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Palyatif Bakım Hastalarına Bakım Veren Sağlık Çalışanlarının Yaşadığı Sorunlar ve Çözüm Önerileri

Year 2023, Volume: 5 Issue: 1, 81 - 88, 28.02.2023
https://doi.org/10.57224/jhpr.1073872

Abstract

Palyatif bakım hizmeti multidisipliner yaklaşım gerektiren, birçok daldan sağlık çalışanının dahil olduğu bir takım çalışmasıdır. Deneyimli ve eğitimli sağlık personeli ve gönüllülerden oluşan bir ekip tarafından hizmet sunulur Palyatif bakım uygulamasında yaşanan problemleri; politika, eğitim, ilaç ulaşılabilirliği ve uygulamaya yönelik engeller olarak sıralanmaktadır. Sağlık çalışanları hem karşılaştıkları güçlükler yüzünden hem de güçlüklerle mücadele etme sürecinde ölüm kaygısı, stres ve tükenmişlik, iş doyumunda azalma, etik sorunlar, merhamet yorgunluğu yaşamaktadırlar. Çalışanların eğitilmişlikleri, donanımları, çalıştıkları branşla ilgili beklentileri ve düşünceleri verdikleri hizmetin kalitesini direkt olarak etkilemektedir. Çalışanların yeterliliklerinin sağlanması, eğitimlerinin standardizasyonu; Palyatif bakım uygulamalarına hakimlikleri açısından önemlidir. Palyatif bakım ünitelerinin kalitesinin arttırılması, ulaşılacak hasta sayısının yükseltilmesi, sağlık sisteminde daha aktif rol alması bu şekilde sağlanabilecektir.

