|
1
|
Gergelis KR, Huston A, O'Sullivan CC, Laack NN, Corbin KS. Patient, Caregiver, and Provider Well-Being in Oncology. Hematol Oncol Clin North Am 2025; 39:359-375. [PMID: 39827041 DOI: 10.1016/j.hoc.2024.11.006] [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] [Indexed: 01/22/2025]
Abstract
Addressing various dimensions of well-being can help improve oncology patients' symptoms and their overall quality of life (QOL); similar strategies can be used to support caregivers of oncology patients to improve not only QOL of the caregiver, but the patient. Beyond patient and caregiver support, interventions focusing on dimensions of well-being can improve the culture of wellness, practice efficiency, and enhance personal resilience among oncology providers to mitigate burnout. Herein, the authors discuss multiple evidence-based strategies to improve well-being of oncology patients, caregivers, and providers.
Collapse
Affiliation(s)
- Kimberly R Gergelis
- Department of Radiation Oncology, University of Rochester Medical Center, 125 Red Creek Drive, Rochester, NY 14623, USA; Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, USA.
| | - Alissa Huston
- Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, USA; Department of Medicine, Division of Hematology/Oncology, University of Rochester Medical Center, 125 Red Creek Drive, Rochester, NY 14623, USA. https://twitter.com/Huston_Alissa
| | - Ciara C O'Sullivan
- Department of Oncology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA
| | - Nadia N Laack
- Department of Radiation Oncology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA
| | - Kimberly S Corbin
- Department of Radiation Oncology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. https://twitter.com/KimCorbinMD
| |
Collapse
|
|
2
|
Liu JJW, Nazarov A, Smith P, Phelps A, Forbes D, Sadler N, Hosseiny F, Dougherty S, Peto R, Cooper M, Bilodeau M, Bailey S, Younger J, Dukelow A, Jansen S, Davidson A, Vaccarino C, Monaghan K, Northcott S, Mohri L, Hoffer P, Richardson JD. Reimagining effective workplace support for health workers. Bull World Health Organ 2024; 102:375-375A. [PMID: 38828059 PMCID: PMC11132152 DOI: 10.2471/blt.24.291896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2024] Open
Affiliation(s)
- Jenny JW Liu
- MacDonald Franklin OSI Research and Innovation Centre, Lawson Research Institute, 750 Base Line Road East, Suite 300, LondonN6C2R5, Ontario, Canada
| | - Anthony Nazarov
- MacDonald Franklin OSI Research and Innovation Centre, Lawson Research Institute, 750 Base Line Road East, Suite 300, LondonN6C2R5, Ontario, Canada
| | - Patrick Smith
- MacDonald Franklin OSI Research and Innovation Centre, Lawson Research Institute, 750 Base Line Road East, Suite 300, LondonN6C2R5, Ontario, Canada
| | - Andrea Phelps
- Phoenix Australia, Centre for Posttraumatic Mental Health, Melbourne, Australia
| | - David Forbes
- Phoenix Australia, Centre for Posttraumatic Mental Health, Melbourne, Australia
| | - Nicole Sadler
- Phoenix Australia, Centre for Posttraumatic Mental Health, Melbourne, Australia
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - J Don Richardson
- MacDonald Franklin OSI Research and Innovation Centre, Lawson Research Institute, 750 Base Line Road East, Suite 300, LondonN6C2R5, Ontario, Canada
| |
Collapse
|
|
3
|
Belfi LM, Bartolotta RJ, Averill SL, Bulman JC, Chetlen A, Jay AK, Methratta ST, Deitte LA. The Big Squeeze: Factors Contributing to Moral Distress Among Radiologist Clinician-Educators. Acad Radiol 2024; 31:2167-2174. [PMID: 38296741 DOI: 10.1016/j.acra.2023.12.031] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2023] [Revised: 12/14/2023] [Accepted: 12/19/2023] [Indexed: 02/02/2024]
Abstract
Moral distress is a term used to describe the cognitive-emotional dissonance that is experienced when one is compelled to act contrary to one's moral requirements. This occurs as a result of systemic constraints that prevent an individual from taking actions that they perceive as morally right, resulting in a perceived violation of one's core values and duties. There has been a growing interest in the prevalence of moral distress in healthcare, particularly as a root cause of burnout. A recent national survey on moral distress in radiology found that 98% of respondents experienced at least some degree of moral distress with 18% of respondents having left a position due to moral distress. One of the scenarios associated with the highest degree of moral distress related to the conflict that arises when one feels unable to fulfill teaching responsibilities due to high clinical demands. Now more than ever, clinician-educators are asked to do more with less time, fewer resources, and in an increasingly demanding work environment that is often discordant with providing quality education to their learners. In this manuscript, we aim to discuss the factors contributing to moral distress in radiologist clinician-educators as a framework to better understand the implications of these drivers, and to offer our perspective on potential mitigating measures.
Collapse
Affiliation(s)
- Lily M Belfi
- Department of Radiology, Weill Cornell Medicine, 525 East 68th Street, Room F-054, New York, New York, 10065, USA.
| | - Roger J Bartolotta
- Department of Radiology, Weill Cornell Medicine, 525 East 68th Street, Room F-054, New York, New York, 10065, USA
| | - Sarah L Averill
- Department of Radiology, Roswell Park Comprehensive Cancer Center, Buffalo, New York, 14203, USA
| | - Julie C Bulman
- Department of Radiology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, 02215, USA
| | - Alison Chetlen
- Department of Radiology, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania, 17033, USA
| | - Ann K Jay
- Department of Radiology, MedStar Georgetown University Hospital, Washington, D.C., USA
| | - Sosamma T Methratta
- Department of Radiology, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania, 17033, USA
| | - Lori A Deitte
- Department of Radiology, Vanderbilt University Medical Center, Nashville, Tennessee, USA
| |
Collapse
|
|
4
|
Gebhardt MC. Editorial: It's More Than Burnout-The Moral Injury Crisis in Orthopaedic Surgeons. Clin Orthop Relat Res 2023; 481:2073-2075. [PMID: 37755379 PMCID: PMC10566956 DOI: 10.1097/corr.0000000000002884] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Accepted: 09/06/2023] [Indexed: 09/28/2023]
Affiliation(s)
- Mark C. Gebhardt
- Senior Editor, Clinical Orthopaedics and Related Research®, Park Ridge, IL, USA
| |
Collapse
|