Institute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, QLD, Australia.
Susan Wakil School of Nursing and Midwifery, The University of Sydney, Camperdown, NSW, Australia.
BMC Palliat Care. 2018 Apr 18;17(1):63. doi: 10.1186/s12904-018-0318-0.
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.
在姑息治疗领域，自我护理实践经常被讨论，但似乎研究不足。虽然姑息治疗专业人员被要求实施和维持有效的自我护理策略，但似乎没有多少证据可以指导他们。此外，显然需要澄清姑息治疗实践中自我护理的含义。本文报告了一项更广泛的混合方法研究背景下的定性发现。本研究的目的是探讨姑息治疗护士和医生所描述的自我护理的含义和实践。
澳大利亚的 24 名姑息治疗护士和医生参加了半结构化的深入访谈。访谈以数字方式记录并转录，然后进行归纳性定性内容分析，由 QSR NVivo 数据管理软件提供支持。
分析产生了三个总体主题：（1）积极主动和全面的方法来促进个人健康和幸福，以支持对他人的专业护理；（2）专业和非专业环境中的个性化自我护理策略；和（3）自我护理实践的障碍和促进因素。
这项研究的结果提供了对有效自我护理实践的背景和复杂性的详细描述，这在文献中以前是缺乏的。自我护理是一种积极主动、全面和个性化的方法，通过各种策略在个人和专业环境中促进健康和幸福，增强对患者及其家属富有同情心的护理能力。这项研究增加了一个重要的定性视角，并有助于推进姑息治疗领域自我护理的背景和有效实践的知识。
