Distress and self-care among chaplains working in palliative care
Distress and self-care among chaplains working in palliative care
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DOI：
10.1017/s1478951518001062
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发表时间：
2019-10-01
影响因子：
2.2
通讯作者：
Fitchett, George
中科院分区：
文献类型：
--
作者：
White, Kelsey B.;Murphy, Patricia E.;Fitchett, George
研究背景姑息治疗专业人员的倦怠和痛苦的流行受到了广泛的关注，因为研究表明它对护理质量产生了负面影响。虽然有限的，研究表明，低水平的倦怠或痛苦的医疗牧师;然而，一直没有研究在特定的临床环境中工作的牧师，包括姑息治疗。ESTA研究探讨了痛苦，自我保健，并述职的做法，牧师在姑息治疗工作。MethodExploratory，横断面调查的专业牧师。2015年2月至4月期间，向四个专业牧师组织的成员发送了电子调查。兴趣的主要措施包括专业的苦恼，苦恼从神义，非正式的自我保健，正式的自我保健，和述职的practices. ResultsMore的60%以上的牧师工作在姑息治疗报告的感觉，因为他们的工作作为一个助手，在过去的3个月，至少有33%的做法每周非正式的自我保健。双变量分析表明，非正式的自我照顾和职业困扰和困扰从神义之间的显着关联。多变量分析还发现，痛苦减少，非正式和正式的自我照顾increased.Significance的resultsChaplains在姑息治疗工作出现中度苦恼，可能比在其他临床领域工作的牧师。这些牧师也使用报告，与非牧师姑息同事，处理临床经验。需要进一步研究宗教或精神信仰和做法在保护人们免受与临终关怀有关的压力方面的作用。
BackgroundThe prevalence of burnout and distress among palliative care professionals has received much attention since research suggests it negatively impacts the quality of care. Although limited, research suggests low levels of burnout or distress among healthcare chaplains; however, there has been no research among chaplains working in specific clinical contexts, including palliative care.ObjectiveThis study explored the distress, self-care, and debriefing practices of chaplains working in palliative care.MethodExploratory, cross-sectional survey of professional chaplains. Electronic surveys were sent to members of four professional chaplaincy organizations between February and April 2015. Primary measures of interest included Professional Distress, Distress from Theodicy, Informal Self-care, Formal Self-care, and debriefing practices.ResultMore than 60% of chaplains working in palliative care reported feeling worn out in the past 3 months because of their work as a helper; at least 33% practice Informal Self-care weekly. Bivariate analysis suggested significant associations between Informal Self-care and both Professional Distress and Distress from Theodicy. Multivariate analysis also identified that distress decreased as Informal and Formal Self-care increased.Significance of resultsChaplains working in palliative care appear moderately distressed, possibly more so than chaplains working in other clinical areas. These chaplains also use debriefing, with non-chaplain palliative colleagues, to process clinical experiences. Further research is needed about the role of religious or spiritual beliefs and practices in protecting against stress associated with care for people at the end of life.