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Caring for terminally Ill patients: the impact on oncologists
Nagavalli Somasundaram1,2,3, Halah Ibrahim4, Ranitha Govindasamy1,5,6
1Division of Cancer Education, National Cancer Centre Singapore, 30 Hospital Boulevard, Singapore, 168583, Singapore.
BMC Palliative Care
|September 28, 2024
Summary
Oncologists face emotional distress and self-doubt during patient care transitions, impacting their professional identity. Support through reflection and self-care can help them navigate these challenges and reaffirm their commitment to oncology.
Area of Science:
- Oncology
- Palliative Care
- Medical Professionalism
Background:
- Cancer care journeys and end-of-life care cause emotional and moral distress for oncologists.
- This distress can negatively affect oncologists' personal and professional identities.
- Understanding care transition impacts is crucial for oncologist support.
Purpose of the Study:
- To explore the impact of care transitions on oncologists' professional identity formation (PIF).
Main Methods:
- Semi-structured interviews with oncologists in a Singapore palliative care center (Sept-Dec 2023).
- Utilized the Ring Theory of Personhood (RToP) framework.
- Employed inductive and deductive qualitative analysis.
Main Results:
- Included 12 oncologists (6 male, 6 female; mean age 38; avg. 9.75 years experience).
- Identified key domains: challenges in palliative care transitions, impact of caring for dying patients, and coping mechanisms.
- Oncologists reported self-doubt and moral distress.
Conclusions:
- Oncologists experience significant challenges and distress during care transitions.
- Professional identity formation (PIF) can be supported via reflection, peer support, and self-care.
- Interventions aid oncologists in finding meaning, renewing connections, and reaffirming professional commitment.
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