Exploring the meaning and practice of self-care among palliative care nurses and doctors: a qualitative study

Mills, Jason; Wand, Timothy; Fraser, Jennifer

doi:10.1186/s12904-018-0318-0

Cited by 95 publications

(108 citation statements)

References 44 publications

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“…Nurse educators have a key role to teach nursing students about empathic distress and improving emotion regulation, and empathy (Levett-Jones, Cant, & Lapkin, 2019). There is increasing evidence that compassion can be taught, so training must include self-care practices (Mills, Wand, & Fraser, 2018b), self-compassion, psychological flexibility (Duarte & Pinto-Gouveia, 2017), and compassionate practice (Adam & Taylor, 2013). Researchers can use integrated knowledge translation frameworks to evaluate the impact of strategies in local contexts to tackle these critical issues.…”

Section: Strategies To Ease Empathic Distress and Cultivate Compassionmentioning

confidence: 99%

“…• Australian College of Nursing 2019 An Australian study defined self-care as "a proactive, holistic, and personalised approach to the promotion of health and wellbeing through a variety of strategies, in both personal and professional settings, to enhance capacity for care of patients and their families" (Mills et al, 2018b, p. 1). Effective self-care is any strategy practised regularly both within the workplace and the personal setting to improve wellbeing (Mills et al, 2018b). Developing a self-care plan is more likely to be effective than an ad hoc approach (Mills et al, 2018b).…”

Section: Compassionmentioning

confidence: 99%

“…Effective self-care is any strategy practised regularly both within the workplace and the personal setting to improve wellbeing (Mills et al, 2018b). Developing a self-care plan is more likely to be effective than an ad hoc approach (Mills et al, 2018b). Self-care is not just about pursuing pleasurable activities.…”

Section: Compassionmentioning

confidence: 99%

“…Personal self-care practices can include getting more rest, eating healthier food, decluttering personal space, spending time alone or in reflection, seeking professional therapy, life coaching, or any activity that supports, energises, soothes or inspires. Meditation practice is effective self-care strategy in both personal and professional setting (Mills et al, 2018b).…”

Section: Compassionmentioning

confidence: 99%

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Contesting the term ‘compassion fatigue’: Integrating findings from social neuroscience and self-care research

2020

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Background: Nurses describe work-related distress and exhaustion as compassion fatigue and burnout. However, neuroscientists confirm compassion does not cause fatigue. Aim: This discussion paper explains contemporary social neuroscience evidence about empathy, emotion regulation, and compassion, then discusses evidence-informed strategies to cultivate effective self-care practices and compassion. Methods: The argument draws on relevant empirical evidence and literature to raise awareness, improve understanding, and spark dialogue and reconceptualisation of these critical issues within the nursing context. Findings and discussion: Functional magnetic resonance imaging studies show the debilitating condition known as compassion fatigue should be called 'empathic distress fatigue'. This distinction matters because the strategy to ease empathic distress fatigue is compassion training. The capacity to remain clear about the 'self-other' distinction is called emotion regulation. Without emotion regulation skills, our 'self-other' distinction is blurred so we absorb another's suffering and negative emotions as our own and experience empathic distress fatigue. Yet, much of this knowledge is not implemented within the nursing context. On the contrary, the topic of compassion fatigue continues to dominate education and research. This knowledge gap is significant because healthcare leaders cannot address the distress of its workforce and strengthen cultures without understanding its causes. Conclusion: Evidence from social neuroscience and self-care studies offers promising new knowledge to design strategies to foster self-care, self-compassion, emotion regulation, and ease empathic distress fatigue. These strategies and practices for renewal support the raison d'être of nursing which is to provide quality, safe, compassionate care for patients and their families by resilient nurses.

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Section: Strategies To Ease Empathic Distress and Cultivate Compassionmentioning

confidence: 99%

Section: Compassionmentioning

confidence: 99%

Section: Compassionmentioning

confidence: 99%

Section: Compassionmentioning

confidence: 99%

See 2 more Smart Citations

Contesting the term ‘compassion fatigue’: Integrating findings from social neuroscience and self-care research

2020

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“…The prevalence of self-care and self-prescribing practices remains generally high despite the non-negligible proportion of physicians who are formally registered with a doctor. According to studies, 21 to 100% of physicians are registered with another doctor [15,18,23,24], however, many prefer informal consultations with colleagues, family members or friends when they are ill [15,18]. Beyond all legal consideration, self-treatment practices in absence of regular care are associated with below-standard care which may reflect in poor treatment compliance, over-treating, frequent drug interactions or poor health outcomes such as low rates of cancer screening and vaccination [22,24].…”

Section: Discussionmentioning

confidence: 99%

Self-treatment and treatment of close relatives: Prevalence, perceptions and attitudes among primary health care physicians.

Murad¹,

Barabie²,

Tawfiq³

et al. 2019

biomedicalresearch

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Background: Self-treatment, treatment of closed relatives and friends compromises the professional objectivity and these are important medical ethical issues that pose big professional challenges to the physicians. Objectives: To assess the prevalence of self-treatment and treatment of close relatives (TCR) among primary healthcare (PHC) physicians and to investigate factors, perceived risks and ethical awareness related to this practice. Methods: This questionnaire-based cross-sectional was study conducted by randomly selecting 15 PHCs in Western region of Saudi Arabia between April and May 2016 at the Family and Community Medicine Department, Medical College, King Abdulaziz University (KAU), Jeddah, Kingdom of Saudi Arabia (KSA). Physicians from all specialties replied anonymously to the questionnaire.Results: Eighty PHC physicians were recruited, 52.5% females, 77.6% aged below 40 years; majority were general practitioners (61.3%) with 0-5 years of practice (53.8%). The prevalence (95% CI) of selftreatment, self-prescribing and self-prescribing of controlled substances was 87.5% (80.3; 94.7); 90.0% (83.4; 96.6) and 7.5% (1.7; 13.3) respectively. Prevalence of practices related to TCR ranged from 6.3% for surgery to 93.8% for physical examination performed on a close relative. Sense of responsibility, illness being among scope of practice and minor illness were the three most frequent motivations for TCR. Compromising physician ' s objectivity, family quarrels and patient to conceal sensitive information were frequently perceived risks for TCR. Regarding ethical awareness, majority of the participants (68.8%) declared not being aware of international guidelines and minority would agree to classify self-treatment and TCR as not recommended. No association was found between practice and demographics or ethical awareness. Conclusion: Self-treatment, TCR and related practices are highly prevalent among PHC physicians in Saudi Arabia despite appropriate perception of associated risks.

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What school nurses strive to achieve for themselves in order to remain in practice: A qualitative study

2022

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Aim This study aims to describe and interpret what it is school nurses strive to achieve for themselves in order to remain in practice. Design A qualitative study with a hermeneutic approach. Method The data were collected by means of in‐depth interviews with 15 Norwegian school nurses on two separate occasions and analysed using a phenomenological hermeneutic method. Results The analysis resulted in the following themes: (1) trusting your own professional ability, (2) aspiring to appreciation and (3) accomplishing self‐care. These themes were reflected in the school nurses' choices and actions and were regarded as an expression of what was of value to them as a nurse. Thus, the nurses' realizing what they strived to achieve for themselves can comprehensively be understood as a good of higher value for their remaining in nursing practice.

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Exploring the meaning and practice of self-care among palliative care nurses and doctors: a qualitative study

Cited by 95 publications

References 44 publications

Contesting the term ‘compassion fatigue’: Integrating findings from social neuroscience and self-care research

Contesting the term ‘compassion fatigue’: Integrating findings from social neuroscience and self-care research

Self-treatment and treatment of close relatives: Prevalence, perceptions and attitudes among primary health care physicians.

What school nurses strive to achieve for themselves in order to remain in practice: A qualitative study

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