Cosentino Chiara, Artioli Giovanna, Casella Giovanna, Neri Stella, Manfrini Gisele, D'Apice Clelia, Sarli Annavittoria, Bonacaro Antonio
Department of Medicine and Surgery, University of Parma, Via Gramsci, 14, 43123, Parma, Italy.
Department of Nursing and Obstetrics, Palliative Care Unit, « Hospice Delle Oblate », Healthcare District Toscana Centro, Florence, Italy.
J Clin Psychol Med Settings. 2025 Jul 23. doi: 10.1007/s10880-025-10082-4.
Palliative care professionals are exposed to emotionally intense situations. Stress, anxiety, and burnout can impact the dimension of care through the loss of motivation. Expressive writing in the general population effectively promotes emotion regulation through meaning-making. This study aimed to evaluate the impact of Expressive writing on the meaning change in the perception of traumatic professional events in multi-professional palliative care settings in Italy. We conducted a prospective study with longitudinal qualitative methodology, following an ad-hoc expressive writing protocol. The study involved the selection of 10 various palliative care professionals working in hospices, hospital palliative care units, and community palliative care. We identified six main themes that shifted meaning throughout the four writing sessions: description of the phenomena, strong emotions, health workers' elaborations, processing feelings, improvement strategies, and interior resources. Expressive writing is effective in helping palliative care professionals process intense emotions and feelings related to a traumatic event, stimulating critical self-reflection and self-care, and supporting meaning-making.
姑息治疗专业人员会面临情绪高度紧张的情况。压力、焦虑和职业倦怠会通过失去动力影响护理质量。普通人群中的表达性写作能通过意义建构有效地促进情绪调节。本研究旨在评估表达性写作对意大利多专业姑息治疗环境中创伤性职业事件认知意义变化的影响。我们采用纵向定性方法进行了一项前瞻性研究，遵循专门设计的表达性写作方案。该研究选取了10名在临终关怀机构、医院姑息治疗科室和社区姑息治疗机构工作的不同姑息治疗专业人员。我们确定了在四个写作阶段中意义发生转变的六个主要主题：现象描述、强烈情感、医护人员的阐述、情感处理、改进策略和内在资源。表达性写作有助于姑息治疗专业人员处理与创伤性事件相关的强烈情绪和感受，激发批判性的自我反思和自我关怀，并支持意义建构。
