Distress and burnout among genetic service providers

Genetics in Medicine

Volumn 11, Issue 7, 2009, Pages 527-535

  Bernhardt, Barbara A ^a,e   Rushton, Cynda H ^b,c,d   Carrese, Joseph ^b,d   Pyeritz, Reed E ^a   Kolodner, Ken ^f   Geller, Gail ^b,d  

^a UNIVERSITY OF PENNSYLVANIA   (United States)

^b JOHNS HOPKINS UNIVERSITY   (United States)

^c JOHNS HOPKINS UNIVERSITY SCHOOL OF NURSING   (United States)

^d JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^e HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA   (United States)

^f NONE

Author keywords

Burnout; Distress; Genetic service providers; Job satisfaction; Manpower

Indexed keywords

ADULT; ARTICLE; BURNOUT; CONFLICT OF INTEREST; DEMOGRAPHY; DISTRESS SYNDROME; FEMALE; GENETIC SERVICE; HEALTH PERSONNEL ATTITUDE; HEALTH SURVEY; HUMAN; JOB STRESS; MAJOR CLINICAL STUDY; MALE; PATIENT CARE; PERSONAL EXPERIENCE; PHYSICIAN; PREVALENCE; PROFESSIONAL PRACTICE; RISK FACTOR; STATISTICAL ANALYSIS;

BURNOUT, PROFESSIONAL; DATA COLLECTION; GENETIC SERVICES; HEALTH PERSONNEL; HUMANS; PREVALENCE; RISK FACTORS; STRESS, PSYCHOLOGICAL;

EID: 68749087405     PISSN: 10983600     EISSN: None     Source Type: Journal    
DOI: 10.1097/GIM.0b013e3181a6a1c2     Document Type: Article

References (63)

