Strategies for Promoting High-Quality Care and Personal Resilience in Palliative Care.

Autor: Heinze KE; Hecht-Levi Postdoctoral Fellow at the Johns Hopkins Berman Institute of Bioethics in Baltimore, and a postdoctoral fellow in palliative care at the Johns Hopkins University School of Nursing., Holtz HK; Hecht-Levi Postdoctoral Fellow at the Johns Hopkins Berman Institute of Bioethics in Baltimore, and a postdoctoral fellow at the Johns Hopkins Hospital., Rushton CH; Anne and George L. Bunting Professor of Clinical Ethics in the Johns Hopkins Berman Institute of Bioethics and the Johns Hopkins School of Nursing in Baltimore, with a joint appointment in the Johns Hopkins School of Medicine's Department of Pediatrics.
Jazyk: angličtina
Zdroj: AMA journal of ethics [AMA J Ethics] 2017 Jun 01; Vol. 19 (6), pp. 601-607. Date of Electronic Publication: 2017 Jun 01.
DOI: 10.1001/journalofethics.2017.19.6.pfor2-1706
Abstrakt: Palliative care (PC) clinicians are faced with ever-expanding pressures, which can make it difficult to fulfill their duties to self and others and lead to moral distress. Understanding the pressures that PC clinicians face and the resources that could be employed to ease their moral distress is crucial to maintaining a healthy PC workforce and to providing necessary PC services to patients. In this paper, we discuss recommendations related to two promising pathways for supporting PC clinicians in providing high-quality PC: (1) improving systemic PC delivery and (2) strategies to promote ethical practice environments and individual resilience. Enacting these recommendations holds promise for sustaining higher-quality and accessible PC and a more engaged PC workforce.
(© 2017 American Medical Association. All Rights Reserved.)
Databáze: MEDLINE