Adaptation and continuous learning: integrative review of coping strategies of palliative care professionals
| Autor: | Alazne Belar, Paula Sapeta, Carlos Centeno, María Arantzamendi |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Coping (psychology)
Emotional demand Palliative care Education Continuing Health Personnel education emotional regulation review integrative review Review Nursing emotional adjustment Adaptation Psychological Medicine Humans Adaptation (computer science) Review Articles end-of-life care palliative care business.industry Integrative review Professional development emotional demand Emotional regulation General Medicine Anesthesiology and Pain Medicine End-of-life care Emotional adjustment Coping business professional development |
| Zdroj: | Palliative Medicine Dadun. Depósito Académico Digital de la Universidad de Navarra instname Repositório Científico de Acesso Aberto de Portugal Repositório Científico de Acesso Aberto de Portugal (RCAAP) instacron:RCAAP |
| ISSN: | 1477-030X |
| Popis: | Background: Coping is essential to manage palliative care professionals’ challenges. The focus has been on the effects of coping mechanism; however, little is known about coping itself in palliative care. Aim: To synthesise evidence of coping strategies in palliative care professionals, and how different strategies play roles over time. Design: Systematically conducted integrative review. Data sources: PubMed; CINAHL; Medline; PsycINFO and B-ON were searched (1996–2021) combining ‘coping’ AND ‘palliative care’. A predefined data extraction sheet was developed to report data. Two researchers performed constant comparative analysis using Nvivo®. Results: Thirty-one studies were included. Four main strategies with recurrent reference to time were found: (a) proactive coping, involving activities to achieve self-confidence and control situations and emotions; (b) self-care based coping, including self-protection and self-awareness activities, with behavioural disconnection; (c) self-transformation coping, involving activities to accept limits; and (d) encountering deep professional meaning, is a coping mechanism based on meaning, frequently considering the deepest meaning of work. The dynamic and influencing factors were training, team interaction, professional motivation and family. They were usually protective factors, though sometimes they represented risk factors. The emotional burden associated with healthcare and systemic stressors were always risk factors. An explanatory model describes a complex and dynamic process, in which everyday strategies and more introspective strategies are combined. Conclusions: The model showed a process of adaptation and learning to persevere in palliative care. It changes over time under factors and strategies, and evolves in a personal and professional transformation, parallel to the working life. It would be worth assessing coping in healthcare professionals who chose to leave palliative care and to investigate the reasons they did so and their coping mechanisms. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|