Reference Citation Analysis: Find an Article, Find a Category, Find a Journal, Find a Scholar

For: Alabi RO, Hietanen P, Elmusrati M, Youssef O, Almangush A, Mäkitie AA. Mitigating Burnout in an Oncological Unit: A Scoping Review. Front Public Health 2021;9:677915. [PMID: 34660505 PMCID: PMC8517258 DOI: 10.3389/fpubh.2021.677915] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2021] [Accepted: 08/24/2021] [Indexed: 11/13/2022] Open

For:	Alabi RO, Hietanen P, Elmusrati M, Youssef O, Almangush A, Mäkitie AA. Mitigating Burnout in an Oncological Unit: A Scoping Review. Front Public Health 2021;9:677915. [PMID: 34660505 PMCID: PMC8517258 DOI: 10.3389/fpubh.2021.677915] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2021] [Accepted: 08/24/2021] [Indexed: 11/13/2022] Open

Number

Cited by Other Article(s)

Moerdler S, Yan Y, Chrysanthopoulou S, Barry M, Henry E, Lucas T, Marshall A, Dizon DS. Likes and Hashtags: Exploring the Potential Relationship Between Social Media Use and the Emotional Wellbeing of Oncology Professionals. Pediatr Blood Cancer 2025;72:e31568. [PMID: 39865348 DOI: 10.1002/pbc.31568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/14/2024] [Revised: 01/10/2025] [Accepted: 01/14/2025] [Indexed: 01/28/2025]

Guido A, Peruzzi L, Tibuzzi M, Sannino S, Dario L, Petruccini G, Stella C, Viteritti AM, Becciu A, Bianchini F, Cucculelli D, Di Lauro C, Paglialonga I, Pianezzi S, Pistilli R, Russo S, Adamo P, Chieffo DPR, Talloa D, Romano A, Ruggiero A. Burnout in Pediatric Oncology: Team Building and Clay Therapy as a Strategy to Improve Emotional Climate and Group Dynamics in a Nursing Staff. Cancers (Basel) 2025;17:1099. [PMID: 40227599 PMCID: PMC11988093 DOI: 10.3390/cancers17071099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2025] [Revised: 03/21/2025] [Accepted: 03/22/2025] [Indexed: 04/15/2025] Open

Affiliation(s)

