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Easing Clinician Distress in Pediatric Cancer Care

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Palliative Care in Pediatric Oncology

Part of the book series: Pediatric Oncology ((PEDIATRICO))

Abstract

Pediatric oncology has the potential to bring joy and job satisfaction and enrich the lives of healthcare workers that choose to work in this field. However, the tremendous burden of caring for sick, suffering, and sometimes terminally ill children, and supporting their families, can be overwhelming, especially in the context of a complicated healthcare system, long hours on the job, challenging work environments, and a number of other potential interpersonal conflicts involving staff, patients, and/or family members. All of these factors can eventually lead to significant clinician distress. In this chapter, we describe four types of distress that affect clinicians; burnout, compassion fatigue, moral distress, and spiritual distress, from various clinician perspectives and report on prevalence and risk factors. In addition, we review types of interventions that can be implemented on an individual and/or an institutional level to help prevent and reduce this growing problem among healthcare providers.

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Authors and Affiliations

  1. Pediatric Palliative Care, Riley Hospital for Children at Indiana University Health, 705 Riley Hospital Drive, Room 3039, Indianapolis, IN, 46202, USA

    Karen Moody M.D., M.S., Caitlin Scanlon M.S.W. & Adam Hill M.D.

  2. Undergraduate Nursing Program, College of Mount Saint Vincent, Bronx, NY, 10471, USA

    Deborah Kramer R.N., Ed.D., C.P.N.P., F.N.P.

  3. Fairbanks Center for Medical Ethics and Indiana University School of Nursing, Indiana University Health, Indianapolis, IN, 46202, USA

    Lucia Wocial Ph.D., R.N., F.A.A.N.

  4. Spiritual Care and Chaplaincy, Indiana University Health, Academic Health Center, Indianapolis, IN, 46202, USA

    Beth Newton Watson M.Div., B.C.C.

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  4. Lucia Wocial Ph.D., R.N., F.A.A.N.
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  5. Beth Newton Watson M.Div., B.C.C.
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  6. Adam Hill M.D.
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Corresponding author

Correspondence to Karen Moody M.D., M.S. .

Editor information

Editors and Affiliations

  1. Department of Psychosocial Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA

    Joanne Wolfe

  2. School of Social Work, The University of Texas, Austin, Texas, USA

    Barbara L. Jones

  3. Department of Caring Sciences, Palliative Research Centre, Stockholm, Sweden

    Ulrika Kreicbergs

  4. Hospital san Gerardo, University of Milano, Monza, Italy

    Momcilo Jankovic

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Moody, K., Kramer, D., Scanlon, C., Wocial, L., Watson, B.N., Hill, A. (2018). Easing Clinician Distress in Pediatric Cancer Care. In: Wolfe, J., Jones, B., Kreicbergs, U., Jankovic, M. (eds) Palliative Care in Pediatric Oncology. Pediatric Oncology. Springer, Cham. https://doi.org/10.1007/978-3-319-61391-8_13

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  • DOI: https://doi.org/10.1007/978-3-319-61391-8_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-61390-1

  • Online ISBN: 978-3-319-61391-8

  • eBook Packages: MedicineMedicine (R0)

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