Palliative Care Professionals' Inner Life: Exploring the Relationships Among Awareness, Self-Care, and Compassion Satisfaction and Fatigue, Burnout, and Coping With Death
Palliative Care Professionals' Inner Life: Exploring the Relationships Among Awareness, Self-Care, and Compassion Satisfaction and Fatigue, Burnout, and Coping With Death
复制标题
DOI：
10.1016/j.jpainsymman.2015.02.013
复制
发表时间：
2015-08-01
影响因子：
4.7
通讯作者：
Benito, Enric
中科院分区：
文献类型：
--
作者：
Sanso, Noemi;Galiana, Laura;Benito, Enric
上下文在死亡和垂死的环境中工作的专业人员经常面临存在问题，心理挑战以及与生命末期护理相关的情绪困扰。识别有助于专业人员科普频繁暴露于死亡率相关问题的因素可以提高姑息治疗提供者和患者的生活质量。通过对科尔尼和科尔尼自我护理意识模型的改编版进行评估，提高我们对与专业人员内心生活相关的因素的理解。本研究的主要假设是，应对死亡和意识的能力与同情心满意度呈正相关，与同情心疲劳和倦怠呈负相关;此外，参加旨在面对痛苦和死亡的特定培训计划和自我护理可以积极预测应对死亡。通过西班牙姑息治疗协会的成员电子邮件列表对西班牙姑息治疗专业人员进行了一项横断面在线调查。共有387名专业人士完成了调查，其中包括人口统计学数据，以及个人和专业尺度上提到的建设。数据与估计模型相当吻合。虽然有关精神训练应对死亡的假设没有得到数据的支持，但所有其他方面的假设都得到了支持，即自我护理和意识正向预测专业人员应对死亡的能力，这与意识一起正向预测同情满意度，负向预测同情疲劳和倦怠。在西班牙姑息治疗专业人员的多学科样本的自我护理的认识为基础的模式进行了成功的测试。本研究应用该模型进行定量评估，提供了一系列影响卫生专业人员生活质量的关键变量的证据，如特定培训、自我护理、意识和应对死亡能力。(C)2015年美国临终关怀和姑息医学学会。爱思唯尔公司出版All rights reserved.
Context. Professionals working in the landscape of death and dying frequently are exposed to existential issues, psychological challenges, and emotional distress associated with care at the end of life. Identifying factors that help professionals cope with frequent exposure to issues related to mortality could enhance palliative care providers' and patients' quality of life.Objectives. To improve our understanding of the factors associated with professionals' inner life, through the assessment of an adapted version of Kearney and Kearney's awareness model of self-care. The main assumptions of the study were that competence in coping with death and awareness would be positively related to compassion satisfaction and negatively to compassion fatigue and burnout; moreover, participating in a specific training program aimed at facing suffering and death, and self-care would positively predict coping with death.Methods. A cross-sectional online survey of Spanish palliative care professionals was conducted through the member e-mail list of the Spanish Society of Palliative Care. A total of 387 professionals completed the survey, which included demographic data, and personal and professional scales on the mentioned constructs.Results. Data fit reasonably well with the estimated model. Whereas the hypothesis relating spiritual training to coping with death was not supported by the data, all other aspects of the hypotheses were supported, namely self-care and awareness positively predicted professionals' competence in coping with death, and this, together with awareness, positively predicted compassion satisfaction and negatively predict compassion fatigue and burnout.Conclusion. The awareness-based model of self-care was successfully tested in a multidisciplinary sample of Spanish palliative care professionals. This research applies a quantitative evaluation of the model, providing evidence of a constellation of key variables for health professionals' quality of life, such as specific training, self-care, awareness and coping with death competency. (C) 2015 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.