{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:08:53Z","timestamp":1777882133591,"version":"3.51.4"},"reference-count":47,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001826","name":"ZonMw","doi-asserted-by":"publisher","award":["844001803"],"award-info":[{"award-number":["844001803"]}],"id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat\ufffdCare"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The COVID-19 pandemic highlighted various issues regarding healthcare providers\u2019 well-being and their need for employer support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>This study aims to show the extent and manner in which end-of-life care providers were supported by their employers during the COVID-19 pandemic, and whether their needs and the support they received matched.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A longitudinal mixed-methods study among healthcare providers delivering end-of-life care during the COVID-19 pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Surveys were conducted at four timepoints (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009302), and interviews were conducted at three timepoints (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200917) during the first 18\u2009months of the pandemic. Descriptive analysis was performed on the quantitative data, and thematic analysis was conducted on the interview data.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The survey indicated that healthcare providers\u2019 need for support decreased over the pandemic, yet 18\u2009months after its onset, nearly one in five still needed more support than usual. About one in three healthcare providers felt inadequately supported emotionally across the four periods. Disparities in employer support were found, with fewer healthcare providers receiving support than those who desired it. Interviews revealed that healthcare providers needed their employers to show interest and appreciation and involve them in decision-making. There was also a need for accessible professional support, efforts to reduce the stigma around seeking it, and the facilitation of peer support. In addition, healthcare providers desired practical support during the crisis, such as COVID-19 protection, scheduling, and good information provision.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The COVID-19 pandemic has revealed issues concerning the well-being of healthcare providers. This study gives insight into the amount and type of employer support needed. However, the support provided has often been misaligned with the needs of healthcare providers. As we face another potential healthcare crisis with shortages and high workloads, it is important to maintain focus on the well-being of healthcare providers. Employers must invest in appropriate and effective support measures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26323524241308268","type":"journal-article","created":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T12:38:00Z","timestamp":1759927080000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["(Mis)alignment of employer support and needs of healthcare providers in end-of-life care during a healthcare crisis: a longitudinal mixed-method study during the COVID-19 pandemic (the CO-LIVE study)"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7937-5854","authenticated-orcid":false,"given":"Masha S.","family":"Zee","sequence":"first","affiliation":[{"name":"Department of Public and Occupational Health, Expertise Center for Palliative Care, Amsterdam UMC, VU University, Van der Boechorststraat 7, Amsterdam 1081 BT, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H. Roeline","family":"Pasman","sequence":"additional","affiliation":[{"name":"Department of Public and Occupational Health, Expertise Center for Palliative Care, Amsterdam UMC, VU University, Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erica","family":"Witkamp","sequence":"additional","affiliation":[{"name":"Department of Public Health, Erasmus MC University Medical Center, Rotterdam, The Netherlands"},{"name":"Research Center Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yvonne N.","family":"Becqu\u00e9","sequence":"additional","affiliation":[{"name":"Research Center Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Goossensen","sequence":"additional","affiliation":[{"name":"University of Humanistic Studies, Utrecht, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9440-1248","authenticated-orcid":false,"given":"Bregje D.","family":"Onwuteaka-Philipsen","sequence":"additional","affiliation":[{"name":"Department of Public and Occupational Health, Expertise Center for Palliative Care, Amsterdam UMC, VU University, Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,8]]},"reference":[{"key":"e_1_3_4_2_2","volume-title":"Health and care workforce in Europe: time to act","author":"World Health Organization","year":"2022","unstructured":"World Health Organization. Health and care workforce in Europe: time to act. World Health Organization, Regional Office for Europe, 2022."},{"key":"e_1_3_4_3_2","author":"Integraal Zorgakkoord","year":"2022","unstructured":"Integraal Zorgakkoord. Samen werken aan gezonde zorg. 2022.","journal-title":"Samen werken aan gezonde zorg"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-017-0860-2"},{"key":"e_1_3_4_5_2","author":"PZNL\/AHzN\/KWF\/VPTZ","year":"2020","unstructured":"PZNL\/AHzN\/KWF\/VPTZ. Trendanalyse Palliatieve Zorg. 2020.","journal-title":"Trendanalyse Palliatieve Zorg"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216320956825"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2021.04.004"},{"key":"e_1_3_4_8_2","author":"Raad Volksgezondheid en Samenleving","year":"2020","unstructured":"Raad Volksgezondheid en Samenleving. Applaus is niet genoeg: anders waarderen en erkennen van zorgverleners. 