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Supportive Care in Cancer

Erschienen in:

08.08.2019 | Original Article

Compassion fatigue among oncologists: the role of grief, sense of failure, and exposure to suffering and death

verfasst von: Rony Laor-Maayany, Gil Goldzweig, Ilanit Hasson-Ohayon, Gil Bar-Sela, Adi Engler-Gross, Michal Braun

Erschienen in: Supportive Care in Cancer | Ausgabe 4/2020

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Abstract

Purpose

Oncologists cope with unique work characteristics that increase their risk of developing compassion fatigue—that is, burnout and secondary traumatic stress—and can result in reduced capacity and interest in being empathetic to the suffering of others (Stamm B. The concise ProQOL manual, 2010). At the same time, oncologists can experience compassion satisfaction—that is, the positive aspects of caring. This study explored the associations of compassion fatigue and compassion satisfaction with oncologists’ grief and sense of failure beyond their reported exposure to suffering and death.

Methods

Seventy-four oncologists completed self-administered questionnaires examining compassion fatigue, compassion satisfaction, grief, exposure to suffering and death, and sense of failure.

Results

The oncologists reported that they face the loss of approximately 50% of their patients, and that their patients suffer from profound emotional and physical pain. High levels of compassion fatigue and grief, and moderate levels of sense of failure, were reported. Findings showed a lack of association between exposure to suffering and death and compassion fatigue and satisfaction. However, grief and sense of failure were found to predict both aspects of compassion fatigue: secondary traumatic stress (p < 0.001, p < 0.003, respectively) and burnout (p < 0.002, p < 0.025, respectively).

Conclusions

These results highlight the importance of the oncologists’ subjective experiences of grief and sense of failure, beyond their reports of exposure to suffering and death, in terms of their levels of compassion fatigue. Implications of these findings include the need to develop interventions for oncologists that will allow them to acknowledge, process, and overcome negative experiences of failure and grief.

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Titel: Compassion fatigue among oncologists: the role of grief, sense of failure, and exposure to suffering and death
verfasst von: Rony Laor-Maayany
Gil Goldzweig
Ilanit Hasson-Ohayon
Gil Bar-Sela
Adi Engler-Gross
Michal Braun
Publikationsdatum: 08.08.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: Supportive Care in Cancer / Ausgabe 4/2020
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-019-05009-3

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Compassion fatigue among oncologists: the role of grief, sense of failure, and exposure to suffering and death