The flow of care: Integrating an ethic of care and ethical reflection into a community-engaged hydrology course
The flow of care: Integrating an ethic of care and ethical reflection into a community-engaged hydrology course
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护理流程：将护理伦理和伦理反思纳入社区参与的水文学课程
DOI：
10.1130/abs/2022am-379384
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Wang, Lixin
中科院分区：
文献类型：
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作者：
Fore, Grant;Wang, Lixin
背景姑息治疗专业人员的倦怠和痛苦的流行受到了广泛关注，因为研究表明它对护理质量产生了负面影响。虽然有限，研究表明，医疗保健牧师的倦怠或痛苦水平较低;然而，在特定的临床环境中工作的牧师中没有研究，包括姑息治疗。目的探讨安宁疗护牧师的苦恼、自我照顾与工作报告。方法对专职牧师进行探索性横断面调查。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。主要措施的利益，包括专业困扰，困扰从神义，非正式的自我照顾，正式的自我照顾，和汇报的做法。结果超过60%的姑息治疗工作的牧师报告说，在过去的3个月里，因为他们的工作作为一个助手感到疲惫不堪，至少33%的做法非正式自我护理每周。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，随着非正式和正式自我护理的增加，痛苦减少。结果的意义姑息治疗工作的牧师出现中度苦恼，可能比其他临床领域的牧师工作。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。
Background The 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. Objective This study explored the distress, self-care, and debriefing practices of chaplains working in palliative care. Method Exploratory, 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. Result More 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 results Chaplains 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.