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How palliative care professionals develop coping competence through their career: A grounded theory
Maria Arantzamendi1,2, Paula Sapeta3, Alazne Belar1,2
1Universidad de Navarra, Institute for Culture and Society-ATLANTES Global Observatory of Palliative Care, Pamplona, Navarra, Spain.
Palliative Medicine
|February 21, 2024
Summary
Palliative care professionals develop coping skills through a five-stage process, fostering personal growth and sustained passion for their work. This iterative model helps manage emotional challenges and prevent burnout.
Area of Science:
- Palliative Care
- Professional Development
- Emotional Resilience
Background:
- Palliative care professionals encounter significant emotional challenges due to advanced disease patient care.
- Effective coping strategies are crucial for well-being in palliative care.
- Limited understanding exists regarding the developmental trajectory of coping skills throughout a palliative care professional's career.
Purpose of the Study:
- To develop an explanatory model detailing the evolution of coping mechanisms in palliative care professionals over their careers.
Main Methods:
- Grounded theory methodology was employed.
- Constant comparative analysis of interviews was conducted by two researchers.
- Participants included 21 palliative care nurses and physicians from Spain and Portugal, with theoretical sampling of those who left the field.
Main Results:
- A five-stage iterative model of coping development was identified: Contention, Disconnection, Proactive Management, Integration, and Transcendence.
- This process is dynamic, with professionals potentially revisiting earlier stages.
- Key factors influencing this development include clinical cases, teamwork, and self-care, enabling professionals to manage feelings of being overwhelmed.
Conclusions:
- The developed model illustrates a pathway for personal and professional growth in palliative care.
- It highlights the accumulation of strategies that effectively modulate emotional responses.
- The model supports the maintenance of long-term engagement and passion for palliative care work.
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