Genetics professionals' experiences with grief and loss: Implications for support and training

Clinical Genetics

Volumn 77, Issue 5, 2010, Pages 421-429

  Geller, G ^a,b,c   Rushton, C H ^a,b   Francomano, C ^d   Kolodner, K ^e   Bernhardt, B A ^a,f  

^a JOHNS HOPKINS UNIVERSITY   (United States)

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

^c JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

^d GREATER BALTIMORE MEDICAL CENTER   (United States)

^e University of Pennsylvania ^*

^f UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

Compassion fatigue; Genetics professionals; Grief; Loss; Training

Indexed keywords

ADULT; ARTICLE; BEREAVEMENT; CLINICAL GENETICS; CONTINUING EDUCATION; CONTROLLED STUDY; COPING BEHAVIOR; DEATH; DYING; EMOTIONAL STRESS; FEMALE; GRIEF; HEALTH PERSONNEL ATTITUDE; HUMAN; MALE; NORMAL HUMAN; NURSE ATTITUDE; PATIENT CARE; PERSONAL EXPERIENCE; PHYSICIAN ATTITUDE; PRIORITY JOURNAL; QUESTIONNAIRE; SOCIAL INTERACTION; SOCIAL SUPPORT; STRESS MANAGEMENT; TERMINAL CARE; WORK EXPERIENCE;

ADULT; ATTITUDE OF HEALTH PERSONNEL; DEMOGRAPHY; FEMALE; GENETIC COUNSELING; GENETICS, MEDICAL; GRIEF; HEALTH PERSONNEL; HEALTH SURVEYS; HUMANS; LIFE CHANGE EVENTS; MALE; MIDDLE AGED; SOCIAL SUPPORT;

EID: 77953116378     PISSN: 00099163     EISSN: 13990004     Source Type: Journal    
DOI: 10.1111/j.1399-0004.2010.01409.x     Document Type: Article

References (54)