Antonella Guido UOS di Psicologia Clinica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (A.G.); (L.P.); (S.S.); (D.P.R.C.) UOC di Oncologia Pediatrica, Dipartimento della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (L.D.); (G.P.); (C.S.); (A.M.V.); (A.B.); (F.B.); (D.C.); (C.D.L.); (I.P.); (S.P.); (R.P.); (S.R.); (D.T.); (A.R.)
Laura Peruzzi UOS di Psicologia Clinica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (A.G.); (L.P.); (S.S.); (D.P.R.C.) UOC di Oncologia Pediatrica, Dipartimento della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (L.D.); (G.P.); (C.S.); (A.M.V.); (A.B.); (F.B.); (D.C.); (C.D.L.); (I.P.); (S.P.); (R.P.); (S.R.); (D.T.); (A.R.)
Matilde Tibuzzi Fondazione Lene Thun, 39100 Bolzano, Italy; (M.T.); (P.A.)
Serena Sannino UOS di Psicologia Clinica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (A.G.); (L.P.); (S.S.); (D.P.R.C.) UOC di Oncologia Pediatrica, Dipartimento della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (L.D.); (G.P.); (C.S.); (A.M.V.); (A.B.); (F.B.); (D.C.); (C.D.L.); (I.P.); (S.P.); (R.P.); (S.R.); (D.T.); (A.R.)
Lucia Dario UOC di Oncologia Pediatrica, Dipartimento della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (L.D.); (G.P.); (C.S.); (A.M.V.); (A.B.); (F.B.); (D.C.); (C.D.L.); (I.P.); (S.P.); (R.P.); (S.R.); (D.T.); (A.R.)
Giulia Petruccini UOC di Oncologia Pediatrica, Dipartimento della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (L.D.); (G.P.); (C.S.); (A.M.V.); (A.B.); (F.B.); (D.C.); (C.D.L.); (I.P.); (S.P.); (R.P.); (S.R.); (D.T.); (A.R.)
Caterina Stella UOC di Oncologia Pediatrica, Dipartimento della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (L.D.); (G.P.); (C.S.); (A.M.V.); (A.B.); (F.B.); (D.C.); (C.D.L.); (I.P.); (S.P.); (R.P.); (S.R.); (D.T.); (A.R.)
Anna Maria Viteritti UOC di Oncologia Pediatrica, Dipartimento della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (L.D.); (G.P.); (C.S.); (A.M.V.); (A.B.); (F.B.); (D.C.); (C.D.L.); (I.P.); (S.P.); (R.P.); (S.R.); (D.T.); (A.R.)
Antonella Becciu UOC di Oncologia Pediatrica, Dipartimento della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (L.D.); (G.P.); (C.S.); (A.M.V.); (A.B.); (F.B.); (D.C.); (C.D.L.); (I.P.); (S.P.); (R.P.); (S.R.); (D.T.); (A.R.)
Francesca Bianchini UOC di Oncologia Pediatrica, Dipartimento della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (L.D.); (G.P.); (C.S.); (A.M.V.); (A.B.); (F.B.); (D.C.); (C.D.L.); (I.P.); (S.P.); (R.P.); (S.R.); (D.T.); (A.R.)
Deborah Cucculelli UOC di Oncologia Pediatrica, Dipartimento della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (L.D.); (G.P.); (C.S.); (A.M.V.); (A.B.); (F.B.); (D.C.); (C.D.L.); (I.P.); (S.P.); (R.P.); (S.R.); (D.T.); (A.R.)
Carmela Di Lauro UOC di Oncologia Pediatrica, Dipartimento della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (L.D.); (G.P.); (C.S.); (A.M.V.); (A.B.); (F.B.); (D.C.); (C.D.L.); (I.P.); (S.P.); (R.P.); (S.R.); (D.T.); (A.R.)
Ivana Paglialonga UOC di Oncologia Pediatrica, Dipartimento della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (L.D.); (G.P.); (C.S.); (A.M.V.); (A.B.); (F.B.); (D.C.); (C.D.L.); (I.P.); (S.P.); (R.P.); (S.R.); (D.T.); (A.R.)
Sabina Pianezzi UOC di Oncologia Pediatrica, Dipartimento della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (L.D.); (G.P.); (C.S.); (A.M.V.); (A.B.); (F.B.); (D.C.); (C.D.L.); (I.P.); (S.P.); (R.P.); (S.R.); (D.T.); (A.R.)
Roberta Pistilli UOC di Oncologia Pediatrica, Dipartimento della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (L.D.); (G.P.); (C.S.); (A.M.V.); (A.B.); (F.B.); (D.C.); (C.D.L.); (I.P.); (S.P.); (R.P.); (S.R.); (D.T.); (A.R.)
Sabrina Russo UOC di Oncologia Pediatrica, Dipartimento della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (L.D.); (G.P.); (C.S.); (A.M.V.); (A.B.); (F.B.); (D.C.); (C.D.L.); (I.P.); (S.P.); (R.P.); (S.R.); (D.T.); (A.R.)
Paola Adamo Fondazione Lene Thun, 39100 Bolzano, Italy; (M.T.); (P.A.)
Daniela Pia Rosaria Chieffo UOS di Psicologia Clinica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (A.G.); (L.P.); (S.S.); (D.P.R.C.) Department of Woman and Child Health and Public Health, Università Cattolica del Sacro Cuore, 20123 Rome, Italy
Dario Talloa UOC di Oncologia Pediatrica, Dipartimento della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (L.D.); (G.P.); (C.S.); (A.M.V.); (A.B.); (F.B.); (D.C.); (C.D.L.); (I.P.); (S.P.); (R.P.); (S.R.); (D.T.); (A.R.)
Alberto Romano UOC di Oncologia Pediatrica, Dipartimento della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (L.D.); (G.P.); (C.S.); (A.M.V.); (A.B.); (F.B.); (D.C.); (C.D.L.); (I.P.); (S.P.); (R.P.); (S.R.); (D.T.); (A.R.)
Antonio Ruggiero UOC di Oncologia Pediatrica, Dipartimento della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (L.D.); (G.P.); (C.S.); (A.M.V.); (A.B.); (F.B.); (D.C.); (C.D.L.); (I.P.); (S.P.); (R.P.); (S.R.); (D.T.); (A.R.) Department of Woman and Child Health and Public Health, Università Cattolica del Sacro Cuore, 20123 Rome, Italy

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Kiefer AK, Shoham DA, Joyce C, Burkhart L. Burnout, collective efficacy and the social network of an intensive care unit. Nurs Crit Care 2025;30:e13282. [PMID: 39956647 DOI: 10.1111/nicc.13282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2024] [Revised: 12/11/2024] [Accepted: 01/17/2025] [Indexed: 02/18/2025]

Abstract

BACKGROUND

The prevalence of burnout among critical care nurses is high. Burnout has been explored at the individual and system levels, with little research occurring at the unit level. Increased social support and self-efficacy are correlated with a decreased risk of burnout at the individual level; however, little is known in how collective efficacy and types of social support are protective against the development of burnout.

