1. Underneath the White Coat: Risk and Protective Factors for Palliative Care Providers in Their Daily Work.
- Author
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Maffoni, Marina, Argentero, Piergiorgio, Giorgi, Ines, and Giardini, Anna
- Subjects
CONCEPTUAL structures ,EMOTIONS ,GROUNDED theory ,INTERPERSONAL relations ,INTERVIEWING ,MEDICAL personnel ,NURSING specialties ,PALLIATIVE treatment ,RISK assessment ,PSYCHOLOGICAL stress ,HOSPICE nurses ,QUALITATIVE research ,PROFESSIONAL practice ,PSYCHOSOCIAL factors ,SOCIAL support ,WELL-being ,WORK-life balance ,DATA analysis software - Abstract
Palliative care practice is associated with risk factors linked to end-of-life, chronicity, personal, interpersonal, and work characteristics, as well as with protective factors, but how these are perceived by the health care providers themselves is not clear. This article aims to elaborate a theoretical framework explaining the risk and protective factors for palliative care providers in their daily practice. Nineteen providers (16 nurses, 3 physicians) working in a palliative care unit of a clinical-research institute in Northern Italy were interviewed. A Grounded Theory qualitative approach guided the data collection and analysis. From the interviews, 28 codes, subsequently organized into 11 interconnected categories, emerged. They described both stressors (emotion management regarding death/dying, conflicts, communication and relationship with patients/caregivers, discrepancies between patients' and caregivers' needs, communication of poor diagnosis/prognosis, decision making about treatment, and real-life and work interference) and protective factors (social support, positive approach and value of past experience, recognized value of/passion toward professional work, work-family balance). Experiencing these elements as positive or negative depends on the professionals' point of view, as well as their past and present experience. Understanding what dealing with life-limiting illnesses means may suggest tailored interventions to improve professionals' well-being by fostering the protective elements and combatting the risk factors. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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