Provider perceptions of burnout while engaging in end-of-life care conversations: A pilot study using the Serious Illness Conversation Guide.

Authors

null

Anna Catherine Beck

Huntsman Cancer Institute, University of Utah, Salt Lake City, UT

Anna Catherine Beck, Allison Miraglia, Deepthi Rajeev, Rita Hanover, Joshua Steenstra, Shaida Talebreza, Holli Martinez, Emily Looney

Organizations

Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, HealthInsight, Salt Lake City, UT, University of Utah, Salt Lake City, UT

Research Funding

Other

Background: Studies recommend improved attention to patient end-of-life (EOL) care preferences and there is evidence that effective provider-patient EOL care conversations yield positive patient outcomes and reduce stress, anxiety, and depression for providers. Providers lack training to elicit patients’ EOL care goals and hence are reluctant to initiate EOL conversations. Methods: The Serious Illness Conversation Guide (SICG) was used to train providers and data were collected based on the Maslach Burnout Inventory to assess provider burnout, determine satisfaction of SICG training, and change in confidence/knowledge related to EOL conversations. Results: 18 providers were trained with a median work experience of 15 years. 41% spent 8+ hours/week interacting with seriously ill patients, 50% initiate EOL conversations < twice/month, and 19% reported burnout. 10 providers responded to the post-training evaluation, 80% reported burnout (Table). Conclusions: Providers reported high satisfaction of SICG training and increased knowledge and confidence related to EOL care conversations. However, provider burnout increased, possibly due to their increased awareness of an appropriate way to elicit patients’ EOL care goals. To explore this further, we will be conducting additional training sessions in the future.

Provider satisfaction, knowledge, and confidence post-training.

N = 10
% Satisfaction
% Improvement
PositiveNeutralNegativeKnowledgeConfidence
Provider satisfaction post conversation90%10%0%EOL Conversations33%60%
SICG Effective100%0%0%Discussing Prognosis25%67%
SICG reduce anxiety/discomfort70%30%0%Goals of Care Conversations100%50%

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Abstract Details

Meeting

2016 Palliative and Supportive Care in Oncology Symposium

Session Type

Poster Session

Session Title

Poster Session B

Track

Biologic Basis of Symptoms and Treatment Toxicities,Psycho-oncology,End-of-Life Care,Survivorship,Management/Prevention of Symptoms and Treatment Toxicities,Psychosocial and Spiritual Care,Communication in Advanced Cancer

Sub Track

Advance care planning

Citation

J Clin Oncol 34, 2016 (suppl 26S; abstr 19)

DOI

10.1200/jco.2016.34.26_suppl.19

Abstract #

19

Poster Bd #

C1

Abstract Disclosures

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