中文译文： 对姑息治疗专业人员的感恩意义：混合方法研究方案。
The significance of gratitude for palliative care professionals: a mixed method protocol.
机构信息
Universidad de Navarra, ICS, ATLANTES, Campus Universitario, 31080, Pamplona, Spain.
Palliative Care Clinical Nurse Specialist at St Christopher's Hospice, London, UK.
出版信息
BMC Palliat Care. 2019 Mar 21;18(1):28. doi: 10.1186/s12904-019-0412-y.
BACKGROUND
In palliative care (PC) patients and relatives (P/R) often show their gratitude to the healthcare professionals (HP) who care for them. HP appreciate these displays of gratitude, although the impact of the same has not been examined in detail. Publications analysed tell personal experiences in which HP say that displays of gratitude create sensations of well-being, pride and increased motivation to carry on caring. No systematic examination in PC was found. These aspects related to gratitude may be important in the field of PC, where there is constant exposure to suffering and the preoccupation which arises from wanting to help HP to go on with their work, but it needs closer study and systemisation. The purpose of this study is to understand the significance and the role of the gratitude received from P/R for palliative care health professionals (PCHP).
METHODS
A suitable mixed method will be used. The first phase will be quantitative and will consist of a survey, piloted by experts, whose goal is to explore the current situation in Spain as regards displays of gratitude received by HP at PC services. It will be sent by e-mail. The results from this part will be incorporated into the second part which will be qualitative and whose goal is to understand the significance of the experience of receiving displays of gratitude from the perspective of PCHP, using a phenomenological approach. Interviews will be undertaken amongst PCHP. The interview guide will be designed after taking the survey results into account. The project has been granted ethical approval.
DISCUSSION
These results are set to provide a key contribution within the context of the growing preoccupation on how to care for HP, how to ensure retention and keep them from resigning, as well as preventing burnout, emotional fatigue and boosting their resilience. In order to do this, it is both interesting and ground breaking, to analyse the repercussion of spontaneous gratitude shown by P/R towards PCHP, to see if this is a useful resource to reduce these problems and to encourage the greater presence of dignity and humanisation, for both those receiving care and for those providing it. This gratitude may be one of these strategies.
背景
在姑息治疗（PC）中，患者及其家属（P/R）经常向照顾他们的医疗保健专业人员（HP）表示感谢。HP 很欣赏这些感谢的表示，尽管其影响尚未详细检查。分析的出版物讲述了 HP 个人的经历，他们说感谢的表示会带来幸福感、自豪感和增加继续照顾的动力。在 PC 中没有发现系统的检查。这些与感激相关的方面在 PC 领域可能很重要，因为在这个领域，经常会接触到痛苦，以及想要帮助 HP 继续工作所带来的关注，因此需要更深入的研究和系统化。本研究的目的是了解 P/R 对姑息治疗保健专业人员（PCHP）表示感谢的意义和作用。
方法
将使用合适的混合方法。第一阶段将是定量的，包括专家试点调查，旨在探索西班牙目前在 PC 服务中 HP 收到感谢表示的情况。将通过电子邮件发送。这部分的结果将纳入第二部分，第二部分将从 PCHP 的角度使用现象学方法来理解接受感谢表示的经验的意义。将对 PCHP 进行访谈。访谈指南将在考虑调查结果后设计。该项目已获得伦理批准。
讨论
这些结果将在如何照顾 HP、如何确保保留并防止他们辞职、预防倦怠、情感疲劳和增强他们的适应力等日益关注的背景下做出重要贡献。为了做到这一点，分析 P/R 自发向 PCHP 表示感谢的影响既有趣又具有开创性，看看这是否是减少这些问题的有用资源，并鼓励更大程度的尊严和人性化，无论是接受护理的人还是提供护理的人。这种感激之情可能是其中一种策略。
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