2020.","journal-title":"Applaus is niet genoeg: anders waarderen en erkennen van zorgverleners"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-063267"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/02692163211003778"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2021.01.138"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/02692163211004210"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/02692163211004228"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-024-01446-y"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/01410768221077366"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/02692163211029806"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951522001341"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/10499091211057043"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2021.12.027"},{"key":"e_1_3_4_20_2","volume-title":"Work, stress & social support","author":"House JS.","year":"1981","unstructured":"House JS. Work, stress & social support. Reading, MA: Addison-Wesley, 1981."},{"key":"e_1_3_4_21_2","volume-title":"Care about care for healthcare professionals providing palliative care","author":"Dijxhoorn A-FQ","year":"2023","unstructured":"Dijxhoorn A-FQ. Care about care for healthcare professionals providing palliative care. Doctoral Thesis, Leiden University, 2023."},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-021-06917-z"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.NAJ.0000767352.47699.0c"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-020-10070-3"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.770193"},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-059124"},{"key":"e_1_3_4_27_2","doi-asserted-by":"publisher","DOI":"10.1111\/apps.12304"},{"key":"e_1_3_4_28_2","first-page":"351","volume-title":"Stress: concepts, cognition, emotion, and behavior","author":"Maslach C","year":"2016","unstructured":"Maslach C, Leiter MP. Burnout. In: Fink G (ed.) Stress: concepts, cognition, emotion, and behavior. Elsevier Academic Press, 2016, pp. 351\u2013357."},{"key":"e_1_3_4_29_2","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_3_4_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61602-X"},{"key":"e_1_3_4_31_2","unstructured":"CBS. Fasen tweede (en derde) coronagolf https:\/\/www.cbs.nl\/nl-nl\/nieuws\/2021\/27\/in-tweede-golf-overleden-bijna-11-duizend-meer-mensen-dan-verwacht\/fasen-tweede\u2013en-derde\u2013coronagolf (2021 last accessed 20 December 2024)."},{"key":"e_1_3_4_32_2","unstructured":"RIVM. Het nieuwe coronavirus in Nederland. Wat is het verschil tussen de eerste golf en de tweede golf? https:\/\/www.rivm.nl\/documenten\/verschil-tussen-eerste-en-tweede-golf-corona (2020 last accessed 20 Decemeber 2024)."},{"key":"e_1_3_4_33_2","unstructured":"CBS. Sterfte aan COVID-19 per maand en leeftijdsgroep https:\/\/www.cbs.nl\/nl-nl\/maatwerk\/2023\/06\/sterfte-aan-covid-19-per-maand-en-leeftijdsgroep(2023 last accessed 20 Decemebr 2024)."},{"key":"e_1_3_4_34_2","unstructured":"University of Groningen. E\u00e9n op de vijf verpleeghuismedewerkers kampt met burn-out klachten https:\/\/www.rug.nl\/news\/2020\/11\/een-op-de-vijf-verpleeghuismedewerkers-kampt-met-burn-out-klachten (2020 last accessed 20 December 2024)."},{"key":"e_1_3_4_35_2","unstructured":"Nederlands Tijdschrift voor Geneeskunde. Meer burn-outklachten onder IC-personeel tijdens COVID-19 https:\/\/www.ntvg.nl\/artikelen\/meer-burn-outklachten-onder-ic-personeel-tijdens-covid-19 (2021 last accessed 20 December 2024)."},{"key":"e_1_3_4_36_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-063267"},{"key":"e_1_3_4_37_2","volume-title":"Transforming qualitative information: thematic analysis and code development","author":"Boyatzsis RE.","year":"1998","unstructured":"Boyatzsis RE. Transforming qualitative information: thematic analysis and code development. Thousand Oaks, CA: Sage Publications, 1998."},{"key":"e_1_3_4_38_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-981-10-5251-4_103"},{"key":"e_1_3_4_39_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12144-021-02397-w"},{"key":"e_1_3_4_40_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1221427"},{"key":"e_1_3_4_41_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1204662"},{"key":"e_1_3_4_42_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1094776"},{"key":"e_1_3_4_43_2","doi-asserted-by":"publisher","DOI":"10.23749\/mdl.v114i2.13829"},{"key":"e_1_3_4_44_2","doi-asserted-by":"publisher","DOI":"10.1200\/OP.22.00846"},{"key":"e_1_3_4_45_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-022-04202-9"},{"key":"e_1_3_4_46_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-023-04686-z"},{"key":"e_1_3_4_47_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2011.312"},{"key":"e_1_3_4_48_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7489(02)00092-5"}],"container-title":["Palliative Care and Social Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26323524241308268","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/26323524241308268","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26323524241308268","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T01:03:10Z","timestamp":1777597390000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/26323524241308268"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":47,"alternative-id":["10.1177\/26323524241308268"],"URL":"https:\/\/doi.org\/10.1177\/26323524241308268","relation":{},"ISSN":["2632-3524","2632-3524"],"issn-type":[{"value":"2632-3524","type":"print"},{"value":"2632-3524","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10]]},"article-number":"26323524241308268"}}