1. Benoit LG, Veach PM, LeRoy BS. When you care enough to do your very best: genetic counselor experiences of compassion fatigue. J Genet Couns 2007, 16:299-312.
2. Kessler S. Psychological aspects of genetic counseling. VIII. Suffering and countertransference. J Genet Couns 1992, 1:303-308.
3. Bernhardt BA, Rushton CH, Carrese J, Pyeritz RE, Kolodner K, Geller G. Distress and burnout among genetic service clinicians. Genet Med 2009, 11:527-535.
4. Upidi S, Veach PM, Kao J, LeRoy BS. The psychic costs of empathic engagement: personal and demographic predictors of genetic counselor compassion fatigue. J Genet Couns 2008, 17:459-471.
5. Maytum JC, Heiman MB, Garwick AW. Compassion fatigue and burnout in nurses who work with children with chronic conditions and their families. J Pediatr Health Care 2004, 18:171-179.
6. Dickinson GE. End-of-and palliative care issues in medical and nursing schools in the United States. Death Stud 2007, 31:713-726.
7. Han P, Keranen LB, Lescisin DA, Arnold RM. The palliative care clinical evaluation exercise (CEX): an experience-based intervention for teaching end-of-life communication skills. Acad Med 2005, 80:669-676.
8. Bednash G, Ferrell B. End-of-life nursing education consortium (ELNEC) 2000, Washington, DC, American Association of Colleges of Nursing
9. Emanuel LL, von Gunten CF, Ferris FD. The education for physicians on end-of-life care (EPEC) curriculum 1999, Chicago, Ill, American Medical Association
10. Ferrell BR, Dahlin C, Campbell ML, Paice JA, Malloy P, Virani R. End-of-life nursing education consortium (ELNEC) training program: improving palliative care in critical care. Crit Care Nurs Q 2007, 30:206-212.
11. Ferrell BR, Virani R, Grant M. Evaluation of the end-of-life nursing education consortium undergraduate training program. J Palliat Med 2005, 8:107-114.
12. Liao S, Amin A, Rucker L. An innovative longitudinal program to teach residents about end-of-life care. Acad Med 2004, 79:752-757.
13. Paice JA, Ferrell BR, Virani R, Grant M, Malloy P, Rhome A. Appraisal of the graduate end-of-life nursing education consortium training program. J Palliat Med 2006, 9:353-360.
14. Weissman DE, Mullan PB, Ambuel B, von Gunten CF. End-of-life curriculum reform: outcomes and impact in a follow-up study of Internal Medicine residency programs. J Palliat Med 2002, 5:497-505.
15. Matzo ML, Sherman DW, Lo K, Egan KA, Grant M, Rhome A. Strategies for teaching loss, grief and bereavement. Nurse Educ 2003, 28:71-76.
16. Back AL, Arnold RM, Baile WF. Efficacy of communication skills training for giving bad news and discussing transitions to palliative care. Arch Intern Med 2007, 167:453-460.
17. Sullivan AM, Warren AG, Lakoma MD, Liaw KR, Hwang D, Block SD. End-of-life care in the curriculum: a national study of medical education deans. Acad Med 2004, 79:760-768.
18. Boss RD, Hutton N, Donohue PK, Arnold RM. Neonatologist training to guide family decision-making for critically ill infants. Arch Pediatr Adolesc Med 2009, 163:783-788.
19. Larson DG, Tobin DR. End-of-life conversations: evolving practice and theory. JAMA 2000, 284:1573-1578.
20. Baile WF, Kudelka AP, Beale EA. Communication skills training in oncology: description and preliminary outcomes of Workshops on breaking bad news and managing patient reactions to illness. Cancer 1999, 86:887-897.
21. Eggly S, Afonso N, Rojas G, Baker M, Cardozo L, Roberson RS. An assessment of residents' competence in the delivery of bad news to patients. Acad Med 1997, 72:397-399.
22. Orlander JD, Fincke BG, Hermanns D, Johnson GA. Medical Residents' first clearly remembered experiences of giving bad news. J Gen Intern Med 2002, 17:825-840.
23. Rosenbaum ME, Ferguson KJ, Lobas JG. Teaching medical students and residents skills for delivering bad news: a review of strategies. Acad Med 2004, 79:107-117.
24. Ptacek JT, Eberhardt TL. Breaking bad news: a review of the literature. JAMA 1996, 276:496-502.
25. Fallowfield L, Jenkins V. Communicating sad, bad, and difficult news in medicine. Lancet 2004, 363:312-319.
26. Knebel AR, Hudgings C. End-of-life issues in genetic disorders: summary of workshop. Genet Med 2002a, 4:373-378.
27. Fine BA, Baker DL, Fiddler MB. Practice-based competencies for accreditation of and training in graduate programs in genetic counseling. J Genet Couns 1996, 5:113-121.
28. Dent KM, Carey JC. Breaking difficult news in a newborn setting: Down Syndrome as a paradigm. Am J Med Genet 2006, 142C:173-179.
29. 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 " Meaning in Patient Care" Patient Educ Couns 2008, 72:293-300.
30. 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 2009, 151C:31-40.
31. SAS Version 8.2 2004, SAS Institute Inc., Cary, NC, SAS Institute Inc.
32. Professional status survey 2008, National Society of Genetic Counselors, Inc, Boston, Boston Information Solutions
33. Halsey D, Williams JK, Cooksey JA, Flanagan PA, Forte G, Blitzer MGUS. Genetics nurses in advanced practice. J Nurs Scholarsh 2006, 38:213-218.
34. Mishel MH. Uncertainty in illness. Image J Nurs Sch 1988, 20:225-232.
35. Geller G, Tambor ES, Chase GA, Holtzman NA. Measuring physicians' tolerance for ambiguity and its relationship to their reported practices regarding genetic testing. Med Care 1993, 31:989-1001.
36. Gerrity MS, DeVellis RF, Earp JA. Physicians' reactions to uncertainty in patient care: a new measure and new insights. Med Care 1990, 28:724-736.
37. Evans L, Trotter DR. Epistemology and uncertainty in primary care: an exploratory study. Fam Med 2009, 41:319-326.
38. Weil J. Psychosocial genetic counseling 2000, New York, Oxford University Press
39. 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.
40. Cadge W, Catlin EA. Making sense of suffering and death: how health care clinicians construct meaning in a neonatal intensive care unit. J Relig Health 2006, 45:248-263.
41. Meier D, Back A, Morrision RS. The inner life of physicians and care of the seriously ill. JAMA 2001, 286:3007-3014.
42. Kearney MK, Weininger RB, Vachon ML, Harrison RL, Mount BM. Self-care of physicians caring for patients at the end of life: " Being connected...a key to my survival" JAMA 2009, 301:E1-1164.
43. Evans C. Genetic counselling: a psychological approach 2006, New York, Cambridge University Press
44. Halifax J. Being with dying: cultivating compassion and fearlessness in the presence of death 2008, Boston, Shambhala
45. Rushton C, Sellers DE, Heller KD, Spring B, Dossey BM, Halifax J. Impact of contemplative end of life training program: being with dying. Palliat Support Care 2009, 7:405-414.
46. Browning DM, Solomon MZ. The initiative for pediatric palliative care: an interdisciplinary educational approach for healthcare professionals. J Pediatr Nurs 2005, 20:326-334. for the, Initiative for Pediatric Palliative Care (IPPC) Investigator Team
47. Browning D, Solomon M. Relational learning in pediatric palliative care: transformative education and the culture of medicine. Child Adolesc Psychiatr Clin N Am 2006, 15:795-815.
48. Sullivan AM, Lakoma MD, Billings JA, Peters AS, Block SD. Teaching and learning end-of-life care: evaluation of a faculty development program in palliative care. Acad Med 2005, 80:657-668.
49. Remen RN, O'Donnell JF, Rabow MW. The Healer's art: education in meaning and service. J Cancer Educ 2008, 23:65-67.
50. Williams MA, Lipsett PA, Shatzer JH. Experiential, interdisciplinary training in end-of-life care and organ donation. Crit Care Med 2001, 28:A204.
51. Weiner EL, Swain GR, Wolf B, Gottlieb M. A qualitative study of physicians' own wellness-promotion practices. West J Med 2001, 174:19-23.
52. Keene E, Hutton N, Hall B, Rushton C. Bereavement debriefing sessions: An intervention to support health care professionals in managing their grief after the death of a patient. Pediatr Nurs (in press)
53. Reder EA, Serwint JR. Until the last breath: exploring the concept of hope for parents and health care professionals during a child's serious illness. Arch Pediatr Adolesc Med 2009, 163:653-657.
54. Rushton C, Reder E, Hall B, Comello K, Sellers D, Hutton N. Interdisciplinary interventions to improve pediatric palliative care and reduce health care professional suffering. J Palliat Med 2006, 9:922-933.