Campos I Arnal Adrià, Galiana Laura, Sánchez-Ruiz Javier, Sansó Noemí
Department of Methodology for the Behavioral Sciences, University of Valencia, 46010 Valencia, Spain.
Department of Nursing and Physiotherapy, University of the Balearic Islands, 07120 Palma, Spain.
Healthcare (Basel). 2023 Dec 19;12(1):4. doi: 10.3390/healthcare12010004.
The display of compassionate care by palliative care professionals is of the utmost importance to the patients, their families, and even to their own professional well-being. Lately and, especially due to the emergence of the COVID-19 pandemic, palliative care professionals have been subjected to greater pressures stemming from their work environment, organizational standpoint, and emotional sense of view. Not only have these factors made it harder for professionals to deliver compassionate care to their patients, but they have also decreased their overall well-being. The aim is to study how sociodemographics, workplace characteristics, internal resources, and the COVID-19 pandemic-derived pressures have affected the professionals' capacity to perform compassionate care and their well-being while at the same time exploring the relationship between compassionate care and well-being.
This study used a cross-sectional design with data gathered from Spanish palliative care professionals. The final sample was formed by 241 participants. They were surveyed about compassion, professional quality of life, well-being, sociodemographic data, working conditions, self-care, and coping with death competence, and the impact of the COVID-19 pandemic. The analyses used were descriptive statistics, bivariate tests, and the construction of a structural equation model.
Compassion was predicted by the ability to control their workload and the ability to cope with death. Burnout was predicted by age, workload, workload control, self-care, material resources, and changes in teamwork. Moreover, compassion, age, workload control, and changes in teamwork and self-care were shown to significantly predict compassion satisfaction. When it comes to compassion fatigue, different variables were shown to predict it, those being compassion, control over the workload, social self-care, and the ability to cope with death.
Having a healthy lifestyle and an adequate social support system is key to maintaining professional well-being in the case of palliative care professionals. Inner resources such as the ability to perform self-care and the capacity to cope with death are of vital importance to taking care of these professionals. Thus, it would be beneficial to establish training programs focused on these aspects in the myriad of sanitary centers that perform these tasks, as these abilities are necessary to withstand the work-related pressures and, at the same time, be able to provide compassionate care for patients.
姑息治疗专业人员展现出的关怀护理对患者、其家人乃至他们自身的职业幸福感都至关重要。近来，尤其是由于新冠疫情的出现，姑息治疗专业人员承受着来自工作环境、组织层面以及情感视角等方面的更大压力。这些因素不仅使专业人员更难向患者提供关怀护理，还降低了他们的整体幸福感。目的是研究社会人口统计学特征、工作场所特点、内部资源以及新冠疫情带来的压力如何影响专业人员提供关怀护理的能力及其幸福感，同时探究关怀护理与幸福感之间的关系。
本研究采用横断面设计，收集了西班牙姑息治疗专业人员的数据。最终样本由241名参与者组成。对他们进行了关于同情心、职业生活质量、幸福感、社会人口统计学数据、工作条件、自我护理、应对死亡能力以及新冠疫情影响的调查。所采用的分析方法包括描述性统计、双变量检验以及构建结构方程模型。
工作量控制能力和应对死亡的能力可预测同情心。倦怠可由年龄、工作量、工作量控制、自我护理、物质资源以及团队合作的变化来预测。此外，同情心、年龄、工作量控制以及团队合作和自我护理的变化被证明能显著预测同情心满意度。至于同情疲劳，不同变量被证明可对其进行预测，这些变量包括同情心、工作量控制、社交自我护理以及应对死亡的能力。
对于姑息治疗专业人员而言，拥有健康的生活方式和充足的社会支持系统是维持职业幸福感的关键。诸如自我护理能力和应对死亡的能力等内在资源对于照顾这些专业人员至关重要。因此，在众多执行这些任务的卫生中心开展专注于这些方面的培训项目将是有益的，因为这些能力对于承受与工作相关的压力以及同时能够为患者提供关怀护理是必要的。
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