{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:35:24Z","timestamp":1792787724863,"version":"4.5.0"},"reference-count":40,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T00:00:00Z","timestamp":1759968000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T00:00:00Z","timestamp":1759968000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Saint Elizabeth Foundation"},{"name":"SE Health","id":[{"id":"https:\/\/ror.org\/01t5a0b96","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Communities in Canada have created targeted hospice palliative care strategies such as facility-based hospices for the homeless (H4H) to promote equitable access to care. To ensure the sustainability of H4H programs, there is a need to prevent and mitigate burnout and enhance workplace wellbeing. The objectives for this study were to, (1) develop a better understanding of H4H staff and volunteers\u2019 experiences of stress and wellbeing; and (2) explore opportunities for additional resources to support workplace wellbeing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We developed and administered an anonymous 26-item survey to 104 providers including both staff (eg, nurses, administrators) and volunteers at a facility-based H4H in Ontario. The survey gathered open and closed-ended data on sociodemographic information, compassion satisfaction, and H4H stories of workplace experiences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      The response rate was 56% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 58). Most respondents had high compassion satisfaction. However, multiple factors causing stress at work across the socio-ecological model were discussed. Requests for additional resources to foster workplace wellbeing included educational, process-related, spiritual\/psychological, and social supports. Respondents storied that positive workplace wellbeing includes being able to provide quality care, and having supportive relationships, personal fulfillment, and a respectful culture within the workplace.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Provider participants were satisfied with their ability to be effective carers, yet chronic multi-level work-related stressors can erode a sense of meaning in H4H work. A multi-faceted evidence-based approach to supporting workplace wellbeing is needed in H4H settings. Research has shown that mindfulness could be an effective strategy, as it can decrease burnout and promote coping, team connection, and anti-oppressive care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10499091251383051","type":"journal-article","created":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T11:04:27Z","timestamp":1760007867000},"page":"1193-1202","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Examining Compassion Satisfaction and Work-Related Stress Within a Hospice for the Homeless (H4H) Organization: Results From a Multi-Method Survey"],"prefix":"10.1177","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9470-4871","authenticated-orcid":false,"given":"Celina","family":"Carter","sequence":"first","affiliation":[{"name":"SE Research Centre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1678-2807","authenticated-orcid":false,"given":"Mary Anne","family":"Olalia","sequence":"additional","affiliation":[{"name":"SE Research Centre"},{"name":"Daphne Cockwell School of Nursing, Toronto Metropolitan University, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justine","family":"Giosa","sequence":"additional","affiliation":[{"name":"SE Research Centre"},{"name":"School of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,9]]},"reference":[{"key":"e_1_3_8_2_2","unstructured":"Statistics Canada. A review of Canadian homelessness data. 2023. Available from. https:\/\/www150.statcan.gc.ca\/n1\/pub\/75f0002m\/75f0002m2023004-eng.htm"},{"key":"e_1_3_8_3_2","volume-title":"Palliative Care Services for People Experiencing Homelessness in Toronto: A Preliminary Needs Assessment","author":"Hwang S","year":"2017","unstructured":"Hwang S, Dowbor T, Devotta K, Pedersen C. Palliative Care Services for People Experiencing Homelessness in Toronto: A Preliminary Needs Assessment. Centre for Urban Health Solutions St. Michael\u2019s Hospitals; 2017."},{"key":"e_1_3_8_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13104-022-06025-z"},{"key":"e_1_3_8_5_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951520000280"},{"key":"e_1_3_8_6_2","doi-asserted-by":"publisher","DOI":"10.12927\/hcq.2023.27055"},{"key":"e_1_3_8_7_2","unstructured":"World Health Organization (WHO). Palliative care. 2020. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/palliative-care. Accessed May 15 2025."