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Related Concept Videos

Ethical Issues01:27

Ethical Issues

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Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
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Continuing Care01:25

Continuing Care

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Ethical Dilemmas II01:30

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Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
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Kubler Ross's Stages of Dying01:21

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Elisabeth Kübler-Ross significantly advanced psychology's understanding of the process of dying with her influential book, On Death and Dying (1969). She focused on studying terminally ill individuals and outlined five stages commonly experienced when coping with death: denial, anger, bargaining, depression, and acceptance.
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Nursing Ethical Principles II01:27

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Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
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Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch01:15

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The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
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Burnout in Palliative Care - Difficult Cases: Qualitative Study.

Mervyn Yong Hwang Koh1, Marysol Dalisay Gallardo2, Hwee Sing Khoo3

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|March 25, 2022
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Summary

Challenging cases in palliative care, such as abusive patients or young deaths, evoke strong emotions like helplessness in clinicians, contributing to burnout. Addressing these emotional responses is crucial for preventing clinician burnout.

Keywords:
Education and training

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Area of Science:

  • Palliative Care Medicine
  • Psychology
  • Healthcare Professional Well-being

Background:

  • Burnout is prevalent among palliative care clinicians due to emotional demands of patient and family care.
  • Understanding specific challenging scenarios is key to managing clinician emotions and preventing burnout.

Purpose of the Study:

  • To identify challenging clinical situations encountered by experienced palliative care clinicians.
  • To explore the emotions experienced by these clinicians in response to challenging cases.
  • To understand the potential contribution of these situations and emotions to burnout.

Main Methods:

  • Qualitative study utilizing semistructured interviews.
  • Purposive sampling of 18 experienced palliative care clinicians (doctors, nurses, social workers).
  • Thematic analysis of transcribed interview data.

Main Results:

  • Challenging situations included abusive patients/families, 'bad deaths', death of young patients, complex cases, and multiple difficult cases concurrently.
  • Clinicians reported emotions such as feeling overwhelmed, helplessness, failure, and a sense of injustice.
  • Interviewees had a mean age of 52 and 15.7 years of palliative care experience.

Conclusions:

  • Specific challenging clinical scenarios in palliative care trigger significant emotional responses in clinicians.
  • These strong emotional reactions, if not adequately addressed, can lead to burnout.
  • Interventions are needed to support palliative care clinicians in managing emotions arising from difficult cases.