Collins Andrew
1 Peace Arch Hospice, Peace Arch Hospital, White Rock, British Columbia, Canada.
2 White Rock-South Surrey Division of Family Practice, White Rock, British Columbia, Canada.
Am J Hosp Palliat Care. 2019 Jan;36(1):65-71. doi: 10.1177/1049909118787772. Epub 2018 Jul 15.
: The creative arts can be utilized within palliative care to facilitate the creation of a legacy project, an object which will reflect the unique experiences and interests of the creator. This can be bestowed to a loved one, thereby providing an opportunity to leave something tangible behind. However, there is a paucity of evidence exploring the impact experienced by those who facilitate the legacy generation session.
: "From The HEart" is a volunteer operated program that offers creative arts based legacy projects to palliative care patients. Five volunteers were interviewed to understand their personal experiences. Emphasis was placed on any perceived positive or negative impact from this work, and if a self-care program would be required. Interviews were transcribed verbatim into a textual document which was coded by the principal investigator using inductive content analysis to derive overarching themes.
: Five themes emerged from the data: "providing a benefit", "internal validation", "it's all been positive", "self-awareness", and "if you need support". All facilitators reported positive experiences, which provided internal validation or confirmation that this work was personally significant to this group. Self-care practises emerged as important, but group activities would only be warranted if requirements couldn't be meet through individual self-care practises.
: This study provides confirmation that facilitators do not report any negative experiences while assisting a palliative care client in creating a legacy project. These activities can provide meaning while working in the field of palliative care.
在姑息治疗中可以利用创意艺术来推动遗产项目的创建,该项目将反映创作者的独特经历和兴趣。这可以赠送给所爱的人,从而提供一个留下有形物品的机会。然而,探索协助开展遗产生成活动的人员所经历影响的证据很少。
“发自内心”是一个由志愿者运营的项目,为姑息治疗患者提供基于创意艺术的遗产项目。对五名志愿者进行了访谈,以了解他们的个人经历。重点关注这项工作带来的任何感知到的积极或消极影响,以及是否需要一个自我护理计划。访谈内容逐字转录成文本文件,由首席研究员使用归纳式内容分析法进行编码,以得出总体主题。
数据中出现了五个主题:“提供益处”、“内心认可”、“一切都是积极的”、“自我意识”和“如果你需要支持”。所有协助者都报告了积极的经历,这提供了内心认可或确认,表明这项工作对该群体个人具有重要意义。自我护理实践显得很重要,但只有当个人自我护理实践无法满足需求时,才需要开展集体活动。
这项研究证实,协助姑息治疗患者创建遗产项目时,协助者没有报告任何负面经历。这些活动在姑息治疗领域开展工作时可以赋予意义。