},{"key":"e_1_3_8_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/08258597221100330"},{"key":"e_1_3_8_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.23007"},{"key":"e_1_3_8_10_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2020.0358"},{"key":"e_1_3_8_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049909118756657"},{"key":"e_1_3_8_12_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17207672"},{"key":"e_1_3_8_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/NJH.0000000000000727"},{"key":"e_1_3_8_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmmh.2022.100163"},{"key":"e_1_3_8_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj-2021-065984"},{"key":"e_1_3_8_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjq.2021.08.002"},{"key":"e_1_3_8_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2014.04.005"},{"key":"e_1_3_8_18_2","doi-asserted-by":"publisher","DOI":"10.1037\/str0000209"},{"key":"e_1_3_8_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/10499091231174448"},{"key":"e_1_3_8_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216311431311"},{"key":"e_1_3_8_21_2","doi-asserted-by":"publisher","DOI":"10.1080\/15524250802353934"},{"key":"e_1_3_8_22_2","doi-asserted-by":"publisher","DOI":"10.1080\/17439760.2018.1519588"},{"key":"e_1_3_8_23_2","doi-asserted-by":"publisher","DOI":"10.1080\/1743727X.2018.1524866"},{"key":"e_1_3_8_24_2","unstructured":"Canadian Institutes of Health Research (CIHR). Government of Canada. 2018. How to integrate sex and gender into research - CIHR. Available from. https:\/\/cihr-irsc.gc.ca\/e\/50836.html"},{"key":"e_1_3_8_25_2","first-page":"465","volume-title":"Health Behavior and Health Education: Theory, Research, and Practice","author":"Sallis JF","year":"2008","unstructured":"Sallis JF, Owen N, Fisher EB. Ecological models of health behavior. In: Health Behavior and Health Education: Theory, Research, and Practice. 4th ed. Hoboken, NJ, US: Jossey-Bass\/Wiley; 2008:465-485.","edition":"4"},{"key":"e_1_3_8_26_2","unstructured":"Stamm B. The concise ProQOL manual. 2010. Available from. https:\/\/www.illinoisworknet.com\/WIOA\/Resources\/Documents\/The-Concise-ProQOL-Manual.pdf"},{"key":"e_1_3_8_27_2","doi-asserted-by":"publisher","DOI":"10.1177\/10499091211023480"},{"key":"e_1_3_8_28_2","doi-asserted-by":"publisher","DOI":"10.1007\/s43076-022-00184-5"},{"key":"e_1_3_8_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2017.09.006"},{"key":"e_1_3_8_30_2","first-page":"477","volume-title":"Handbook of Complementary Methods in Education Research","author":"Connelly FM","year":"2006","unstructured":"Connelly FM, Clandinin DJ. Narrative inquiry. In: Green JL, Camilli G, Elmore PB, Skukauskaite A, Grace E, eds. Handbook of Complementary Methods in Education Research. Lawrence Erlbaum Associates, Inc.; 2006:477-487."},{"key":"e_1_3_8_31_2","doi-asserted-by":"publisher","DOI":"10.36510\/learnland.v9i2.788"},{"key":"e_1_3_8_32_2","doi-asserted-by":"publisher","DOI":"10.1080\/14623943.2015.1052385"},{"key":"e_1_3_8_33_2","doi-asserted-by":"publisher","DOI":"10.1177\/1077800410383121"},{"key":"e_1_3_8_34_2","doi-asserted-by":"publisher","DOI":"10.1177\/1744987116674257"},{"key":"e_1_3_8_35_2","doi-asserted-by":"publisher","DOI":"10.2147\/PRBM.S417729"},{"key":"e_1_3_8_36_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049909115571545"},{"key":"e_1_3_8_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2021.02.025"},{"key":"e_1_3_8_38_2","doi-asserted-by":"publisher","DOI":"10.1093\/bjsw\/bcad232"},{"key":"e_1_3_8_39_2","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-4-50"},{"key":"e_1_3_8_40_2","unstructured":"Mental Health Commission of Canada. 13 factors: addressing mental health in the workplace. n.d. Available from. https:\/\/mentalhealthcommission.ca\/13-factors-addressing-mental-health-in-the-workplace\/"},{"key":"e_1_3_8_41_2","doi-asserted-by":"publisher","DOI":"10.1093\/bjsw\/bcab203"}],"container-title":["American Journal of Hospice and Palliative Medicine\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10499091251383051","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10499091251383051","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10499091251383051","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T19:19:42Z","timestamp":1790277582000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10499091251383051"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,9]]},"references-count":40,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1177\/10499091251383051"],"URL":"https:\/\/doi.org\/10.1177\/10499091251383051","relation":{},"ISSN":["1049-9091","1938-2715"],"issn-type":[{"value":"1049-9091","type":"print"},{"value":"1938-2715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,9]]}}}