References

  • 1. Whitehurst JL, Rowlands J. Helping palliative care healthcare professionals get the most out of mentoring in a low-incomecountry: a qualitative study. BMC palliative care 2016;15(1), 1-9.
  • 2. Enguidanos S,Cardenas V, Wenceslao M, Hoe D, Mejia K, Lomeli S, et al. Healthcare provider barriers to patient referral to palliative care. American Journal of Hospice and Palliative Medicine 2021;38(9), 1112-1119.
  • 3. Mills J,Wand T, Fraser JA. Palliative care professionals' care and compassion for self and others: a narrative review. International journal of palliative nursing 2017; 23(5), 219-229.
  • 4. Hawley P. Barriers to Access to palliative care. Palliative Care: Research and Treatment, 2017;20(10), 1-5.
  • 5. Gopal KS, Archana PS. Awareness, knowledge and attitude about palliative care, in general, population and healthcare professionals in tertiarycare hospital. Int J SciStud 2016; 3(10), 31-5.
  • 6. Parola V, Coelho A, Sandgren A, Fernandes O, Apóstolo J. Caring in palliative care: A phenomenological study of nurses’ lived experiences. Journal of Hospice&Palliative Nursing 2018;20(2), 180-186.
  • 7. Black A, McGlinchey T, Gambles M, Ellershaw J, Mayland CR. The ‘lived experience’of palliative care patients in one acute hospital setting–a qualitative study. BMC palliative care 2018;17(1), 1-10.
  • 8. Chaturvedi SK. Problems and needs of patients in palliative care. Cancer Research, Statistics, and Treatment 2020; 3(1), 115.
  • 9. Green A, Jerzmanowska N, Green M, Lobb EA. ‘Death is difficult in any language’: A qualitative study of palliative care professionals’ experiences when providing end-of-life care to patients from culturally and linguistically diverse backgrounds. Palliative medicine 2018; 32(8), 1419-1427.
  • 10. Nia HS, Lehto RH, Ebadi A, Peyrovi H. Death anxiety among nurses and healthcare professionals: A review article. International journal of community based nursing and midwifery 2016;4(1), 2.
  • 11. Nyatanga B. Death anxiety andpalliative nursing. British journal of community nursing 2016; 21(12), 636.
  • 12. Samson T, Shvartzman P. Association between level of exposure to death and dying and Professional quality of life among palliative care workers. Palliative&supportive care 2018; 16(4), 442-451.
  • 13. Kim M. The problems and the improvement plan of the hospice/palliative care and dying patient’s decisions on life-sustaining treatmentact. The Korean journal of hospice and palliative care 2018; 21(1), 1-8.
  • 14. Fitch MI, DasGupta T, Ford B. Achieving excellence in palliative care: Perspectives of healthcare professionals. Asia-Pacific journal of oncology nursing 2016; 3(1), 66.
  • 15. Sansó N, Galiana L, Oliver A, Pascual A, Sinclair S, Benito E. Palliative care professionals' inner life: exploring the relationships among awareness, self-care, and compassion satisfaction and fatigue, burnout, and coping with death. Journal of pain and symptom management 2015; 50(2), 200-207.
  • 16. Chan WCH, Fong A, Wong KLY, Tse DMW, Lau KS, Chan LN. Impact of death work on self: existential and emotional challenges and coping of palliative care professionals. Health & SocialWork 2016;41(1), 33-41.
  • 17. Dijxhoorn AFQ, Brom L, van der Linden YM, Leget C, Raijmakers NJ. Prevalence of burnout in healthcare professionals providing palliative care and the effect of interventions to reduce symptoms: A systematic literature review. Palliative medicine 2021; 35(1), 6-26.
  • 18. Ercolani G, Varani S, Peghetti B, Franchini L, Malerba MB, Messana R, et al. Burnout in home palliative care: what is the role of coping strategies?. Journal of palliative care 2020; 35(1), 46-52.
  • 19. Wallerstedt B, Benzein E, Schildmeijer K, Sandgren A. What is palliative care? Perceptions of healthcare professionals. Scandinavian journal of caring sciences 2019; 33(1), 77-84.
  • 20. Kalies H, Schöttmer R, Simon ST, Voltz R, Crispin A, Bausewein C. Critical attitudes and beliefs towards guidelines amongst palliative care professionals–results from a national survey. BMC palliative care, 2017;16(1), 1-9.
  • 21. Galiana L, Sansó N, Muñoz-Martínez I, Vidal-Blanco G, Oliver A, Larkin PJ. Palliative care professionals’ inner life: Exploring the mediating role of self-compassion in the prediction of compassion satisfaction, compassion fatigue, burnout and wellbeing. Journal of Pain and Symptom Management 2022; 63(1), 112-123.
  • 22. Cross LA. Compassion fatigue in palliative care nursing: a concept analysis. Journal of Hospice and Palliative Nursing 2019;21(1), 21.
  • 23. Kase SM,Waldman ED, Weintraub AS. A cross-sectional pilot study of compassion fatigue, burnout, and compassionsatisfaction in pediatric palliative care providers in the United States. Palliative & supportive care 2019; 17(3), 269-275.
  • 24. Frey R, Robinson J, Wong C, Gott M. Burnout, compassion fatigue and psychological capital: Findings from a survey of nurses delivering palliative care. Applied Nursing Research 2018; 43, 1-9.
  • 25. O’Mahony S, Ziadni M, Hoerge M, Levine S, Baron A, Gerhart J. Compassion fatigue among palliative care clinicians: findings on personality factors and years of service. AmericanJournal of Hospice and Palliative Medicine 2018;35(2), 343-347.
  • 26. Brito-Pons G, Librada-Flores S. Compassion in palliativecare: A review. Current opinion in supportive and palliative care 2018;12(4), 472-479.
  • 27. Goss AL, Creutzfeldt CJ. Prognostication, Ethical Issues, and Palliative Care in Disorders of Consciousness. Neurologic clinics 2022; 40(1), 59-75.
  • 28. Muldrew DH, McLaughlin D, Brazil K. Ethical issues experienced during palliative care provision in nursing homes. Nursing ethics 2019; 26(6), 1848-1860.
  • 29. De Panfilis L, DiLeo S, Peruselli C, Ghirotto L, Tanzi S. “I go into crisis when…”: ethics of care and moral dilemmas in palliative care. BMC palliative care 2019; 18(1), 1-8.
  • 30. Altaker KW, Howie-Esquivel J, Cataldo JK. Relationships among palliative care, ethical climate, empowerment, and moral distress in intensive care unit nurses. American journal of critical care 2018; 27(4), 295-302.

Problems Experienced By Healthcare Professionals Caring For Palliatıve Care Patients and Solution Suggestions

Year 2023, Volume: 5 Issue: 1, 81 - 88, 28.02.2023
https://doi.org/10.57224/jhpr.1073872

Abstract

Palliative care service is a team effort that requires a multidisciplinary approach and includes health professionals from many branches. Service is provided by a team of experienced and trained health personnel and volunteers. Problems experienced in palliative care practice; policy, education, drug availability, and barriers to practice. Health workers experience death anxiety, stress and burnout, decrease in job satisfaction, ethical problems, compassion fatigue, both because of the difficulties they face and in the process of struggling with them. The training, equipment, expectations and thoughts of the employees directly affect the quality of the service they provide. Ensuring the qualifications of employees, standardization of their training; It is important for their mastery of palliative care practices. In this way, it will be possible to increase the quality of palliative care units, increase the number of patients to be reached, and take a more active role in the health system.

