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burnout 或 fade away;照顾头颈部癌症患者的卫生专业人员的经历。

Burnout or Fade Away; experiences of health professionals caring for patients with head and neck cancer.

机构信息

School of Nursing, Midwifery and Paramedicine, Curtin University, Perth, WA, Australia.

School of Psychology, Curtin University, Perth, WA, Australia.

出版信息

Eur J Oncol Nurs. 2021 Feb;50:101881. doi: 10.1016/j.ejon.2020.101881. Epub 2020 Nov 24.

Abstract

PURPOSE

The oncology workforce has been found to have high risk of burnout; however, limited research has explored the experiences of health professionals working with head and neck cancer patients. The objective of this qualitative study was to explore the experiences of health professionals who work directly with patients diagnosed with head and neck cancers, with a focus on work-life balance, mental health and wellbeing.

METHOD

A total of 21 in-depth semi-structured interviews were conducted with health professionals including radiation oncologists, medical oncologists, nurses, and associated medical and allied health professionals. A qualitative research approach based on social constructionist theory was used. Thematic analysis was used to identify and code themes.

RESULTS

Five main themes emerged: 1. Conscientiousness; 2. Empathy; 3. Challenges; 4. Coping; and 5. Burnout or Fade Away. Challenges included sub-themes of Time & Resource Constraints, Work-Life Imbalance, Patients with Complex Needs, and Lack of Self-Care.

CONCLUSION

It is vital to the sustainability of head and neck oncology services that this highly skilled workforce is retained. The development of interventions that will reduce the risk of burnout and improve retention and capacity of health professionals may include advanced communication skills training, trauma sensitivity training, self-compassion and stress management skills.

摘要

目的

肿瘤学领域的工作者已被发现存在较高的倦怠风险;然而,目前针对从事头颈部癌症患者治疗工作的卫生专业人员的相关研究还很有限。本研究旨在深入探讨直接与头颈部癌症患者接触的卫生专业人员的工作经历,重点关注工作与生活的平衡、心理健康和幸福感。

方法

共对 21 名卫生专业人员(包括放射肿瘤学家、肿瘤内科医生、护士以及相关的医疗和辅助医疗专业人员)进行了 21 次深入的半结构式访谈。采用基于社会建构主义理论的定性研究方法。使用主题分析来识别和编码主题。

结果

出现了五个主要主题:1. 认真;2. 同理心;3. 挑战;4. 应对;5. 倦怠或消失。挑战包括时间和资源限制、工作与生活失衡、患者需求复杂以及缺乏自我关怀等子主题。

结论

保留这支高技能的工作队伍对于头颈部肿瘤学服务的可持续性至关重要。开发干预措施来降低倦怠风险并提高卫生专业人员的保留率和能力,可能包括高级沟通技巧培训、创伤敏感情绪训练、自我同情和压力管理技巧。

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