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The Job Demands-Control-Support (JDCS) model has seldom been tested in palliative care settings, and occupational well-being of palliative care professionals has never before been investigated in Croatia. Our aim was therefore to fill that gap by testing the JDCS model among Croatian nurses providing palliative care. More specifically, we wanted to see how job demands, job control, and social support at work affect occupational well-being outcomes (i.e. job satisfaction and burnout dimensions of exhaustion and disengagement from work) in terms of the model’s iso-strain and buffer hypotheses. This cross-sectional study included 68 nurses working in various palliative care institutions across Croatia, who answered our online questionnaire. Overall, the nurses did not report high levels of burnout or low job satisfaction. The only significant effect was that of job control on job satisfaction (β=0.38; P, Ispitivanja Modela zahtjeva-kontrole posla-socijalne podrške (JDCS) u kontekstu palijativne skrbi doista su rijetka. Uz to, nedostaju istraživanja profesionalne dobrobiti zaposlenih u području palijativne skrbi u Hrvatskoj. Stoga je cilj ovoga istraživanja bio testirati JDCS model među hrvatskim medicinskim sestrama/tehničarima zaposlenima u području palijativne skrbi. Točnije, pokušali smo provjeriti kako zahtjevi i kontrola posla te socijalna podrška na radnome mjestu utječu na profesionalnu dobrobit (tj. zadovoljstvo poslom i dimenzije izgaranja ‒iscrpljenost i otuđenost) u kontekstu tzv. iso-strain i buffer hipoteza. U presječnom istraživanju sudjelovalo je 68 medicinskih sestara/tehničara zaposlenih u različitim institucijama koje pružaju palijativnu skrb u Hrvatskoj. Podatci su prikupljeni ispunjavanjem online upitnika. Ukupno gledano, medicinske sestre/tehničari nisu izvijestili o visokim razinama profesionalnog izgaranja ili o niskom zadovoljstvu poslom u području palijativne skrbi. Rezultati su potvrdili značajan učinak kontrole posla u objašnjenju zadovoljstva poslom (β=0,38; P

Prolongation of life expectancy increases the likelihood of death caused by chronic illness and the need for medical and psychosocial support within the palliative care setting. Professionals working in the palliative care field need adequate education to work with dying patients in order to achieve greater expertise, but also to prevent professional burnout. The aim of this study was to examine the contribution of personal (i.e. communication skills, resistance, religiosity) and factors related to the work environment (i.e. social support) in explaining burnout (i.e. emotional exhaustion and disengagement) among palliative care professionals. The study was conducted on a sample of 123 professionals working in the palliative care setting (nurses, physicians, psychologists, theologians, social workers, physiotherapists, etc.). The results indicate that personal risk/protection factors, compared to work environment factors, were more closely related to burnout, especially when emotional exhaustion was considered. On the other hand, both personal and environmental factors had a significant role in the prediction of disengagement from work. The most significant predictor of both aspects of burnout was the communication skill of reporting bad news.

Produljenje životne dobi povećava vjerojatnost smrti uzrokovane kroničnom bolešću i potrebu za medicinskom i psihosocijalnom potporom u okviru palijativne skrbi. Osobama koje su zaposlene u palijativnoj skrbi treba pružiti odgovarajuće obrazovanje za rad s umirućim pacijentima, čime se postiže veća stručnost, ali i sprječava profesionalno sagorijevanje. Cilj ovog istraživanja bio je ispitati u kojoj mjeri osobni (komunikacijske vještine, otpornost, religioznost) i okolinski (socijalna podrška) čimbenici pridonose objašnjenju profesionalnoga sagorijevanja (emocionalne iscrpljenosti i otuđenosti) kod zaposlenih u palijativnoj skrbi. U istraživanju su sudjelovale 123 osobe zaposlene u palijativnoj skrbi (medicinske sestre / tehničari, liječnici, psiholozi, duhovnici / teolozi, socijalni radnici, fizioterapeuti i dr.). Dobiveni rezultati pokazuju da su osobni čimbenici rizika / zaštite u većoj mjeri, u odnosu na okolinske, povezani s profesionalnim sagorijevanjem, osobito kada se razmatra emocionalna iscrpljenost. S druge strane, i osobni i okolinski čimbenici važni su u predikciji otuđenosti na poslu. Najznačajnija varijabla u predikciji obaju aspekata profesionalnoga sagorijevanja jest komunikacijska vještina priopćavanja loših vijesti., Prolongation of life expectancy increases the likelihood of death caused by chronic illness and the need for medical and psychosocial support within the palliative care setting. Professionals working in the palliative care field need adequate education to work with dying patients in order to achieve greater expertise, but also to prevent professional burnout. The aim of this study was to examine the contribution of personal (i.e. communication skills, resistance, religiosity) and factors related to the work environment (i.e. social support) in explaining burnout (i.e. emotional exhaustion and disengagement) among palliative care professionals. The study was conducted on a sample of 123 professionals working in the palliative care setting (nurses, physicians, psychologists, theologians, social workers, physiotherapists, etc.). The results indicate that personal risk/protection factors, compared to work environment factors, were more closely related to burnout, especially when emotional exhaustion was considered. On the other hand, both personal and environmental factors had a significant role in the prediction of disengagement from work. The most significant predictor of both aspects of burnout was the communication skill of reporting bad news.