1. National Society of Genetic Counselors. National Society of Genetic Counselors Professional Status Survey 2006. National Society of Genetic Counselors, Chicago, IL.
2. Cooksey JA, Forte G, Flanagan PA, Benkendorf J, Blitzer MG. The medical genetics workforce: an analysis of clinical geneticist subgroups. Genet Med 2006;8:603-614.
3. Evans JP. A future for medical genetics: lessons from Catch 22. Genet Med 2007;9:1-3.
4. Korf BR, Feldman G, Wiesner GL. Report of Banbury Summit meeting on training of physicians in medical genetics, October 20-22, 2004. Genet Med 2005;7:433-438.
5. Olsen SJ, Feetham SL, Jenkins J, et al. Creating a nursing vision for leadership in genetics. Medsurg Nurs 2003;12:177-183.
6. Kirk M, Tonkin E, Burke S. Engaging nurses in genetics: the strategic approach of the NHS National Genetics Education and Development Centre. J Genet Couns 2008;17:180-188.
7. Guttmacher AE, Jenkins J, Uhlmann WR. Genomic medicine: who will practice it? A call to open arms. Am J Med Genet 2001;106:216-222.
8. Greendale K, Pyeritz RE. Empowering primary care health professionals in medical genetics: how soon? How fast? How far? Am J Med Genet 2001;106:223-232.
9. st century. Am J Hum Genet 2006;79:434-438.
10. Bernhardt BA, Pyeritz RE. The economics of clinical genetics services. III. Cognitive genetics services are not self-supporting. Am J Hum Genet 1989;44:288-293.
11. McPherson E, Zaleski C, Benisek k. Clinical genetics provider real-time workflow study. Genet Med 2008;10:699-706.
12. Li C. Letter to the editor: clinical genetics provider real-time workflow study. Genet Med 2008;10:915.
13. Korf BR. Genetics in medical practice. Genet Med 2002;4:10S-14S.
14. Pletcher BA, Jewett EAB, Cull WL, et al. The practice of clinical genetics: a survey of practitioners. Genet Med 2002;4:142-149.
15. Corley MC, Minick P, Elswick RK, Jacobs M. Nurse Moral Distress and Ethical Work Environment. Nurs Ethics 2005;12:381-390.
16. Corley MC. Nurse moral distress: a proposed theory and research agenda. Nurs Ethics 2002;9:636-650.
17. Rushton CH. Defining and addressing moral distress: tools for critical care nursing leaders. AACN Adv Crit Care 2006;17:161-168.
18. Pendry P. Moral distress: recognizing it to retain nurses. Nurs Econ 2007;25: 217-221.
19. Sudin-Huard D, Fahy K. Moral distress, advocacy and burnout: theorizing the relationships. Intl J Nurs Pract 1999;5:8-13.
20. Sporrong SK, Hoglund AT, Arnetz B. Measuring moral distress in pharmacy and clinical practice. Nurs Ethics 2006;13:416-427.
21. Austin WJ, Kagan L, Rankel M, Bergum V. The balancing act: psychiatrists' experience of moral distress. Med Health Care Philos 2008;11:89-97.
22. Devictor D, Carnevale F. Improving end-of-life care in the pediatric intensive care unit. Therapy 2008;5:387-390.
23. Hamric AB, Blackhall LJ. Nurse-physician perspectives on the care of dying patients in intensive care units: collaboration, moral distress, and ethical climate. Crit Care Med 2007;35:422-429.
24. Janvier A, Nadeau S, Deschenes M, Couture E, Barrington KJ. Moral distress in the neonatal intensive care unit: caregiver's experience. J Perinat 2007;27:203-208.
25. Meier DE, Back AL, Morrison RS. The inner life of physicians and care of the seriously ill. JAMA 2001;286:3007-3014.
26. Knebel AR, Hudgings C. End-of-life issues in genetic disorders: summary of workshop held at the National Institutes of Health on September 26, 2001. Genet Med 2002;4:373-378.
27. French SE, Lenton R, Walters V, Eyles J. An empirical evaluation of an expanded Nursing Stress Scale. J Nurs Meas 2000;8:161-178.
28. Maytum JC, Heiman MB, Garwick AW. Compassion fatigue and burnout in nurses who work with children with chronic conditions and their families. J Ped Health Care 2004;18:171-179.
29. Tambor ES, Bernhardt BA, Rodgers J, Holtzman NA, Geller G. Mapping the human genome: an assessment of media coverage and public reaction. Genet Med 2002;4:31-36.
30. Rose A, Peters N, Shea JA, Armstrong K. The association between knowledge and attitudes about genetic testing for cancer risk in the United States. J Health Comm 2005;10:309-321.
31. Bates BR, Lynch JA, Bevan JL, Condit CM. Warranted concerns, warranted outlooks: a focus group study of public understandings of genetic research. Soc Sci Med 2005;60:331-344.
32. Chopra SS, Sotile WM, Sotile MO. Physician burnout. JAMA 2004;291:633.
33. Gunderson L. Physician burnout. Ann Intern Med 2001;135:145-148.
