The awareness-based model of self-care was successfully tested in a multidisciplinary sample of Spanish palliative care professionals. This research applies a quantitative evaluation of the model, providing evidence of a constellation of key variables for health professionals' quality of life, such as specific training, self-care, awareness and coping with death competency.
The ProQOL shows psychometric goodness in its Spanish and Portuguese versions, although some items should be revised. The ProQOL is also useful for diagnosis and is sensitive enough to distinguish nuances as that found between Brazilian and Spanish professionals.
Los profesionales sanitarios y especialmente los que trabajamos en oncología y cuidados paliativos somos frecuentemente interpelados por el sufrimiento de nuestros pacientes. El modelo biomédico, es insuficiente para entenderlo y atenderlo. Para ello se requiere ampliar la perspectiva, hacia una visión más abierta que incluya nuestra dimensión espiritual.La espiritualidad es un universal humano, y se expresa como el dinamismo que impulsa nuestro anhelo inagotable de plenitud y felicidad, que caracteriza la condición humana y que se expresa en la red de relaciones que cada persona establece.La enfermedad grave y la proximidad de la muerte son oportunidades de apertura a esta dimensión y de sanación. El profesional que conoce este proceso puede acercarse desde la hospitalidad, presencia y compasión y acompañar este itinerario.En este articulo intentamos explorar de forma resumida qué entendemos por espiritualidad, espiritualidad en clínica, necesidades y recursos espirituales, el itinerario de la persona que atraviesa un proceso de sufrimiento, perdida y/o muerte y las actitudes y herramientas de los profesionales para explorar, atender y acompañar en este espacio difícil y hasta ahora poco transitado.
Self-care is a cornerstone issue for those who deal with stressful events, as it is the case of palliative care professionals. It has been related to awareness, coping with death and quality of life, among others, but no measurement instruments have been used in palliative care professionals. This research presents and validates a brief new measure with clinical and psychometric good properties, called Professional Self-Care Scale (PSCS). The PSCS assesses professionals' self-care in three areas: physical self-care, inner self-care, and social self-care. Data come from a cross-sectional survey in a sample of 385 professionals of palliative care. The Mindful Attention Awareness Scale, the Coping with Death Scale, and the Professional's Quality of Life measure were also used. Results of the CFA showed adequate fit (χ2(24, N = 385) = 140.66, p < .01; CFI = .91; GFI = .93; SRMR = .09; and RMSEA = .10). Evidence pointed better reliability indices for the 3-item physical and inner factors of self-care than for the social dimension (Rho and GLB of .64, .90, and .57, respectively). Evidence regarding validity was consistent with previous literature. When levels of self-care were examined, women showed higher levels of inner and social self-care (F(3, 371) = 3.19, p = .02, η2 = .03, as also did psychologists when compared to doctors and nurses (F(9, 1074) = 2.00, p = .04, η2 = .02. The PSCS has shown adequate psychometric properties, and thus it could be used as diagnostic instrument when studying professionals' health.
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