Granot Tal, Gordon Noa, Perry Shlomit, Rizel Shulamith, Stemmer Salomon M
Davidoff Center, Rabin Medical Center, Petah Tikva, Israel.
Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
PLoS One. 2016 Sep 28;11(9):e0162813. doi: 10.1371/journal.pone.0162813. eCollection 2016.
Perceptions of the role of oncology medical staff in supporting bereaved families have evolved with the transition to interdisciplinary cancer care. We investigated the interactions between oncology professionals and bereaved families.
This cross-sectional study involved all oncology medical staff at the Davidoff Center. Participants were given a questionnaire relating to bereavement follow-up. Responses were measured using a 5-point Likert scale.
Of 155 staff members, 107 filled questionnaires with <20% missing data and were included in the analysis (α = 0.799; corrected, α = 0.821). Respondents included physicians (35%), nurses (46%), social workers (7%), psychologists (4%), or unspecified (8%); 85% were Jewish, and 60% had ≥10 years of oncology experience. Most respondents thought that contacting bereaved families was important (73%), and that it provided closure for staff (79%); 41% indicated that they contacted >50% of the families of their deceased patients. Contacting bereaved families was considered the responsibility of the physicians (90%), nurses (84%), or social workers (89%). The main barriers to contacting bereaved families were emotional overload (68%) and lack of time (63%); 60% indicated a need for additional communication tools for bereavement follow-up. In a multivariate analysis, profession (physician vs. nurse), primary workplace (outpatient setting vs. other), and self-defined religion were significant variables with respect to the perceived importance of contacting bereaved families and to actually contacting them. Other factors (e.g., age, gender) were non-significant.
Perspectives regarding bereavement actions differ significantly across medical professions, work settings, and self-defined religions. Additional guidance and education regarding bereavement actions is warranted.
随着向跨学科癌症护理的转变，人们对肿瘤医护人员在支持丧亲家庭方面的作用的认知也在不断发展。我们调查了肿瘤专业人员与丧亲家庭之间的互动情况。
这项横断面研究涉及大卫杜夫中心的所有肿瘤医护人员。参与者收到一份与丧亲后续跟进相关的问卷。回答采用5分李克特量表进行衡量。
155名工作人员中，107人填写了问卷，缺失数据<20%，被纳入分析（α = 0.799；校正后，α = 0.821）。受访者包括医生（35%）、护士（46%）、社会工作者（7%）、心理学家（4%）或未明确说明的人员（8%）；85%为犹太人，60%有≥10年的肿瘤学经验。大多数受访者认为与丧亲家庭联系很重要（73%），并且这能让工作人员释怀（79%）；41%表示他们与>50%的已故患者家属进行了联系。与丧亲家庭联系被认为是医生（90%）、护士（84%）或社会工作者（89%）的职责。与丧亲家庭联系的主要障碍是情感负担过重（68%）和时间不足（63%）；60%表示需要额外的沟通工具用于丧亲后续跟进。在多变量分析中，职业（医生与护士）、主要工作场所（门诊环境与其他）以及自我定义的宗教信仰是与联系丧亲家庭的感知重要性以及实际联系情况相关的显著变量。其他因素（如年龄、性别）则不显著。
不同医学专业、工作环境和自我定义的宗教信仰在丧亲行动方面的观点存在显著差异。有必要针对丧亲行动提供更多的指导和教育。
