"Challenging Professional Boundaries": A Grounded Theory Study of Health Professionals' First Experiences of End-of-Life Care in Hospital

被引：1

作者：

Finotto, Stefano ^{[1
]}

Artioli, Giovanna ^{[2
]}

Bodecchi, Simona ^{[1
]}

Mainini, Carlotta ^{[1
]}

Pedroni, Cristina ^{[3
]}

Di Leo, Silvia ^{[4
]}

Ghirotto, Luca ^{[5
]}

Hayter, Mark ^{[7
,8
]}

Tanzi, Silvia ^{[6
]}

机构：

[1] Azienda USL IRCCS Reggio Emilia, Viale Umberto 1,50, I-42123 Reggio Emilia, Italy

[2] Azienda USL IRCCS Reggio Emilia, Palliat Care Unit, Reggio Emilia, Italy

[3] Azienda USL IRCCS Reggio Emilia, Hlth Profess Directorate, Org & Profess Dev, Reggio Emilia, Italy

[4] Azienda USL IRCCS Reggio Emilia, Psychooncol Unit, Reggio Emilia, Italy

[5] Azienda USL IRCCS Reggio Emilia, Qualitat Res Unit, Sci Directorate, Reggio Emilia, Italy

[6] Azienda USL IRCCS Reggio Emilia, Hosp Based Palliat Care Unit, Reggio Emilia, Italy

[7] Univ Hull, Fac Hlth Sci, Nursing & Res, Kingston Upon Hull, N Humberside, England

[8] Univ Hull, Fac Hlth Sci, Res, Kingston Upon Hull, N Humberside, England

来源：

OMEGA-JOURNAL OF DEATH AND DYING | 2022年 / 85卷 / 03期

关键词：

interprofessional collaboration - End-of-Life - grounded theory - healthcare professionals - hospitals - palliative care; MEDICAL-STUDENTS; PATIENT DEATH; NURSES; PERCEPTIONS; IMPACT;

D O I：

10.1177/0030222820954957

中图分类号：

B84 [心理学];

学科分类号：

04 ; 0402 ;

摘要：

Little is known about health professionals first experiences of End-of-Life care in hospital. This study aims to understand the psycho-social process that occurs when hospital-based health professionals engage in caring for a dying patient for the first time. We conducted a Grounded Theory study, with 19 health professionals. Challenging professional boundaries is the core category which explains the overall process. The theoretical model we conceptualized evidenced three phases: 1) building a relationship between patient/family and professionals, 2) the disrupting impact and 3) the reaction phase. Our analysis highlighted the initial strong impact of this experience, which brought professionals to perceive emotional suffering and feelings of inadequacy. The new aspect our grounded theory revealed is that all the categories are pertinent to all the professionals involved, therefore they explain important aspects of interprofessional collaboration in End-of-Life care.

引用

页码：753 / 771

页数：19