AIM

Explore the relationships between burnout, collective efficacy and social supports in an intensive care unit.

STUDY DESIGN

Using a descriptive design, health care professionals working in an intensive care unit (n = 39) were recruited to complete surveys measuring burnout, collective efficacy and four types of social support (emotional, instrumental, informational and advice-seeking). Data were analysed using Spearman's rank correlation and sociograms.

RESULTS

The unit displayed burnout with high levels of emotional exhaustion, moderate levels of depersonalization and high levels of personal accomplishment. The unit had high levels of collective efficacy. Collective efficacy demonstrated a significant and strong negative correlation with emotional exhaustion (rs = -0.57, p < .001) and a significant strong positive correlation with personal accomplishment (rs = 0.50, p < .005). The advice-seeking network was dense (67%) and advice-seeking social support had a significant negative association with personal accomplishment (rs = -0.35, p < .01).

CONCLUSIONS

The results demonstrated that burnout develops sequentially from emotional exhaustion to depersonalization to lack of personal accomplishment. Social network analysis methods displayed a deeper understanding of community on a unit than prior quantitative research exploring burnout.

RELEVANCE TO CLINICAL PRACTICE

To decrease burnout, we recommend assessing burnout as a continuum and as a unit-level risk factor. Interventions should be identified that strengthen community on the unit as well as supporting unit leaders.

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Antonsen KK, Lyhne JD, Johnsen AT, Eßer-Naumann S, Poulsen LØ, Lund L, Timm S, Jensen LH. Assessing the effect of On-site supportive communication training (On-site SCT) on doctor burnout: a randomized controlled trial. BMC MEDICAL EDUCATION 2025;25:112. [PMID: 39849449 PMCID: PMC11756029 DOI: 10.1186/s12909-025-06710-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/21/2024] [Accepted: 01/16/2025] [Indexed: 01/25/2025]

Abstract

BACKGROUND

Burnout is a critical factor that can influence the quality of care that doctors provide to their patients. Previous research suggests a link between inadequate communication skills training and burnout, and various approaches to enhance communication skills have been explored as a means to address this issue. However, evidence of the effect of these approaches is lacking. The aim of this study is to assess the effect of the novel On-site Supportive Communication Training (On-site SCT) in enhancing communication skills among oncologists and thereby addressing burnout.

METHODS

This randomized, controlled, multicenter study was conducted across three oncological departments in Denmark. Doctors were eligible if they worked in the outpatient clinic at least four days per month and provided informed consent. Doctors in the intervention group underwent a two-hour introduction followed by three full days of On-site SCT facilitated by in-house psychologists, while those in the control group continued standard practices. Pre- and post-intervention assessments on burnout (Copenhagen Burnout Inventory) were conducted, as were assessments of related constructs (job satisfaction and communication self-efficacy). Differences in pre- and post- assessments were analyzed using a paired t-test. Feasibility was assessed descriptively by comparing intervention days with planned schedule, and doctors' satisfaction with the intervention was assessed systematically by questionnaire.

RESULTS

Of 101 screened doctors, 89 (88%) consented and were randomized. 65% were female, and the mean age was 46 (range 27 to 75). Due to nine exclusions, data from 39 doctors in the intervention group and 41 doctors in the control group were available for analysis. At baseline, doctors exhibited lower levels of burnout than reported in international literature. No statistically significant improvements in burnout (p > 0.05) were demonstrated post-intervention. Despite non-significant changes, the doctors reported an improvement in communication self-efficacy. The program showed high feasibility and received positive feedback from participating doctors.

CONCLUSIONS

Our findings caution against assuming a causal relationship between short-term interventions and a complex phenomenon like burnout. On-site SCT demonstrated high feasibility, participation rate and acceptance. This underscores its potential value in clinical settings. Consequently, On-site SCT will be implemented at the Department of Oncology, Vejle University Hospital, to facilitate further refinement based on ongoing feedback and to explore long-term outcomes.

TRIAL REGISTRATION

December 2022- The Region of Southern Denmark (22/57137). April 2023- ClinicalTrials.gov (NCT05842083). April 2023- The Research Ethics Committee at the University of Southern Denmark (23/19397).

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Akerstrom M, Wahlström J, Lindegård A, Arvidsson I, Fagerlind Ståhl AC. Organisational-level risk and health-promoting factors within the healthcare sector-a systematic search and review. Front Med (Lausanne) 2025;11:1509023. [PMID: 39895820 PMCID: PMC11783186 DOI: 10.3389/fmed.2024.1509023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2024] [Accepted: 12/05/2024] [Indexed: 02/04/2025] Open

Abstract

Introduction

The healthcare sector is globally experiencing increasing demands and workplace interventions on an organisational level is sought to create healthy workplaces. The aim of this study was to provide an overview of Nordic research on the work environment and health of healthcare professionals, with a focus on identifying organisational-level risk and health-promoting factors.

