Can art therapy reduce death anxiety and burnout in end-of-life care workers? a quasi-experimental study

Int J Palliat Nurs. 2014 May;20(5):233-40. doi: 10.12968/ijpn.2014.20.5.233.

Abstract

Background: The need for empathy and the difficulties of coping with mortality when caring for the dying and the bereaved can cause psychological, emotional, and spiritual strain.

Objective: The aim of this study was to examine the effectiveness of art-therapy-based supervision in reducing burnout and death anxiety among end-of-life care workers in Hong Kong.

Methods: Through a quasi-experimental design, 69 participants enrolled in a 6-week, 18-hour art-therapy-based supervision group, and another 63 enrolled in a 3-day, 18-hour standard skills-based supervision group (n=132). Pre- and post-intervention assessments were carried out with three outcome measures: the Maslach Burnout Inventory-General Survey, the Five Facet Mindfulness Questionnaire, and the Death Attitude Profile-Revised. The data was analysed using paired sample t-tests.

Results: Significant reductions in exhaustion and death anxiety and significant increases in emotional awareness were observed for participants in the art-therapy-based supervision group.

Conclusion: This study provides preliminary evidence that art-therapy-based supervision for end-of-life care workers can reduce burnout by enhancing emotional awareness and regulation, fostering meaning-making, and promoting reflection on death.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Anxiety / prevention & control*
  • Art Therapy*
  • Burnout, Professional*
  • Female
  • Health Personnel / psychology*
  • Humans
  • Male
  • Middle Aged
  • Self Efficacy
  • Surveys and Questionnaires
  • Terminal Care*
  • Workforce
  • Young Adult