• Antonio Fonseca, Sandra Pereira, and Ana Sofia Carvalho.
• University of Azores Nursing School of Angra do Herroísmo, Catholic University of Portugal Bioethics Research Center, Institute of Bioethics Canada dos Melancólicos, Angra do Heroísmo, Portugal.
• Int J Palliat Nurs. 2012 Aug 1; 18 (8): 373-81.

AbstractRepeat contact with suffering, dying, and death is considered to be a risk factor for burnout among health professionals, particularly nurses working in palliative care. A mixed methods study was conducted to identify burnout levels, risk and protective factors, prevention strategies, and the emotional impact of working in palliative care among nurses in Portugal. A quantitative questionnaire was completed by nursing members of nine different palliative care teams and was supported by interviews and observation. Although the participants were exposed to risk factors, such as work overload, disorganisation, difficult relationships within the team and with patients' relatives, they showed a low risk of burnout. These results appear to be related both to the protective factors identified-namely the ethic of care in the relationship the nurses establish with patients, families, and within their teams-and to the preventive strategies they actively adopt for burnout prevention. The positive aspects of the nurses' roles help them to build a positive view of their work, which also promotes their own personal and professional development.

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