Methods

This systematic search and review was based on an analysis of studies published in peer-reviewed journals between 1 January 2016 and 3 January 2023. The selected studies investigate the relationships between organisational-level risk and health-promoting factors and measures of health and well-being among healthcare professionals during ordinary operations. To increase applicability, this systematic search and review was limited to the Nordic countries as they share the same context with a publicly-funded widely accessible healthcare system. A total of 2,677 articles were initially identified, with 95 original studies meeting the criteria for relevance and quality.

Results

Identified organisational risk and health-promoting factors were categorised into five categories: work schedule distribution, operations design and work methods, ergonomic conditions, working conditions and personnel policies, and the organisation's ethical environment. In addition, two themes across the categories emerged, providing further insight into the implications for practice. The first theme emphasises risk and health-promoting factors in the actions that employers take to fulfil the organisation's goals. The second theme emphasises risk and health-promoting factors in connection with the ability of employees to do their jobs at a level of quality they deem acceptable.

Conclusion

Several organisational-level risk and health-promoting factors were identified, and the results indicate that the actions that employers take to fulfil the health-care organisation's goals and promote the ability of employees to provide high-quality care are important for the health and wellbeing of healthcare employees.

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Cicali EJ, Eddy E, Gong Y, Elchynski AL, Pena del Aguila K, Basha T, Daily KC, Dickson L, Fischer S, Hastings‐Monari E, Jones D, Ramnaraign BH, DeRemer DL, George TJ, Cooper‐DeHoff RM. Implementation of a pharmacogenetic panel-based test for pharmacotherapy-based supportive care in an adult oncology clinic. Clin Transl Sci 2024;17:e13890. [PMID: 39046302 PMCID: PMC11267631 DOI: 10.1111/cts.13890] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2024] [Revised: 07/02/2024] [Accepted: 07/07/2024] [Indexed: 07/25/2024] Open

Affiliation(s)

Emily J. Cicali Department of Pharmacotherapy and Translational ResearchUniversity of Florida College of PharmacyGainesvilleFloridaUSA Center for Pharmacogenomics and Precision MedicineUniversity of Florida College of PharmacyGainesvilleFloridaUSA
Elizabeth Eddy Department of Pharmacotherapy and Translational ResearchUniversity of Florida College of PharmacyGainesvilleFloridaUSA
Yan Gong Department of Pharmacotherapy and Translational ResearchUniversity of Florida College of PharmacyGainesvilleFloridaUSA Center for Pharmacogenomics and Precision MedicineUniversity of Florida College of PharmacyGainesvilleFloridaUSA University of Florida Health Cancer CenterGainesvilleFloridaUSA
Amanda L. Elchynski Department of Pharmacotherapy and Translational ResearchUniversity of Florida College of PharmacyGainesvilleFloridaUSA Center for Pharmacogenomics and Precision MedicineUniversity of Florida College of PharmacyGainesvilleFloridaUSA
Kim Pena del Aguila University of Florida Health Cancer CenterGainesvilleFloridaUSA
Tala Basha Department of Pharmacotherapy and Translational ResearchUniversity of Florida College of PharmacyGainesvilleFloridaUSA
Karen C. Daily University of Florida Health Cancer CenterGainesvilleFloridaUSA Division of Hematology Oncology, College of MedicineUniversity of FloridaGainesvilleFloridaUSA
Lauren Dickson Department of Pharmacotherapy and Translational ResearchUniversity of Florida College of PharmacyGainesvilleFloridaUSA
Steven Fischer University of Florida Health Cancer CenterGainesvilleFloridaUSA
Erin Hastings‐Monari University of Florida Health Cancer CenterGainesvilleFloridaUSA
Dennie Jones University of Florida Health Cancer CenterGainesvilleFloridaUSA Division of Hematology Oncology, College of MedicineUniversity of FloridaGainesvilleFloridaUSA
Brian H. Ramnaraign University of Florida Health Cancer CenterGainesvilleFloridaUSA Division of Hematology Oncology, College of MedicineUniversity of FloridaGainesvilleFloridaUSA
David L. DeRemer Department of Pharmacotherapy and Translational ResearchUniversity of Florida College of PharmacyGainesvilleFloridaUSA Center for Pharmacogenomics and Precision MedicineUniversity of Florida College of PharmacyGainesvilleFloridaUSA University of Florida Health Cancer CenterGainesvilleFloridaUSA
Thomas J. George University of Florida Health Cancer CenterGainesvilleFloridaUSA Division of Hematology Oncology, College of MedicineUniversity of FloridaGainesvilleFloridaUSA
Rhonda M. Cooper‐DeHoff Department of Pharmacotherapy and Translational ResearchUniversity of Florida College of PharmacyGainesvilleFloridaUSA Center for Pharmacogenomics and Precision MedicineUniversity of Florida College of PharmacyGainesvilleFloridaUSA Division of Cardiovascular Medicine, College of MedicineUniversity of FloridaGainesvilleFloridaUSA