References

  • 1. Whitehurst JL, Rowlands J. Helping palliative care healthcare professionals get the most out of mentoring in a low-incomecountry: a qualitative study. BMC palliative care 2016;15(1), 1-9.
  • 2. Enguidanos S,Cardenas V, Wenceslao M, Hoe D, Mejia K, Lomeli S, et al. Healthcare provider barriers to patient referral to palliative care. American Journal of Hospice and Palliative Medicine 2021;38(9), 1112-1119.
  • 3. Mills J,Wand T, Fraser JA. Palliative care professionals' care and compassion for self and others: a narrative review. International journal of palliative nursing 2017; 23(5), 219-229.
  • 4. Hawley P. Barriers to Access to palliative care. Palliative Care: Research and Treatment, 2017;20(10), 1-5.
  • 5. Gopal KS, Archana PS. Awareness, knowledge and attitude about palliative care, in general, population and healthcare professionals in tertiarycare hospital. Int J SciStud 2016; 3(10), 31-5.
  • 6. Parola V, Coelho A, Sandgren A, Fernandes O, Apóstolo J. Caring in palliative care: A phenomenological study of nurses’ lived experiences. Journal of Hospice&Palliative Nursing 2018;20(2), 180-186.
  • 7. Black A, McGlinchey T, Gambles M, Ellershaw J, Mayland CR. The ‘lived experience’of palliative care patients in one acute hospital setting–a qualitative study. BMC palliative care 2018;17(1), 1-10.
  • 8. Chaturvedi SK. Problems and needs of patients in palliative care. Cancer Research, Statistics, and Treatment 2020; 3(1), 115.
  • 9. Green A, Jerzmanowska N, Green M, Lobb EA. ‘Death is difficult in any language’: A qualitative study of palliative care professionals’ experiences when providing end-of-life care to patients from culturally and linguistically diverse backgrounds. Palliative medicine 2018; 32(8), 1419-1427.
  • 10. Nia HS, Lehto RH, Ebadi A, Peyrovi H. Death anxiety among nurses and healthcare professionals: A review article. International journal of community based nursing and midwifery 2016;4(1), 2.
  • 11. Nyatanga B. Death anxiety andpalliative nursing. British journal of community nursing 2016; 21(12), 636.
  • 12. Samson T, Shvartzman P. Association between level of exposure to death and dying and Professional quality of life among palliative care workers. Palliative&supportive care 2018; 16(4), 442-451.
  • 13. Kim M. The problems and the improvement plan of the hospice/palliative care and dying patient’s decisions on life-sustaining treatmentact. The Korean journal of hospice and palliative care 2018; 21(1), 1-8.
  • 14. Fitch MI, DasGupta T, Ford B. Achieving excellence in palliative care: Perspectives of healthcare professionals. Asia-Pacific journal of oncology nursing 2016; 3(1), 66.
  • 15. Sansó N, Galiana L, Oliver A, Pascual A, Sinclair S, Benito E. Palliative care professionals' inner life: exploring the relationships among awareness, self-care, and compassion satisfaction and fatigue, burnout, and coping with death. Journal of pain and symptom management 2015; 50(2), 200-207.
  • 16. Chan WCH, Fong A, Wong KLY, Tse DMW, Lau KS, Chan LN. Impact of death work on self: existential and emotional challenges and coping of palliative care professionals. Health & SocialWork 2016;41(1), 33-41.
  • 17. Dijxhoorn AFQ, Brom L, van der Linden YM, Leget C, Raijmakers NJ. Prevalence of burnout in healthcare professionals providing palliative care and the effect of interventions to reduce symptoms: A systematic literature review. Palliative medicine 2021; 35(1), 6-26.
  • 18. Ercolani G, Varani S, Peghetti B, Franchini L, Malerba MB, Messana R, et al. Burnout in home palliative care: what is the role of coping strategies?. Journal of palliative care 2020; 35(1), 46-52.
  • 19. Wallerstedt B, Benzein E, Schildmeijer K, Sandgren A. What is palliative care? Perceptions of healthcare professionals. Scandinavian journal of caring sciences 2019; 33(1), 77-84.
  • 20. Kalies H, Schöttmer R, Simon ST, Voltz R, Crispin A, Bausewein C. Critical attitudes and beliefs towards guidelines amongst palliative care professionals–results from a national survey. BMC palliative care, 2017;16(1), 1-9.
  • 21. Galiana L, Sansó N, Muñoz-Martínez I, Vidal-Blanco G, Oliver A, Larkin PJ. Palliative care professionals’ inner life: Exploring the mediating role of self-compassion in the prediction of compassion satisfaction, compassion fatigue, burnout and wellbeing. Journal of Pain and Symptom Management 2022; 63(1), 112-123.
  • 22. Cross LA. Compassion fatigue in palliative care nursing: a concept analysis. Journal of Hospice and Palliative Nursing 2019;21(1), 21.
  • 23. Kase SM,Waldman ED, Weintraub AS. A cross-sectional pilot study of compassion fatigue, burnout, and compassionsatisfaction in pediatric palliative care providers in the United States. Palliative & supportive care 2019; 17(3), 269-275.
  • 24. Frey R, Robinson J, Wong C, Gott M. Burnout, compassion fatigue and psychological capital: Findings from a survey of nurses delivering palliative care. Applied Nursing Research 2018; 43, 1-9.
  • 25. O’Mahony S, Ziadni M, Hoerge M, Levine S, Baron A, Gerhart J. Compassion fatigue among palliative care clinicians: findings on personality factors and years of service. AmericanJournal of Hospice and Palliative Medicine 2018;35(2), 343-347.
  • 26. Brito-Pons G, Librada-Flores S. Compassion in palliativecare: A review. Current opinion in supportive and palliative care 2018;12(4), 472-479.
  • 27. Goss AL, Creutzfeldt CJ. Prognostication, Ethical Issues, and Palliative Care in Disorders of Consciousness. Neurologic clinics 2022; 40(1), 59-75.
  • 28. Muldrew DH, McLaughlin D, Brazil K. Ethical issues experienced during palliative care provision in nursing homes. Nursing ethics 2019; 26(6), 1848-1860.
  • 29. De Panfilis L, DiLeo S, Peruselli C, Ghirotto L, Tanzi S. “I go into crisis when…”: ethics of care and moral dilemmas in palliative care. BMC palliative care 2019; 18(1), 1-8.
  • 30. Altaker KW, Howie-Esquivel J, Cataldo JK. Relationships among palliative care, ethical climate, empowerment, and moral distress in intensive care unit nurses. American journal of critical care 2018; 27(4), 295-302.
There are 30 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Derleme
Authors

