Oliver Amparo, Galiana Laura, Simone Gustavo de, Tomás José M, Arena Fernanda, Linzitto Juan, Grance Gladys, Sansó Noemí
Department of Methodology for the Behavioral Sciences, University of Valencia, 46010 València, Spain.
Pallium Latinoamérica Institute, Buenos Aires 1264, Argentina.
Healthcare (Basel). 2021 Jan 15;9(1):81. doi: 10.3390/healthcare9010081.
Compassionate professional qualities traditionally have not received the most attention in either critical or end of life care. Constant exposure to death, time pressure and workload, inadequate coping with personal emotions, grieving, and depression urge the development of an inner curricula of competences to promote professional quality of life and compassionate care. The COVID-19 pandemic highlights the universality of these problems and the need to equip ourselves with rigorously validated measurement and monitoring approaches that allow for unbiased comparisons. The main objective of this study was to offer evidence on the generalizability of the awareness model of self-care across three care systems under particular idiosyncrasy. Regarding the sample, 817 palliative care professionals from Spain, Argentina, and Brazil participated in this cross-sectional study using a multigroup structural equation modeling strategy. The measures showed good reliability in the three countries. When testing the multigroup model against the configural and constrained models, the assumptions were fulfilled, and only two relationships of the model revealed differences among contexts. The hypotheses posited by the awareness model of self-care were supported and a similar predictive power on the professional quality of life dimensions was found. Self-care, awareness, and coping with death were competences that remained outstanding no matter the country, resulting in optimism about the possibility of acting with more integrative approaches and campaigns by international policy-makers with the consensus of world healthcare organizations.
传统上，在危重症护理或临终护理中，富有同情心的专业素质并未得到最多关注。持续面对死亡、时间压力和工作量、应对个人情绪、悲伤和抑郁的能力不足，促使人们开发一套内在的能力课程，以提升职业生活质量和富有同情心的护理。新冠疫情凸显了这些问题的普遍性，以及我们需要配备经过严格验证的测量和监测方法，以便进行无偏比较。本研究的主要目的是提供证据，证明自我护理意识模型在特定特质下在三个护理系统中的可推广性。在样本方面，来自西班牙、阿根廷和巴西的817名姑息治疗专业人员参与了这项横断面研究，采用多组结构方程建模策略。这些测量在三个国家都显示出良好的信度。在对多组模型与构型模型和约束模型进行检验时，假设得到了满足，并且模型中只有两个关系在不同情境间显示出差异。自我护理意识模型提出的假设得到了支持，并且在职业生活质量维度上发现了类似的预测能力。无论在哪个国家，自我护理、意识和应对死亡都是突出的能力，这让人们对国际政策制定者在世界卫生组织的共识下采取更综合的方法和开展相关活动的可能性感到乐观。