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Nindra U, Shivasabesan G, Mellor R, Chua W, Ng W, Karikios D, Richards B, Liu J. Evaluating Systemic Burnout in Medical Oncology Through a National Oncology Mentorship Program. JCO Oncol Pract 2024;20:549-557. [PMID: 38290086 DOI: 10.1200/op.23.00469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Revised: 10/14/2023] [Accepted: 12/01/2023] [Indexed: 02/01/2024] Open

Abstract

PURPOSE

Mentorship has a positive influence on trainee skills and well-being. A 2022 Pilot Mentorship Program in New South Wales involving 40 participants revealed high burnout rates in Medical Oncology trainees. As part of an Australia-wide inaugural National Oncology Mentorship Program in 2023 (NOMP23), a national survey was undertaken to assess the prevalence of burnout, anxiety, depression, professional fulfilment, and drivers of distress in the Australian medical oncology workforce.

METHODS

NOMP23 is a 1-year prospective cohort study that recruited medical oncology trainees and consultants using e-mail correspondence between February and March 2023. Each participant completed a baseline survey which included the Maslach Burnout Index (MBI), Stanford Professional Fulfilment Index, and Patient Health Questionnaire-4 for anxiety and depression.

RESULTS

One hundred and twelve participants (56 mentors, 56 mentees) were enrolled in NOMP23, of which 86 (77%) completed the baseline survey. MBI results at baseline demonstrated that 77% of consultants and 82% of trainees experienced burnout in the past 12 months. Professional fulfilment was noted to be <5% in our cohort. Screening rates of anxiety and depression in trainees were 32% and 16%, respectively, compared with 7% and 2% for consultants. When assessing reasons for workplace stress, two thirds stated that heavy patient load contributed to stress, while almost three quarters attributed a heavy administrative load. Lack of supervision was a key stressor for trainees (39%), as was lack of support from the training college (58%).

CONCLUSION

Trainees and consultant medical oncologists demonstrate high rates of burnout and low professional fulfilment. The NOMP23 program has identified a number of key stress factors driving burnout and demonstrated concerning levels of anxiety and depression. Ongoing mentorship and other well-being initiatives are needed to address these issues.

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Castillo GF, Salas E. Can team coaching provide healthcare the remedy it needs? J Interprof Care 2024;38:377-387. [PMID: 38019103 PMCID: PMC10922443 DOI: 10.1080/13561820.2023.2285030] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Revised: 11/09/2023] [Accepted: 11/13/2023] [Indexed: 11/30/2023]

Martinez-Calderon J, Infante-Cano M, Casuso-Holgado MJ, García-Muñoz C. The prevalence of burnout in oncology professionals: an overview of systematic reviews with meta-analyses including more than 90 distinct studies. Support Care Cancer 2024;32:196. [PMID: 38411784 DOI: 10.1007/s00520-024-08400-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2023] [Accepted: 02/20/2024] [Indexed: 02/28/2024]

Böckelmann I, Zavgorodnij I, Litovchenko O, Kapustnyk V, Krasnoselskyi M, Zub K, Woitha U, Gonschor C, Thielmann B. Current incidence of professional burnout among Ukrainian oncologists in Kharkiv. Int J Occup Med Environ Health 2023;36:717-731. [PMID: 37815128 PMCID: PMC10743352 DOI: 10.13075/ijomeh.1896.02244] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Accepted: 09/18/2023] [Indexed: 10/11/2023] Open

Samant R, Babadagli E, Laprade S, Locke GE, Zhang Y, McNeil A, Renaud J, Cisa-Paré E, Chan J, Song J, Meng J. Cancer Center Staff Satisfaction: Descriptive Results of a Canadian Study. Curr Oncol 2023;30:9872-9885. [PMID: 37999137 PMCID: PMC10670850 DOI: 10.3390/curroncol30110717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2023] [Revised: 11/06/2023] [Accepted: 11/08/2023] [Indexed: 11/25/2023] Open