Tuğba Menekli 0000-0002-8291-8274

Publication Date February 28, 2023
Submission Date February 15, 2022
Published in Issue Year 2023 Volume: 5 Issue: 1

Cite

APA Menekli, T. (2023). Palyatif Bakım Hastalarına Bakım Veren Sağlık Çalışanlarının Yaşadığı Sorunlar ve Çözüm Önerileri. Sağlık Profesyonelleri Araştırma Dergisi, 5(1), 81-88. https://doi.org/10.57224/jhpr.1073872
AMA Menekli T. Palyatif Bakım Hastalarına Bakım Veren Sağlık Çalışanlarının Yaşadığı Sorunlar ve Çözüm Önerileri. J Health Pro Res. February 2023;5(1):81-88. doi:10.57224/jhpr.1073872
Chicago Menekli, Tuğba. “Palyatif Bakım Hastalarına Bakım Veren Sağlık Çalışanlarının Yaşadığı Sorunlar Ve Çözüm Önerileri”. Sağlık Profesyonelleri Araştırma Dergisi 5, no. 1 (February 2023): 81-88. https://doi.org/10.57224/jhpr.1073872.
EndNote Menekli T (February 1, 2023) Palyatif Bakım Hastalarına Bakım Veren Sağlık Çalışanlarının Yaşadığı Sorunlar ve Çözüm Önerileri. Sağlık Profesyonelleri Araştırma Dergisi 5 1 81–88.
IEEE T. Menekli, “Palyatif Bakım Hastalarına Bakım Veren Sağlık Çalışanlarının Yaşadığı Sorunlar ve Çözüm Önerileri”, J Health Pro Res, vol. 5, no. 1, pp. 81–88, 2023, doi: 10.57224/jhpr.1073872.
ISNAD Menekli, Tuğba. “Palyatif Bakım Hastalarına Bakım Veren Sağlık Çalışanlarının Yaşadığı Sorunlar Ve Çözüm Önerileri”. Sağlık Profesyonelleri Araştırma Dergisi 5/1 (February 2023), 81-88. https://doi.org/10.57224/jhpr.1073872.
JAMA Menekli T. Palyatif Bakım Hastalarına Bakım Veren Sağlık Çalışanlarının Yaşadığı Sorunlar ve Çözüm Önerileri. J Health Pro Res. 2023;5:81–88.
MLA Menekli, Tuğba. “Palyatif Bakım Hastalarına Bakım Veren Sağlık Çalışanlarının Yaşadığı Sorunlar Ve Çözüm Önerileri”. Sağlık Profesyonelleri Araştırma Dergisi, vol. 5, no. 1, 2023, pp. 81-88, doi:10.57224/jhpr.1073872.
Vancouver Menekli T. Palyatif Bakım Hastalarına Bakım Veren Sağlık Çalışanlarının Yaşadığı Sorunlar ve Çözüm Önerileri. J Health Pro Res. 2023;5(1):81-8.

SAĞLIK PROFESYONELLERİ ARAŞTIRMA DERGİSİ / JOURNAL OF HEALTH PROFESSIONALS RESEARCH /J HEALTH PRO RES