Reflections on the integration of a narrative medicine and mindfulness program in hospice and palliative care

Abstract

By 2060, almost 25% (98 million) of the population is expected to be aged 65 or older. Health care professionals who provide hospice and palliative care are overtasked and demonstrate symptoms of burnout. Narrative medicine and mindfulness interventions create meaningful connections with patients, improve the delivery of patient-centered care, and enhance the health of the caregivers. In this pilot program, health care professionals in hospice and palliative care settings were invited to participate in a study to evaluate the impact of narrative medicine or mindfulness on measures of burnout and empathy. Participants completed baseline and 12-week post-intervention surveys of burnout and empathy, as well as weekly journals of their experience. Mean overall scores for depersonalization were significantly reduced at 12-week post-intervention. There were no significant changes in emotional exhaustion or empathy compared to baseline. This brief, weekly intervention may be beneficial for both patients and health care professionals in the hospice and palliative care setting.

Keywords:

• Hospice
• Medical humanities
• Palliative care
• Empathy
• Burnout
• Narrative medicine

Acknowledgements

The authors would like to thank all of the staff, patients, and families who supported this project.

Disclaimer statement

Contributors None.

Funding This work was supported, in part by the College of Health Solutions at Arizona State University seed grant program.

Conflicts of interest None.

Ethics approval None.