Abstract

Caring for cancer patients is generally considered very rewarding work, but it can also be stressful and demanding. Therefore, it is important for oncology healthcare professionals to feel satisfied with their work environment in order to provide the best care possible. An ethics-approved 61-item staff satisfaction survey was developed in-house to gain insights regarding workplace satisfaction among all staff at The Ottawa Hospital Cancer Center. Descriptive statistics were used to analyze the responses. A total of 478 individuals completed the online survey, with 75.1% women, 23.2% men, and 1.7% preferring not to say. This represented the vast majority (>75%) of cancer center staff. The approximate breakdown according to healthcare professional type was as follows: 21% nurses, 20% radiation therapists, 18% physicians, 13% clerical staff, and 28% other types of staff. Almost all (97.4%) generally enjoyed their work, with 60% stating "very much" and 37.4% stating "a little bit", and 93.3% found working with cancer patients rewarding. The overall satisfaction level at work was high, with 30.1% reporting "very satisfied" and 54.2% "somewhat satisfied". However, in terms of their work being stressful, 18.6% stated it was "very much" and 62.1% "a little bit". Also, in terms of their workload, 61.3% stated it was "very busy" and 10% stated it was "excessively busy". The most enjoyable aspects of work were listed as interactions with colleagues, interactions with patients, and learning new things. The least enjoyable aspects of work were excessive workload, a perceived unsupportive work environment, and technology problems. Levels of satisfaction and stress at work varied according to role at the cancer center. Most cancer center staff seem to enjoy their work and find it rewarding. However, the work environment can be challenging and stressful. Areas for improvement include managing workloads, ensuring staff feel supported, and improving the user-friendliness of technology.

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Affiliation(s)

Rajiv Samant The Ottawa Hospital Cancer Center, Ottawa, ON K1H 8L6, Canada; (R.S.); (S.L.); (G.E.L.); (A.M.); (J.R.); (J.M.) Department of Radiology, Radiation Oncology and Medical Physics, University of Ottawa, Ottawa, ON K1N 6N5, Canada
Ege Babadagli The Ottawa Hospital Cancer Center, Ottawa, ON K1H 8L6, Canada; (R.S.); (S.L.); (G.E.L.); (A.M.); (J.R.); (J.M.) Department of Radiology, Radiation Oncology and Medical Physics, University of Ottawa, Ottawa, ON K1N 6N5, Canada
Selena Laprade The Ottawa Hospital Cancer Center, Ottawa, ON K1H 8L6, Canada; (R.S.); (S.L.); (G.E.L.); (A.M.); (J.R.); (J.M.) Department of Radiology, Radiation Oncology and Medical Physics, University of Ottawa, Ottawa, ON K1N 6N5, Canada
Gordon Emil Locke The Ottawa Hospital Cancer Center, Ottawa, ON K1H 8L6, Canada; (R.S.); (S.L.); (G.E.L.); (A.M.); (J.R.); (J.M.) Department of Radiology, Radiation Oncology and Medical Physics, University of Ottawa, Ottawa, ON K1N 6N5, Canada
Yuxin Zhang The Ottawa Hospital Research Institute, Ottawa, ON K1Y 4E9, Canada;
Angela McNeil The Ottawa Hospital Cancer Center, Ottawa, ON K1H 8L6, Canada; (R.S.); (S.L.); (G.E.L.); (A.M.); (J.R.); (J.M.)
Julie Renaud The Ottawa Hospital Cancer Center, Ottawa, ON K1H 8L6, Canada; (R.S.); (S.L.); (G.E.L.); (A.M.); (J.R.); (J.M.)
Elisabeth Cisa-Paré Northern Ontario School, Medicine University, Sudbury, ON P3E 2C6, Canada;
Jessica Chan Division of Radiation Oncology, University of British Columbia, Vancouver, BC V6T 1Z4, Canada; BC Cancer, Vancouver, BC V5Z 4E6, Canada
Jiheon Song Department of Radiation Oncology, University of Toronto, Toronto, ON M5S 1A1, Canada;
Joanne Meng The Ottawa Hospital Cancer Center, Ottawa, ON K1H 8L6, Canada; (R.S.); (S.L.); (G.E.L.); (A.M.); (J.R.); (J.M.) Department of Radiology, Radiation Oncology and Medical Physics, University of Ottawa, Ottawa, ON K1N 6N5, Canada

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Ilbawi A, Casolino R. Training cancer workforce to be fit-for-purpose and practice in 2024 and beyond. Cancer 2023;129:3360-3362. [PMID: 37650868 DOI: 10.1002/cncr.34998] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]

Chau BL, LaGuardia JS, Kim S, Zhang SC, Pletcher E, Sanford NN, Raldow AC, Singer L, Gong J, Padda SK, Kamrava M, Cohen T, Mitra D, Atkins KM. Association of Parental Status and Gender With Burden of Multidisciplinary Tumor Boards Among Oncology Physicians. JAMA Netw Open 2023;6:e2340663. [PMID: 37906191 PMCID: PMC10618838 DOI: 10.1001/jamanetworkopen.2023.40663] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Accepted: 09/19/2023] [Indexed: 11/02/2023] Open

Abstract

Importance

Tumor boards are integral to the care of patients with cancer. However, data investigating the burden of tumor boards on physicians are limited.

Objective

To investigate what physician-related and tumor board-related factors are associated with higher tumor board burden among oncology physicians.

Design, Setting, and Participants

Tumor board burden was assessed by a cross-sectional convenience survey posted on social media and by email to Cedars-Sinai Medical Center cancer physicians between March 3 and April 3, 2022. Tumor board start times were independently collected by email from 22 top cancer centers.

Main Outcomes and Measures

Tumor board burden was measured on a 4-point scale (1, not at all burdensome; 2, slightly burdensome; 3, moderately burdensome; and 4, very burdensome). Univariable and multivariable probabilistic index (PI) models were performed.

Results

Surveys were completed by 111 physicians (median age, 42 years [IQR, 36-50 years]; 58 women [52.3%]; 60 non-Hispanic White [54.1%]). On multivariable analysis, factors associated with higher probability of tumor board burden included radiology or pathology specialty (PI, 0.68; 95% CI, 0.54-0.79; P = .02), attending 3 or more hours per week of tumor boards (PI, 0.68; 95% CI, 0.58-0.76; P < .001), and having 2 or more children (PI, 0.65; 95% CI, 0.52-0.77; P = .03). Early or late tumor boards (before 8 am or at 5 pm or after) were considered very burdensome by 33 respondents (29.7%). Parents frequently reported a negative burden on childcare (43 of 77 [55.8%]) and family dynamics (49 of 77 [63.6%]). On multivariable analysis, a higher level of burden from early or late tumor boards was independently associated with identifying as a woman (PI, 0.69; 95% CI, 0.57-0.78; P = .003) and having children (PI, 0.75; 95% CI, 0.62-0.84; P < .001). Independent assessment of 358 tumor boards from 22 institutions revealed the most common start time was before 8 am (88 [24.6%]).

Conclusions and Relevance

This survey study of tumor board burden suggests that identifying as a woman or parent was independently associated with a higher level of burden from early or late tumor boards. The burden of early or late tumor boards on childcare and family dynamics was commonly reported by parents. Having 2 or more children, attending 3 or more hours per week of tumor boards, and radiology or pathology specialty were associated with a significantly higher tumor board burden overall. Future strategies should aim to decrease the disparate burden on parents and women.

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Cygert S, Pastuszak K, Górski F, Sieczczyński M, Juszczyk P, Rutkowski A, Lewalski S, Różański R, Jopek MA, Jassem J, Czyżewski A, Wurdinger T, Best MG, Żaczek AJ, Supernat A. Platelet-Based Liquid Biopsies through the Lens of Machine Learning. Cancers (Basel) 2023;15:cancers15082336. [PMID: 37190262 DOI: 10.3390/cancers15082336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Revised: 04/11/2023] [Accepted: 04/13/2023] [Indexed: 05/17/2023] Open

Affiliation(s)

