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Exploring the meaning and practice of self-care among palliative care nurses and doctors: a qualitative study

机译:探索姑息治疗护士和医生中自我保健的意义和实践:定性研究

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摘要

Self-care practice within the palliative care workforce is often discussed, yet seemingly under-researched. While palliative care professionals are required to implement and maintain effective self-care strategies, there appears little evidence to guide them. Moreover, there is an apparent need to clarify the meaning of self-care in palliative care practice. This paper reports qualitative findings within the context of a broader mixed-methods study. The aim of the present study was to explore the meaning and practice of self-care as described by palliative care nurses and doctors. A purposive sample of 24 palliative care nurses and doctors across Australia participated in semi-structured, in-depth interviews. Interviews were digitally recorded and transcribed prior to inductive qualitative content analysis, supported by QSR NVivo data management software. Three overarching themes emerged from the analysis: (1) A proactive and holistic approach to promoting personal health and wellbeing to support professional care of others; (2) Personalised self-care strategies within professional and non-professional contexts; and (3) Barriers and enablers to self-care practice. The findings of this study provide a detailed account of the context and complexity of effective self-care practice previously lacking in the literature. Self-care is a proactive, holistic, and personalised approach to the promotion of health and wellbeing through a variety of strategies, in both personal and professional settings, to enhance capacity for compassionate care of patients and their families. This research adds an important qualitative perspective and serves to advance knowledge of both the context and effective practice of self-care in the palliative care workforce.
机译:姑息治疗工作人员中的自我保健实践经常被讨论,但似乎研究不足。尽管姑息治疗专业人员需要实施和维持有效的自我保健策略,但几乎没有证据可以指导他们。此外,显然有必要澄清姑息治疗实践中自我保健的含义。本文在更广泛的混合方法研究的背景下报告了定性发现。本研究的目的是探索姑息治疗护士和医生所描述的自我保健的意义和实践。目的性样本来自澳大利亚的24位姑息治疗护士和医生,参加了半结构化的深入访谈。在QSR NVivo数据管理软件的支持下,在进行归纳定性内容分析之前,对采访进行数字记录和转录。分析得出了三个总体主题:(1)积极主动的整体方法来促进个人健康和福祉,以支持他人的专业护理; (2)在专业和非专业背景下的个性化自我保健策略; (3)自我保健实践的障碍和推动因素。这项研究的发现详细说明了以前文献中缺乏的有效自我保健实践的背景和复杂性。自我护理是一种主动,整体和个性化的方法,可以通过各种策略在个人和专业环境中促进健康和福祉,以增强对患者及其家人的同情护理能力。这项研究增加了重要的定性观点,有助于增进对姑息治疗劳动力自我保健的背景和有效实践的了解。

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