Secondary Traumatization and Proneness to Dissociation Among Palliative Care Workers: A Cross-Sectional Study

Samson, Tali; Shvartzman, Pesach

doi:10.1016/j.jpainsymman.2018.04.012

Cited by 18 publications

(13 citation statements)

References 36 publications

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“…Workers and volunteers in the hospice care field constantly confront death and the associated grief and trauma which can have deleterious effects on their professional and personal well-being. 26,27 However, working in hospice care also provides opportunities for compassion satisfaction and this contributes to job satisfaction, elevated SWB, and personal growth. In the current pilot study, we investigated the relationship between hope and meaning in life to job satisfaction as assessed by work engagement and SWB.…”

Section: Discussionmentioning

confidence: 99%

“…Samson and Shvartzman found that there was a negative interaction between increased exposure to death to both work engagement and decreased compassion satisfaction. 26 These authors posited that increased absorption which is characterized by both engrossment and concentration on work leads to higher levels of death exposure with a concomitant increase in both burnout and stress. 26 Our findings raise the question of directionality.…”

Section: Discussionmentioning

confidence: 99%

“…26 These authors posited that increased absorption which is characterized by both engrossment and concentration on work leads to higher levels of death exposure with a concomitant increase in both burnout and stress. 26 Our findings raise the question of directionality. Does working in a hospice care setting increase meaning in life and hope or are those who innately have meaning in life and hope have higher levels of SWL, and these are the individuals who are attracted to hospice care and are able to cope with the difficult challenges found in such work.…”

Section: Discussionmentioning

confidence: 99%

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Hospice Care: Hope and Meaning in Life Mediate Subjective Well-Being of Staff

Shiri¹,

Wexler

Marmor³

et al. 2020

Am J Hosp Palliat Care

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Objectives: Subjective well-being has been associated with decreased work burnout and elevated work engagement. We investigated the impact of hope and meaning in life on subjective well-being among workers in a hospice care setting. Comparison was made to health-care workers in a rehabilitation unit. Methods: Thirty-five hospice care workers were surveyed and their responses compared with those of 36 rehabilitation workers. Survey instruments measuring hope, meaning in life, work engagement, and satisfaction with life were utilized. Results: Individuals working in a hospice care center have significantly higher levels of work engagement than their counterparts in rehabilitation. For both groups, hope was significantly related to subjective well-being. For hospice care but not rehabilitation workers, meaning in life was also related to subjective well-being. Multivariate analysis showed that hope and meaning in life were independent factors predicting subjective well-being in hospice care workers. Significance of Results: Hospice care workers are highly engaged in their work despite the challenging nature of their work. What characterizes these workers is a level of subjective well-being that is related to both meaning in life and hope. Maintaining a high level of subjective well-being may be an important factor in preventing burnout among those working in hospice care settings.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Hospice Care: Hope and Meaning in Life Mediate Subjective Well-Being of Staff

Shiri¹,

Wexler

Marmor³

et al. 2020

Am J Hosp Palliat Care

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“…Another characteristic of compassion fatigue is dissociation and derealization (Samson & Shvartzman, 2018). This can be expressed as impairment or lack of consistency in integration of the consciousness, memory, identity, or body image.…”

Section: Discussionmentioning

confidence: 99%

Early Maternal Caregiving: A Conceptualization of Maternal Compassion Preoccupation

Chasson

Taubman–Ben-Ari

2020

Qual Health Res

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The literature refers extensively to the ramifications of the mother’s care on her infant. However, little attention has been paid to the effects of maternal caregiving on the emotional experience of the mother herself. Using grounded theory methodology, we sought to contribute to fill this gap, and conducted open indepth interviews with 20 Israeli mothers of infants up to 3 months of age. Three core categories emerged from the interviews: Difficulty, Pleasure and Satisfaction, and Concern for Personal Needs. We found these categories to parallel three theoretical concepts relating to caregivers in general: compassion fatigue, compassion satisfaction, and self-compassion. Consequently, we propose a new inclusive theoretical concept termed Maternal Compassion Preoccupation. The findings and conceptualization can contribute to the theoretical knowledge associated with early maternal caregiving, and to a new perspective on interventions aimed at helping women to cope with the high care demands of early motherhood.

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“…It is also important to note that the psychology of having to deal with very di cult issues -illness and death -may well have in uenced our participants' responses and their discussion of spirituality issues in the South African context. It is well established that people who deal with human pain and suffering may well experience a degree of what has been termed secondary traumatisation or compassion fatigue [36,37]. The emotional experience of dealing with suffering and death may, of course, also have positive effects and build resilience in carers [38].…”

Section: Discussionmentioning

confidence: 99%

Spiritual care practices in hospices in the Western Cape, South Africa: The challenge of diversity

Mahilall¹,

Swartz

2020

Preprint

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Background: South Africa is a very diverse middle-income country, still deeply divided by the legacy of its colonial and apartheid past. As part of a larger study, this article explored the experiences and views of representatives of hospices in the Western Cape province of South Africa on the provision of appropriate spiritual care, given local issues and constraints. Methods: Two sets of focus group discussions, with 23 hospice participants, were conducted with 11 of the 12 Hospice Palliative Care Association registered hospices in the Western Cape, South Africa, to understand what spiritual care practices existed in their hospices against the backdrop of multifaceted diversities. The discussions were analysed using thematic analysis. Results:Two prominent themes emerged: the challenges of providing relevant spiritual care services in a religiously, culturally, linguistically and racially diverse setting, and the organisational context impacting such a spiritual care service. Participants agreed that spiritual care is an important service and that it plays a significant role within the inter-disciplinary team. Participants recognised the need for spiritual care training and skills development, alongside the financial costs of employing dedicated spiritual care workers. In spite of the diversities and resource constraints, the approach of individual hospices to providing spiritual care remained robust.Discussion:Given the diversities that are largely unique to South Africa, shaped essentially by past injustices, the hospices have to navigate considerable hurdles such as cultural differences, religious diversity, and language barriers to provide spiritual care services, within significant resource constraints. Conclusions:While each of the hospices have established spiritual care services to varying degrees, there was an expressed need for training in spiritual care to develop a baseline guide that was bespoke to the complexities of the South African context. Part of this training needs to focus on the complexity of providing culturally appropriate services.

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Secondary Traumatization and Proneness to Dissociation Among Palliative Care Workers: A Cross-Sectional Study

Abstract: The clinical level of PETD correlates significantly with STS. Further research is needed to understand whether STS is related to the individual's own vulnerability, as reflected by their personal proneness to dissociation, during exposure to death and dying.

Cited by 18 publications

References 36 publications

Hospice Care: Hope and Meaning in Life Mediate Subjective Well-Being of Staff

Hospice Care: Hope and Meaning in Life Mediate Subjective Well-Being of Staff

Early Maternal Caregiving: A Conceptualization of Maternal Compassion Preoccupation

Spiritual care practices in hospices in the Western Cape, South Africa: The challenge of diversity

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