Sebastian Cygert Department of Multimedia Systems, Faculty of Electronics, Telecommunication and Informatics, Gdansk University of Technology, 80-233 Gdańsk, Poland Ideas NCBR, 00-801 Warsaw, Poland
Krzysztof Pastuszak Department of Algorithms and System Modeling, Faculty of Electronics, Telecommunication and Informatics, Gdansk University of Technology, 80-233 Gdańsk, Poland Laboratory of Translational Oncology, Intercollegiate Faculty of Biotechnology, Medical University of Gdańsk, 80-210 Gdańsk, Poland Center of Biostatistics and Bioinformatics, Medical University of Gdańsk, 80-210 Gdańsk, Poland
Franciszek Górski Department of Multimedia Systems, Faculty of Electronics, Telecommunication and Informatics, Gdansk University of Technology, 80-233 Gdańsk, Poland
Michał Sieczczyński Department of Multimedia Systems, Faculty of Electronics, Telecommunication and Informatics, Gdansk University of Technology, 80-233 Gdańsk, Poland
Piotr Juszczyk Department of Multimedia Systems, Faculty of Electronics, Telecommunication and Informatics, Gdansk University of Technology, 80-233 Gdańsk, Poland
Antoni Rutkowski Department of Multimedia Systems, Faculty of Electronics, Telecommunication and Informatics, Gdansk University of Technology, 80-233 Gdańsk, Poland
Sebastian Lewalski Department of Multimedia Systems, Faculty of Electronics, Telecommunication and Informatics, Gdansk University of Technology, 80-233 Gdańsk, Poland
Robert Różański Independent Researcher, 80-211 Gdańsk, Poland
Maksym Albin Jopek Laboratory of Translational Oncology, Intercollegiate Faculty of Biotechnology, Medical University of Gdańsk, 80-210 Gdańsk, Poland Center of Biostatistics and Bioinformatics, Medical University of Gdańsk, 80-210 Gdańsk, Poland
Jacek Jassem Department of Oncology and Radiotherapy, Medical University of Gdańsk, 80-210 Gdańsk, Poland
Andrzej Czyżewski Department of Multimedia Systems, Faculty of Electronics, Telecommunication and Informatics, Gdansk University of Technology, 80-233 Gdańsk, Poland
Thomas Wurdinger Department of Neurosurgery, Amsterdam University Medical Center, 1081 Amsterdam, The Netherlands
Myron G Best Department of Neurosurgery, Amsterdam University Medical Center, 1081 Amsterdam, The Netherlands
Anna J Żaczek Laboratory of Translational Oncology, Intercollegiate Faculty of Biotechnology, Medical University of Gdańsk, 80-210 Gdańsk, Poland
Anna Supernat Laboratory of Translational Oncology, Intercollegiate Faculty of Biotechnology, Medical University of Gdańsk, 80-210 Gdańsk, Poland Center of Biostatistics and Bioinformatics, Medical University of Gdańsk, 80-210 Gdańsk, Poland

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Stein J, Madni A, Moody K, Kramer D, Vaughn D, Bhatia S, Sellers J, Snyder A, Lu Z, Baker JN, Levine DR. Decreasing Burnout and Improving Work Environment: The Impact of Firgun on a Pediatric Hematopoietic Cell Transplant Team. JCO Oncol Pract 2023;19:e365-e376. [PMID: 36538744 DOI: 10.1200/op.22.00299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open

Abstract

PURPOSE

Oncology teams are challenged by BO, which may be alleviated by meaningful recognition. In this study, firgun-altruistic acknowledgment-was implemented on a pediatric hematopoietic cell transplant unit to evaluate its impact on staff and work environment.

METHODS

In this longitudinal, mixed-methods pilot study, interdisciplinary inpatient hematopoietic cell transplant providers received web-based firgun education. Electronic administration of validated surveys occurred at baseline and 8 weeks, including Perceived Stress Scale, Professional Quality of Life Scale, Maslach Burnout Inventory, Workplace Civility Index, Areas of Work Life Survey, and WHO-5. Weekly e-mails reminded participants to practice and log firgun. Wilcoxon signed test for paired data compared pre/post results. Interviews conducted at project completion were coded using MaxQDA software.

RESULTS

Forty-two participants enrolled; 25 completed pre/post surveys; eight were interviewed. At study end, participants reported feeling less nervous and stressed (P = .008), and less difficulty coping (P = .01; Perceived Stress Scale), while noting increased acknowledgment of others' work (P = .04) and seeking constructive feedback (P = .04; Workplace Civility Index). Marked BO was not evident overall on the Maslach Burnout Inventory; however, emotional exhaustion subscale mean (SD) scores improved from pre (19.4 [8.6]) to post (16 [6.3; P = .02]) and individual items illustrated decreased fatigue (P = .008), frustration (P = .04), and feeling "at the end of my rope" (P = .001). Postintervention participants noted increased receipt of recognition (P = .02; Areas of Work Life Survey), decreased feeling "bogged down" (P = .02), decreased affective stress (P = .04), and negative pre-occupations (P = .04; Professional Quality of Life Scale). Qualitative analysis revealed themes of improved confidence at work and enhanced feelings of trust and teamwork.

CONCLUSION

Firgun is a tool that can potentially reduce BO and stress in interdisciplinary providers, facilitate teamwork, and promote positive work environments in clinical oncology and beyond.

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Koshimoto S, Amano K, Mori N, Oyamada S, Arakawa S, Ishiki H, Satomi E, Morita T, Takeuchi T. Perspectives of registered dietitians and factors associated with their personal accomplishment in the management of cancer cachexia. Support Care Cancer 2023;31:124. [PMID: 36662333 PMCID: PMC9852801 DOI: 10.1007/s00520-023-07593-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Accepted: 01/14/2023] [Indexed: 01/21/2023]