The experiences, coping mechanisms, and impact of death and dying on palliative medicine specialists
The experiences, coping mechanisms, and impact of death and dying on palliative medicine specialists
复制标题
死亡和临终对姑息医学专家的经历、应对机制以及影响
DOI：
10.1017/s1478951513000138
复制
发表时间：
2013
影响因子：
2.2
通讯作者：
G. Crawford
中科院分区：
文献类型：
--
作者：
S. Zambrano;A. Chur;G. Crawford
摘要目标：研究的经验，应对机制，死亡和临终对姑息医学专家的生活的影响是有限的。大多数研究集中在多学科团队或与垂死者一起工作的护士身上。很少有研究考虑接受过姑息疗法培训的医疗专业人员。本研究旨在探讨姑息医学专家在临终关怀病人时的经验、因应机制，以及死亡与濒死对他们的影响。方法：采用质性研究方法，对一对一访谈资料进行主题分析。一个有目的的抽样技术被用于参与者招募。在一个城市执业的七名姑息医学专家参加了开放式的深入访谈。结果：分析参与者的账户确定了三个不同的主题。这些是与死亡同在，受死亡影响，死亡和适应死亡和死亡的影响。结果的意义：这项研究进一步有助于了解死亡和垂死对护理垂死患者及其家属的专业人员的影响。尽管存在压力源以及倦怠和同情疲劳的可能性，这些参与者采用了增强意义创造的策略，并强调了他们工作的回报。然而，在姑息治疗的实践中，工作压力源的后果不可低估。
Abstract Objectives: Research on the experiences, coping mechanisms, and impact of death and dying on the lives of palliative medicine specialists is limited. Most research focuses on the multidisciplinary team or on nurses who work with the dying. Fewer studies consider medical professionals trained in palliative medicine. This study aimed to explore the experiences, coping mechanisms, and impact of death and dying on palliative medicine specialists when dealing with their patients at the end of life. Methods: A qualitative research approach guided the study, one-on-one interview data were analyzed thematically. A purposeful sampling technique was employed for participant recruitment. Seven palliative medicine specialists practicing in one city participated in open-ended, in-depth interviews. Results: The analysis of participants' accounts identified three distinct themes. These were Being with the dying, Being affected by death, and dying and Adjusting to the impact of death and dying. Significance of results: This study further contributes to the understanding of the impact of death and dying on professionals who care for dying patients and their families. Despite the stressors and the potential for burnout and compassion fatigue, these participants employed strategies that enhanced meaning-making and emphasized the rewards of their work. However, the consequences of work stressors cannot be underestimated in the practice of palliative care.