34. Shanafelt TD, Bradley KA, Wipf JE, Back AL. Burnout and self-reported patient care in an internal medicine residency program. Ann Intern Med 2002;136:358-367.
35. Thomas NK. Resident burnout. JAMA 2004;292:2880-2889.
36. Roach BL. Burnout and the nursing profession. Health Care Superv 1994;12:41-47.
37. Meltzner LS, Huckaby LM. Critical care nurses' perceptions of futile care and its effect on burnout. Am J Crit Care 2004;13:202-208.
38. Oehler JM, Davidson MG. Job stress and burnout in acute and nonacute pediatric nurses. Am J Crit Care 1992;2:81-90.
39. Coomber B, Barriball LK. Impact of job satisfaction components on intent to leave and turnover for hospital-based nurses: a review of the research literature. Int J Nurs Stud 2007;44:297-314.
40. Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol 2001;52:397-422.
41. Figley CR. Compassion fatigue: psychotherapists' chronic lack of self care. J Clin Psychol 2002;58:1433-1441.
42. Benoit LG, Veach PC, LeRoy BS. When you care enough to do your very best: genetic counselor experiences of compassion fatigue. J Genet Couns 2007;16:299-312.
43. Ulrich C, O'Donnell P, Taylor C, Farrar A, Danis M, Grady C. Ethical climate, ethics stress, and job satisfaction of nurses and social workers in the United States. Soc Sci Med 2007;65:1708-1719.
44. Okie S. Innovation in primary carestaying one step ahead of burnout. N Engl J Med 2008;359:2305-2309.
45. Veach PM, Bartels DM, LeRoy BS. Ethical and professional challenges posed by patients with genetic concerns: a report of focus group discussions with genetic counselors, physician and nurses. J Genet Couns 2001;10:97-119.
46. Dexter N, Shannon KM, Wangh SK, Rintell D. Burnout in genetic counselors. J Genet Couns 2003;12:563-564.
47. Udipi S, Veach PM, Kao J, LeRoy BS. The psychic costs of empathic engagement: personal and demographic predictors of genetic counselor compassion fatigue. J Genet Counsel 2008;17:459-471.
48. Geller G, Bernhardt BA, Rushton CH, Carrese J, Kolodner K. What do clinicians derive from partnering with their patients? A reliable and valid measure of "personal meaning in patient care." Patient Educ Couns 2008;72: 293-300.
49. Maslach C, Jackson SE, Leiter MP. Maslach burnout inventory manual, 3rd ed. Palo Alto: Consulting Psychologists Press, 1996.
50. Williams ES, Konrad TR, Linzer M, et al. for the SGIM Career Satisfaction Study Group. Refining the measurement of physician job satisfaction: results from the Physician Worklife Survey. Med Care 1999;37:1140-1154.
51. Tambor ES, Chase GA, Faden RR, Geller G, Hofman KJ, Holtzman NA. Improving response rates through incentive and follow-up: the effect on a survey of physicians' knowledge of genetics. Am J Public Health 1993;83: 1599-603.
52. SAS Institute Inc. SAS Version 9.1.8.2. Cary, NC: SAS Institute Inc., 2006.
53. Geller G, Micco E, Silver RJ, Kolodner K, Bernhardt BA. The role and impact of personal faith and religion among genetic service providers. Am J Med Genet Part C Semin Med Genet 2009;151C:31-40.
54. Freeborn DK. Satisfaction, commitment and psychological well-being among HMO physicians. West J Med 2001;174:13-18.
55. Campbell DA, Sonnad SS, Eckhouser FE. Burnout among American surgeons. Surgery 2001;130:696-705.
56. McMurray JE, Linzer M, Konrad TR, Douglas J, Shugerman R, Nelson K. The work lives of women physicians. J Gen Intern Med 2000;15:372-380.
57. Bernhardt BA, Geller G, Doksum T, Metz SA. Evaluation of nurses and genetic counselors as providers of education about breast cancer susceptibility testing. Oncol Nurs Forum 2000;27:33-39.
58. Naef R. Bearing witness: a moral way of engaging in the nurse-person relationship. Nurs Philos 2006;7:146-156.
59. Hatem CJ. Renewal in the practice of medicine. Patient Educ Couns 2006;62:299-301.
60. Shanafelt TD. Finding meaning, balance, and personal satisfaction in the practice of oncology. J Support Oncol 2005;3:157-164.
61. Fillion L, Dupuis R, Tremblay I, DeGrace GR, Greitbart W. Enhancing meaning in palliative care practice: a meaning-centered intervention to promote job satisfaction. Palliat Support Care 2006;4:333-344.
62. Meadors P, Lamson A. Compassion fatigue and secondary traumatization: provider self care on intensive care units for children. J Pediatr Health Care 2008;22:24-34.
63. Edward KL, Hercelinskyj G. Burnout in the caring nurse: learning resilient behaviours. Br J Nurs 2007;16:240-242.