title: Impact of a meaning-centered intervention on job satisfaction and on quality of life among palliative care nurses.
abstract: OBJECTIVE
  Palliative care (PC) nurses experience several recurrent organizational, professional, and individual challenges. To address existential and emotional demands, the meaning-centered intervention was recently developed. The intervention applied didactic and process-oriented strategies, including guided reflections, experiential exercises, and education based on themes of Viktor Frankl's logotherapy. The objective of this study was to test its efficiency to improve job satisfaction and quality of life in PC nurses from three regional districts in Quebec Province, Canada.
  
  
  METHODS
  A randomized waiting-list group design was conducted, intervention group (n=56) versus waiting-list group (n=53). Job satisfaction, perception of benefits of working in PC, and spiritual and emotional quality of life were measured at pre-, posttest, and 3-month follow-up.
  
  
  RESULTS
  The PC nurses in the experimental group reported more perceived benefits of working in PC after the intervention and at follow-up. Spiritual and emotional quality of life remained, however, unaffected by the intervention.
  
  
  CONCLUSIONS
  To explain null findings, theoretical and methodological challenges, related to existential interventions, such as choice of outcomes, and selection bias (participants recruited were healthy workers) are discussed. Future directions and strategies to deal with those issues are proposed.
authors.affiliation: Faculty of Nursing, Laval University, Quebec G1V 0A6, Canada. lise.fillion@fsi.ulaval.ca
authors.forename: Lise
authors.initials: L
authors.lastname: Fillion
authors.forename: Stéphane
authors.initials: S
authors.lastname: Duval
authors.forename: Serge
authors.initials: S
authors.lastname: Dumont
authors.forename: Pierre
authors.initials: P
authors.lastname: Gagnon
authors.forename: Isabelle
authors.initials: I
authors.lastname: Tremblay
authors.forename: Isabelle
authors.initials: I
authors.lastname: Bairati
authors.forename: William S
authors.initials: WS
authors.lastname: Breitbart
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D002055:Burnout, Professional / Q000523:psychology / Q000628:therapy*; D004644:Emotions; D005086:Existentialism; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D009859:Oncology Nursing; D010166:Palliative Care / Q000523:psychology*; D011615:Psychotherapy, Group / Q000379:methods*; D011788:Quality of Life / Q000523:psychology*; D011792:Quebec; D029181:Spirituality; D040921:Stress Disorders, Traumatic / Q000523:psychology / Q000628:therapy