Abstract
Goals of work
The goals of the study were the following: (1) to study the rate of burnout of the staff in Pediatric Oncology and compare it with that of a group of staff in other pediatric specialties, (2) to find out if job satisfaction, role clarity, staff support, and ways of coping are related to the burnout of these two groups, and (3) as a secondary aim, to identify other parameters, i.e., profession, experience, having children, etc., which might affect burnout, staff support, and ways of coping.
Materials and methods
The study group (n = 58) consisted of the staff of two Pediatric Oncology units and a Bone Marrow Transplantation unit, and the control group (n = 55) consisted of the staff of two Pediatric departments and one Pediatric Orthopedics department. The Maslach Burnout Inventory, the Staff Support Questionnaire, the Shortened Ways of Coping Questionnaire—Revised, and the Social Readjustment Scale were used.
Main results
No differences were found in burnout between Pediatric Oncology staff and that of other specialties, the existing staff support, and the ways of coping. Decreased role clarity and wishful thinking, as a way of coping, were positively correlated to emotional exhaustion, whereas a negative correlation of the lack of role clarity existed with personal accomplishment. Not having children and less experience increased burnout in both groups studied.
Conclusions
The hospital management and the heads of departments should be knowledgeable of ways to prevent burnout in their staff. Strategies targeting role clarity and wishful thinking are useful toward this goal.
Similar content being viewed by others
References
Armstrong J, Holland J (2004) Surviving the stresses of clinical oncology by improving communication. Oncology 18(3):363–368
Bennett S, Plint A, Clifford TJ (2005) Burnout, psychological morbidity, job satisfaction, and stress: a survey of Canadian hospital-based child protection professionals. Arch Dis Child 90:1112–1116
Borill C, West M, Shapiro D, Rees A (2000) Team working and effectiveness in the NHS. Br J Health Care Manag 6:364–371
Bruce SM, Conaglen HM, Conaglen JV (2005) Burnout in physicians: a case for peer-support. Intern Med J 35:272–278
Burnard P (1991) Coping with stress in the health professions. A practical guide. Chapman and Hall, London
Campbell DA Jr, Sonnad SS, Eckhauser FE, Campbell KK, Greenfield LJ (2001) Burnout among American Surgeons. Surgery 130:696–705
Catt S, Fallowfield L, Jenkins V, Langridge C, Cox A (2005) The informational role and psychological health of members of 10 oncology multidisciplinary teams in the UK. Br J Cancer 93:1092–1097
Chopra SS, Sotile WM, Sotile MO (2004) Physician burnout. JAMA 291:633–635
Emery JE (1993) Perceived sources of stress among Pediatric Oncology nurses. J Pediatr Oncol Nurs 10(3):87–92
Felton JS (1998) Burnout as a clinical entity. Its importance in health care workers. Occup Med 48(4):237–250
Fields AI, Cuerdon TT, Brasseux CO, Getson P, Thomson A, Orlowski JP, Younger SJ (1995) Physician burnout in pediatric critical care medicine. Crit Care Med 23(8):1425–1429
Freudenberger H (1974) Staff burnout. J Soc Issues 50(1):159–165
Graham J, Ramirez A (2002) Improving the working lives of cancer clinicians. Eur J Cancer Care 11:188–192
Grunfeld E, Whelan TJ, Zitzelsberger L, Willan AR, Montesanto B, Evans KW (2000) Cancer care workers in Ontario: prevalence of burnout, job stress and job satisfaction. Can Med Assoc J 163(2):166–170
Harris P, Thompson G (1993) The staff support questionnaire. A means of measuring support among staff working with people with challenging behavior. Ment Handicap 21:122–127
Hatton C, Emerson E (1995) The development of a shortened “ways of coping” questionnaire for use with direct-care staff in learning disability services. Ment Handicap Res 8(4):237–249
Hinds PS, Quargnenti AG, Hickey SS, Mangum GH (1994) A comparison of the stress–response sequence in new and experienced Pediatric Oncology nurses. Cancer Nurs 17(1):67–71
Hinds PS, Puckett P, Donohoe M, Milligan M, Payne K, Phipps S, Davis SE, Martin GA (1994) The impact of a grief workshop for Pediatric Oncology nurses on their grief and perceived stress. J Pediatr Nurs 9(6):388–397
Holm S (1979) A simple sequential rejective multiple test procedure. Scand J Statist 6:65–70
Holmes TH, Rahe RH (1967) Social readjustment rating scale. J Psychosom Res 11:213–218
Kash KM, Holland STC, Breitbart W, Berenson S, Dougherty J, Quellette-Kobasa S, Lesko L (2000) Stress and burnout in oncology. Oncology 14(11):1621–1633
Kushnir T, Cohen AH, Kitai C (2000) Continuing medical education and primary physicians job stress, burnout and dissatisfaction. Med Educ 34:430–436
Lazarus RS, Folkman S (1984) Stress appraisal and coping. Springer, New York
Maslach C, Jackson SE (1993) Maslach burnout inventory. Manual, 2nd edn. Consulting Psychologists, Mountain View, CA
McRae RR, Costa PT (1986) Personality, coping and coping effectiveness in an adult sample. J Person 54:385–405
Papadatou D, Anagnostopoulos F, Monos D (1994) Factors contributing to the development of burnout in oncology nursing. Br J Med Psychol 67:187–199
Park C, Cohen LH, Herb L (1990) Intrinsic religiousness and religious coping as life stress moderators for Catholics versus Protestants. J Pers Soc Psychol 59:562–574
Pines A (1981) Burnout: a current problem in pediatrics. In: Gluck L (ed) Current problems in pediatrics. Year Book Medical, Chicago, pp 1–32
Ross RR, Altmaier EM (1994) Intervention in occupational stress. A handbook of consulting for stress at work. Sage, London
Sargent MC, Sotile W, Sotile M, Rubash H, Barrack R (2004) Stress and coping among orthopedic surgery residents and faculty. J Bone Jt Surg 86A(7):1579–1584
Shanafelt TD (2005) Finding meaning, balance and personal satisfaction in the practice of oncology. J Support Oncol 3:157–164
Shugerman R, Linzer M, Nelson K, Douglas J, Williams K, Konrad R (2001) Pediatric generalists and subspecialists: determinants of career satisfaction. Pediatrics 108(3):E40
Spinetta JJ, Jancovic M, Ben Arush MW, Eden T, Epelman C, Greenberg ML, Martins AG, Mulhern RK, Oppenheim D, Masera G (2000) Guidelines for the recognition, prevention and remediation of burnout in health care professionals participating in the care of children with cancer: report of the SIOP Working Committee on Psychosocial issues in Pediatric Oncology. Med Pediatr Oncol 35:122–125
Weinberg A, Creed A (1999) Stress and psychiatric disorder in health care professionals and hospital staff. Lancet 355:533–537
Whippen DA, Canellos GP (1991) Burnout syndrome in the practice of clinical oncology: results of a random survey of 1000 oncologists. J Clin Oncol 9:1916–1921
Acknowledgments
We thank the European Central Bank, which through the Europoint program supported our study.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Liakopoulou, M., Panaretaki, I., Papadakis, V. et al. Burnout, staff support, and coping in Pediatric Oncology. Support Care Cancer 16, 143–150 (2008). https://doi.org/10.1007/s00520-007-0297-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00520-007-0297-9