For improved end-of-life services and palliative care: adapting and implementing workplace support programs and evaluating their impact on nurses’ job satisfaction, sense of meaningfulness at work, and well-being (SATIN II)

Abstract

The intensification of work and stress is associated with distress and job dissatisfaction in nurses. These psychosocial risk factors are particularly likely to cause employee absenteeism, retention and turnover problems. In palliative care and oncology, frequent contact with death and grief is an added source of stress. In previous works (0099-6050), the researchers documented sources of stress in nurses, other clinicians, palliative and oncological care managers and patients and their families. They described how providing both curative and palliative care gives rise to conflicting demands that can contribute to value conflicts and ethical distress. They also identified several avenues for developing support programs for these workers.

In the context of this study, the researchers, using a participatory approach with field practitioners and in collaboration with four hospital centres, will finalize the adaptation of support programs for implementation in line with the needs, resources and preferences of each workplace. Workplace readiness for the program will also be evaluated. The approach will allow for completion of four projects and raise participant awareness of how to structure workplace support programs. It will also support decision makers in their organizational choices and take account of the adaptability and learning context of relevant employees, increase their satisfaction and, thus, their retention rate.

This research will provide further insight into the relationship between stress, job satisfaction and meaningfulness at work and raise awareness of how to structure workplace support programs. Decision makers will be provided with a choice of service models and a better understanding of factors to consider before implementing programs in palliative care facilities.

Produced Under this Project

Scientific Reports

Improving end-of-life palliative care and services: adapting and implementing workplace support programs and evaluating their impact on nurses’ satisfaction, well-being and sense of meaning at work (SATIN II) Research Report: R-948

Video Reports and Conferences

Occupational stress and satisfaction among nurses providing palliative care Interview: CE-222

Scientific Publications

Intégration précoce d'une approche de soins de soutien auprès des patients atteints d'un cancer pulmonaire : évaluation des besoins et des attentes selon les acteurs impliqués
Desbiens J.-F., Simard S., Tremblay L., Fournier B., Lavoie S., Aubin M., Fillion L.
Source :
in Congrès international sur les soins palliatifs, (20e : 9-12 septembre, 2014 : Montréal, Canada), Journal of palliative care, vol. 30, no 3, 2014, p. 201-202
Staff stress and burnout in palliative care
Vachon M. L. S., Fillion L.
Source :
In E. Bruera, I. Higginson, C. F. von Gunten & T. Morita, Textbook of Palliative Medicine and Supportive Care, (2nd ed., p. 1033-1046). New York, NY: CRC Press.
Enhancing Meaning at Work and Preventing Burnout: The Meaning-Centered Intervention for Palliative Care Clinicians
Fillion L., Vachon M., Gagnon P.
Source :
In W. S. Breitbart, Meaning-Centered Psychotherapy in the Cancer Setting: Finding Meaning and Hope in the Face of Suffering, (p. 168-181). New York, NY: Oxford University Press. doi: 10.1093/med/9780199837229.003.0014
Implementation of an End-of-Life/Palliative Care Approach in the ICU: Clinicians' Perceptions of the Acceptability and Feasibility of an Interprofessional Educational Intervention
Lepage C., Graham R., Boitor M., Petizian S., Fillion L., Gélinas C.
Source :
Proceeding of 21e Congrès international sur les soins palliatifs, Montréal, QC. [Poster].
La fin de vie dans les USI : les pistes de solution organisationnelles, professionnelles et émotionnelles des infirmières
Francoeur D., Fillion L., Gélinas C., Robitaille M.-A.
Source :
Communication présentée à 21e Congrès international sur les soins palliatifs, Montréal, QC. [Affiche].
Building Collective and Individual Resilience in Palliative Care Teams: Lessons Learned from a Participatory Research Project
Vachon M., Fillion L.
Source :
Proceeding of 2016 annual Congress of the Canadian Association for Psychosocial Oncology, Halifax, NS, 2016 (pp. 24). Retrieved from http://www.capo.ca/wp-content/uploads/2016/04/CAPO-2016-Abstract-Booklet-Final.pdf
L’intégration des soins palliatifs et de fin de vie dans une unité de soins intensifs
Fillion L.
Source :
Communication présentée à 21e Congrès international sur les soins palliatifs, Montréal, QC.
Intégration précoce d’une approche de soins de soutien auprès de personnes atteintes d’un cancer pulmonaire
Desbiens J.-F.
Source :
Communication présentée à Journée Scientifique de la Maison Michel-Sarrazin, Québec, QC.
Souffrance et satisfaction des soignants
Fillion L.
Source :
Communication présentée à Journée Scientifique de la Maison Michel-Sarrazin, Québec, QC.
Intégration d’une approche palliative en soins intensifs
Langlois L., Gélinas C.
Source :
Communication présentée à Journée Scientifique de la Maison Michel-Sarrazin, Québec, QC.
Qu’en est-il de l’espace de soin? Intégrer le soin de soi au cœur des soins palliatifs
Vachon M.
Source :
Communication présentée à Journée Scientifique de la Maison Michel-Sarrazin, Québec, QC.
Improving palliative care through staff support: a Collaborative Research Project
Vachon M., Fillion L.
Source :
Proceeding of 13th Annual Conference of the American Psychosocial Oncology Society, San Diego, CA. [Poster]. Retrieved from http://onlinelibrary.wiley.com/doi/10.1002/pon.4082/epdf
Souffrance et satisfaction au travail chez les soignants, deux facettes d’une même réalité?
Fillion L.
Source :
Communication présentée à Conférence de l’Équipe de Recherche Michel-Sarrazin en Oncologie psychosociale (ERMOS), Québec, QC.
Vers l’amélioration des services et des soins palliatifs de fin de vie : adapter et implanter des programmes de soutien en milieu de travail et évaluer leur effet sur la satisfaction, le sens au travail et le bien-être des infirmières (SATIN II)
Fillion L.
Source :
Communication présentée au Rendez-vous de la science de l'IRSST, Montréal, QC.
Une démarche interprofessionnelle visant des soins de fin de vie de qualité à l’USI
Robitaille M.-A., Langlois L., Fillion L., Veillette A.-M.
Source :
Le Chuchoteur, 4(1), 5.

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Towards the improvement of end-of-life services and care: A better understanding of the impact of the work environment on nurses’ satisfaction and well-being

Additional Information

Type: Project

Number: 2011-0034

Status: Completed

Year of completion: 2016

Research Field: OSH and Sustainable Prevention Work Environment

Team:

Lise Fillion (Université Laval)
Manon Truchon (Université Laval)
Lyse Langlois (Université Laval)
Jean-François Desbiens (Université Laval)
Céline Gélinas (Université McGill)
Mélanie Vachon (Université du Québec à Montréal )
Geneviève Roch (Université Laval)
Michèle Aubin (Université Laval)
Serge Dumont (Université Laval)
Pierre Gagnon (Université Laval)
Sébastien Simard (Institut universitaire de cardiologie et de pneumologie de Québec)
Lise Tremblay (Institut universitaire de cardiologie et de pneumologie de Québec)