School of Psychology and Speech Pathology, Faculty of Health Sciences, Curtin University.
Calvary Health Care Sydney.
Psychol Serv. 2014 Feb;11(1):60-7. doi: 10.1037/a0034451. Epub 2013 Sep 30.
Health professionals are vulnerable to occupational stress and tend to report high levels of secondary trauma and burnout; this is especially so for those working in "high-death" contexts such as cancer support and palliative care. In this study, 38 health professionals (psychologists, social workers, pastoral carers/chaplains, nurses, group facilitators, and a medical practitioner) who provide grief support and counseling in cancer and palliative care each participated in a semistructured interview. Qualitatively, a grounded theory analysis revealed four themes: (a) the role of health professionals in supporting people who are experiencing grief and loss issues in the context of cancer, (b) ways of working with patients with cancer and their families, (c) the unique qualities of cancer-related loss and grief experiences, and (d) the emotional demands of the work and associated self-care. The provision of psychological services in the context of cancer is colored by the specter of cancer, an unseen yet real phenomenon that contributes to secondary trauma and burnout. The participants' reported secondary trauma has serious repercussions for their well-being and may compromise the care they provide. The findings have implications for the retention and well-being of personnel who provide psychosocial care in cancer and the quality and delivery of services for people with cancer and their families.
健康专业人员容易受到职业压力的影响，往往报告二级创伤和倦怠的水平较高；对于那些在癌症支持和姑息治疗等“高死亡率”环境中工作的人来说尤其如此。在这项研究中，38 名提供癌症和姑息治疗中悲伤支持和咨询的健康专业人员（心理学家、社会工作者、牧师/教堂执事、护士、小组协调员和一名医生）每人都参加了半结构化访谈。从定性角度来看，扎根理论分析揭示了四个主题：（a）健康专业人员在癌症背景下支持经历悲伤和失落问题的人的角色，（b）与癌症患者及其家属合作的方式，（c）癌症相关丧失和悲伤经历的独特性质，以及（d）工作的情感需求和相关的自我保健。癌症环境中提供心理服务受到癌症幽灵的影响，癌症是一种看不见但真实存在的现象，导致二级创伤和倦怠。参与者报告的二级创伤对他们的幸福感有严重影响，并可能损害他们提供的护理。研究结果对癌症患者提供社会心理关怀人员的保留和幸福感以及癌症患者及其家属的服务质量和提供产生影响。
