Skip to main content

Clinician Self-Care

  • Chapter
  • First Online:
  • 913 Accesses

Abstract

Self-care is a core competency for all clinicians that strengthens professional and personal satisfaction, enhances connections with patients and clinical effectiveness, and protects against the risk of burnout. Burnout is a prevalent occupational hazard in health care that is defined by physical and emotional exhaustion, depersonalization, and a loss of feelings of efficacy. Burnout can have a significant impact on the health of clinicians, the care they provide, and even their ability to continue in their chosen profession. Clinicians can learn to recognize its early signs and develop strategies that protect against burnout and build resilience to assure a satisfying professional and personal life. Just as the palliative approach to patient care emphasizes supporting all aspects of personhood, our approach to self-care also encompasses care of the physical, emotional/social, mental, and spiritual parts of oneself. In this chapter we discuss a variety of strategies to promote self-care and build positive practices and habits.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Maslach C, Jackson S. The measurement of experienced burnout. J Organ Behav. 1981;2(2):99–113.

    Article  Google Scholar 

  2. Sigsbee B, Bernat J. Physician burnout: a neurologic crisis. Neurology. 2014;83(24):2302–6.

    Article  Google Scholar 

  3. Hallenbeck J. Burnout and engagement, powerpoint lecture. Palo Alto: Stanford and Palo Alto VA; 2017.

    Google Scholar 

  4. Busis N, Shanafelt T, Keran C, Levin K, Schwarz H, Molano J, et al. Burnout, career satisfaction, and well-being among US neurologists in 2016. Neurology. 2017;88(8):707–808.

    Article  Google Scholar 

  5. Owens S. AAN Survey: six out of ten neurologists report feeling burned out: what can be done to fix the problem? Neurol Today. 2017;17(6):1–6.

    Article  Google Scholar 

  6. Kamal A, Bull J, Wolf S, Swetz K, Shanafelt T, Ast K, et al. Prevalence and predictors of burnout among hospice and palliative care clinicians in the US. J Pain Symptom Manag. 2016;51(4):690–6.

    Article  Google Scholar 

  7. Wright A, Katz I. Beyond burnout—redesigning care to restore meaning and sanity for physicians. N Engl J Med. 2018;378(4):309–11.

    Article  Google Scholar 

  8. Shanafelt T, Boone S, Tan L, Dyrbye L, Sotile W, Satele D, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med. 2012;172(18):1377–85.

    Article  Google Scholar 

  9. Halifax J. A heuristic model of enactive compassion. Curr Opin Support Palliat Care. 2012;6(2):8.

    Article  Google Scholar 

  10. Hauser J. Self-Care. Teaching module from Education in Palliative and End-of-Life Care (EPEC) Program. http://bioethics.northwestern.edu/education/epec.html. Last accessed 28 Aug 2018.

  11. Dzau V, Kirch D, Nasca T. To care is human—collectively confronting the clinician-burnout crisis. N Engl J Med. 2018;378(4):312–4.

    Article  Google Scholar 

  12. Back A, Steinhauser K, Kamal A, Jackson V. Building resilience for palliative care clinicians: an approach to burnout prevention based on individual skills and workplace factors. J Pain Symptom Manag. 2016;52(2):284–91.

    Article  Google Scholar 

  13. Kelsey E. The Rise of Ocean Optimism. Hakai Magazine 06/08/2016. https://protect2.fireeye.com/url?k=df32ccf8a1cdf290.df32ebe5-700f25fec8054a1f&u=https://www.hakaimagazine.com/features/rise-ocean-optimism/. Last accessed 28 Aug 2018.

  14. Fredrickson B, Grewen K, Coffey K, Algoe S, Firestine A, Arevalo J, et al. A functional genomic perspective on human well-being. Proc Natl Acad Sci. 2013;11013684–13689.

    Google Scholar 

  15. Cacioppo J, Patrick W. Loneliness: human nature and the need for social connection. New York: W.W. Norton; 2008.

    Google Scholar 

  16. Crum A, Leibowitz K, Verghese A. Making mindset matter. BMJ Br Med J. 2017;356.

    Google Scholar 

  17. Seery M. Resilience: a silver lining to experiencing adverse life events? Curr Dir Psychol Sci. 2011;20(6):5.

    Article  Google Scholar 

  18. Jinpa T. A fearless heart: how the courage to be compassionate can transform our lives. New York: Hudson Street; 2015.

    Google Scholar 

  19. Emmons R. Thanks!: how the new science of gratitude can make you happier. New York: Houghton Mifflin Hardcourt; 2007.

    Google Scholar 

  20. Neff K. Self-compassion: stop beating yourself up and leave insecurity behind. New York: Harper Collins; 2011.

    Google Scholar 

  21. Germer C. The mindful path to self-compassion: freeing yourself from destructive thoughts and emotions. New York: Guilford Press; 2009.

    Google Scholar 

  22. Levine P. In an unspoken voice: how the body releases trauma and restores goodness. Berkeley: North Atlantic Books; 2010.

    Google Scholar 

  23. Cullen M, Brito PG. The mindfulness-based emotional balance workbook: an eight week program for improved emotion regulation and resilience. Oakland: New Harbinger; 2015.

    Google Scholar 

  24. Glassman B. Bearing witness: a zen master’s lessons in making peace. New York: Penguin; 2013.

    Google Scholar 

  25. Back A, Rushton C, Kaszniak A, Halifax J. “Why are we doing this?”: clinician helplessness in the face of suffering. J Palliat Med. 2015;18(1):5.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to S. Judith Long MA, MS .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Long, S.J. (2019). Clinician Self-Care. In: Creutzfeldt, C., Kluger, B., Holloway, R. (eds) Neuropalliative Care. Springer, Cham. https://doi.org/10.1007/978-3-319-93215-6_19

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-93215-6_19

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-93214-9

  • Online ISBN: 978-3-319-93215-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics