Organisational support for healthcare professionals in palliative care
Service and management issues in an organisation or practice can affect the morale and wellbeing of staff providing palliative care. Managers should clearly define staff roles and ensure that the facility is adequately staffed to deliver care. Staff training is important, especially in psychosocial care and communication skills, particularly for new staff or those who do not provide palliative care on a regular basis.
Encourage staff to communicate with and support each other; also provide ready access to formal supports, such as mentorship or group supervision. Make staff aware of how they can seek help confidentially. Managers should watch for vulnerability in staff and institute supportive measures early.
Clinical teams and organisations may consider the use of multidisciplinary reflective rounds. For example, Schwartz Rounds1, which are a type of structured forum where all staff can regularly meet to discuss emotional and social aspects of working in healthcareMaben, 2018.
Other aspects of organisational support for healthcare professionals in palliative care include access to continuing education and conference attendance, and systems for addressing issues of quality and safety.