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Adaptation and continuous learning: integrative review of coping strategies of palliative care professionals

dc.contributor.authorSapeta, Paula
dc.contributor.authorCenteno, Carlos
dc.contributor.authorBelar, Alazne
dc.contributor.authorArantzamendi, María
dc.date.accessioned2021-10-01T15:32:03Z
dc.date.available2021-10-01T15:32:03Z
dc.date.issued2021
dc.description.abstractBackground: Coping is essential to manage palliative care professionals’ challenges. The focus has been on the effects of coping mechanism; however, little is known about coping itself in palliative care. Aim: To synthesise evidence of coping strategies in palliative care professionals, and how different strategies play roles over time. Design: Systematically conducted integrative review.Data sources: PubMed; CINAHL; Medline; PsycINFO and B-ON were searched (1996–2021) combining ‘coping’ AND ‘palliative care’. A predefined data extraction sheet was developed to report data. Two researchers performed constant comparative analysis using Nvivo®. Results: Thirty-one studies were included. Four main strategies with recurrent reference to time were found: (a) proactive coping, involving activities to achieve self-confidence and control situations and emotions; (b) self-care based coping, including self-protection and self-awareness activities, with behavioural disconnection; (c) self-transformation coping, involving activities to accept limits; and (d) encountering deep professional meaning, is a coping mechanism based on meaning, frequently considering the deepest meaning of work. The dynamic and influencing factors were training, team interaction, professional motivation and family. They were usually protective factors, though sometimes they represented risk factors. The emotional burden associated with healthcare and systemic stressors were always risk factors. An explanatory model describes a complex and dynamic process, in which everyday strategies and more introspective strategies are combined. Conclusions: The model showed a process of adaptation and learning to persevere in palliative care. It changes over time under factors and strategies, and evolves in a personal and professional transformation, parallel to the working life. It would be worth assessing coping in healthcare professionals who chose to leave palliative care and to investigate the reasons they did so and their coping mechanisms.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationSapeta, P., Centeno, C., Alazne Belar A. & Arantzamendi, M. (2021) Adaptation and continuous learning: integrative review of coping strategies of palliative care professionals. Palliative Medicine 00(0), pp.1-15. DOI: 10.1177/02692163211047149pt_PT
dc.identifier.doi10.1177/02692163211047149pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.11/7673
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSagepubpt_PT
dc.relation.publisherversionhttps://journals.sagepub.com/doi/full/10.1177/02692163211047149pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectCopingpt_PT
dc.subjectPalliative carept_PT
dc.subjectEmotional demandpt_PT
dc.subjectEmotional adjustmentpt_PT
dc.subjectEmotional regulationpt_PT
dc.subjectProfessional developmentpt_PT
dc.subjectEnd-of-life carept_PT
dc.subjectIntegrative reviewpt_PT
dc.subjectReviewpt_PT
dc.titleAdaptation and continuous learning: integrative review of coping strategies of palliative care professionalspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage15pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titlePalliative Medicinept_PT
person.familyNameSapeta
person.givenNameAna Paula Gonçalves Antunes Sapeta
person.identifier.ciencia-idAA1C-63C6-2846
person.identifier.orcid0000-0001-6667-2326
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication7c11004c-2d32-4f9b-bf47-221aa1feec31
relation.isAuthorOfPublication.latestForDiscovery7c11004c-2d32-4f9b-bf47-221aa1feec31

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