; Stenstrup, Elaine; Wood, William A; Burns, Linda J.
Afiliación
  • Neumann JL; Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, Texas. Electronic address: jneumann@mdanderson.org.
  • Mau LW; National Marrow Donor Program/Be The Match, Minneapolis, Minnesota.
  • Virani S; University of Minnesota School of Public Health, Minneapolis, Minnesota.
  • Denzen EM; National Marrow Donor Program/Be The Match, Minneapolis, Minnesota.
  • Boyle DA; Department of Nursing, University of California Irvine Health/Chao Family Comprehensive Cancer Center, Orange, California.
  • Boyle NJ; Knight Cancer Institute, Center for Hematologic Malignancy, Oregon Health & Science University, Portland, Oregon.
  • Dabney J; Blood & Marrow Transplant Program, Cleveland Clinic, Cleveland, Ohio.
  • De KeselLofthus A; National Marrow Donor Program/Be The Match, Minneapolis, Minnesota.
  • Kalbacker M; Pediatric BMT, Duke University Medical Center, Durham, North Carolina.
  • Khan T; Department of Pharmacy, University of North Carolina Hospitals and Clinics, Chapel Hill, North Carolina.
  • Majhail NS; Blood & Marrow Transplant Program, Cleveland Clinic, Cleveland, Ohio.
  • Murphy EA; National Marrow Donor Program/Be The Match, Minneapolis, Minnesota.
  • Paplham P; Roswell Park Cancer Institute Nursing Administration, Buffalo, New York.
  • Parran L; Department of Nursing, University of Minnesota Medical Center, Minneapolis, Minnesota.
  • Perales MA; Department of Medicine, Adult Bone Marrow Transplant Service, Memorial Sloan Kettering Cancer Center and Department of Medicine, Weill Cornell Medical College, New York, New York.
  • Rockwood TH; University of Minnesota School of Public Health, Minneapolis, Minnesota.
  • Schmit-Pokorny K; Blood and Marrow Transplant Program, Nebraska Medicine, Omaha, Nebraska.
  • Shanafelt TD; Division of Hematology, Mayo Clinic, Rochester, Minnesota.
  • Stenstrup E; Department of Nursing, University of Minnesota Medical Center, Minneapolis, Minnesota.
  • Wood WA; Division of Hematology/Oncology, University of North Carolina-Chapel Hill, Chapel Hill, North Carolina.
  • Burns LJ; National Marrow Donor Program/Be The Match, Minneapolis, Minnesota.
Biol Blood Marrow Transplant ; 24(4): 849-860, 2018 04.
Article en En | MEDLINE | ID: mdl-29196079
A projected shortage of hematopoietic cell transplantation (HCT) health professionals was identified as a major issue during the National Marrow Donor Program/Be The Match System Capacity Initiative. Work-related distress and work-life balance were noted to be potential barriers to recruitment/retention. This study examined these barriers and their association with career satisfaction across HCT disciplines. A cross-sectional, 90-item, web-based survey was administered to advanced practice providers, nurses, physicians, pharmacists, and social workers in 2015. Participants were recruited from membership lists of 6 professional groups. Burnout (measured with the Maslach Burnout Inventory subscales of emotional exhaustion and depersonalization) and moral distress (measured by Moral Distress Scale-Revised) were examined to identify work-related distress. Additional questions addressed demographics, work-life balance, and career satisfaction. Of 5759 HCT providers who received an individualized invitation to participate, 914 (16%) responded; 627 additional participants responded to an open link survey. Significant differences in demographic and practice characteristics existed across disciplines (P < .05). The prevalence of burnout differed across disciplines (P < .05) with an overall prevalence of 40%. Over one-half of pharmacists had burnout, whereas social workers had the lowest prevalence at less than one-third. Moral distress scores ranged from 0 to 336 and varied by discipline (P < .05); pharmacists had the highest mean score (62.9 ± 34.8) and social workers the lowest (42.7 ± 24.4). In multivariate and univariate analyses, variables contributing to burnout varied by discipline; however, moral distress was a significant contributing factor for all providers. Those with burnout were more likely to report inadequate work-life balance and a low level of career satisfaction; however, overall there was a high level of career satisfaction across disciplines. Burnout, moral distress, and inadequate work-life balance existed at a variable rate in all HCT disciplines, yet career satisfaction was high. These results suggest specific areas to address in the work environment for HCT health professionals, especially the need for relief of moral distress and a greater degree of personal time. As the creation of healthy work environments is increasingly emphasized to improve quality care and decrease costs, these findings should be used by HCT leadership to develop interventions that mitigate work-related distress and in turn foster recruitment and retention of HCT providers.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos por Estrés Postraumático / Agotamiento Profesional / Trasplante de Células Madre Hematopoyéticas / Satisfacción en el Trabajo Tipo de estudio: Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Biol Blood Marrow Transplant Asunto de la revista: HEMATOLOGIA / TRANSPLANTE Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos por Estrés Postraumático / Agotamiento Profesional / Trasplante de Células Madre Hematopoyéticas / Satisfacción en el Trabajo Tipo de estudio: Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Biol Blood Marrow Transplant Asunto de la revista: HEMATOLOGIA / TRANSPLANTE Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos