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Strong emotional reactions for doctors working in palliative care: Causes, management and impact. A qualitative study
Author(s) -
Hubik Daniel John,
O’Callaghan Clare,
Dwyer Justin
Publication year - 2021
Publication title -
psycho‐oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.41
H-Index - 137
eISSN - 1099-1611
pISSN - 1057-9249
DOI - 10.1002/pon.5731
Subject(s) - palliative care , nursing , debriefing , qualitative research , medicine , distress , emotional distress , psychology , family medicine , anxiety , psychiatry , clinical psychology , medical education , social science , sociology
Objective Doctors working in palliative care services are exposed to challenging emotional environments almost daily. Strong‐emotional reactions experienced in this setting have implications for patient care and doctor wellbeing. Existing research has not focused on doctors working in specialist palliative care. This study aimed to understand what strong emotional reactions are experienced by doctors working in specialist palliative care, the cause of these strong emotional reactions and the impact they have on the lives of palliative care doctors. Methods Qualitative descriptive design included grounded theory techniques. Semi‐structured, audio‐recorded individual interviews explored doctors’ memories of strong emotional reactions and challenging aspects in palliative care work, how emotions were managed and affected doctors’ lives. Setting/participants Twenty doctors were recruited from a specialist palliative care service within a public health network in Melbourne, Australia, comprising of two inpatient units, a consult service and outpatient clinic. Results Palliative care doctors experience a myriad of strong emotions in their line of work. Experiences found to elicit strong emotional reactions included patient, family and staff distress and organizational issues. Strong emotional reactions impacted clinical behaviours, patient care and doctors’ personal lives. Strategies developed for managing strong emotional reactions included debrief, setting boundaries, avoidance and self‐reflection, along with non‐work strategies such as time with family. Conclusions Whilst emotionally challenging experiences are unavoidable and necessary in a palliative care doctor’s development, doctors need to be supported to avoid adversely impacting patient care or their own wellbeing.