Themes of end-of-life care in memorable cases of medical health professionals: A mixed methods approach

Yaffa Naomi Stokar*, Ruth Pat-Horenczyk

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Little is known regarding memorable cases and their impact on the personal and professional well-being of medical health professionals (MHP). As part of a survey focusing on professional burnout, 1123 MHP working at a leading tertiary pediatric medical center in Israel were approached, out of which 163 MHP answered and open-ended question recalling a memorable case and the influence it had on them. Mixed-methods integrating data collected from the larger study were employed to assess both quantitative and qualitative aspects of the memories recalled. Three key findings are presented: (1) the prominence of End-of-Life care among the memorable cases (n = 163, 58.28%) and its cross-disciplinary impact among professionals, (2) the importance of social support for professionals providing End-of-Life care, and (3) the high influence (mean impact = 4.27, from a scale of 1–5, 5 reflecting highest impact) attributed by the MHP to their memorable case resulting in multiple short (e.g., emotional reactions) and long-term effects (e.g., perspective changes), negative and positive, effecting quality of life and professional performance. In conclusion, recognizing and addressing End-of-Life related memories is noteworthy and bears direct clinical implications for developing interventions intended to mitigate patient care strain and promote MHP well-being personally and professionally.

Original languageAmerican English
Pages (from-to)13721-13732
Number of pages12
JournalCurrent Psychology
Volume42
Issue number16
DOIs
StatePublished - 18 Jan 2022

Bibliographical note

Funding Information:
The authors thank the Center for Dignified End of Life at the Hebrew University of Jerusalem for their generous support of this study. This research would not have been possible without the initiative and continuous support of Dr. Cathy Lawi of the International Trauma Healing Institute and Prof. Danny Brom of Metiv, the Israel Psychotrauma Center in Jerusalem. We thank the team at Schneider Children’s Medical Center led by Dr. Efrat Bron-Harlev, Maskit Shochat and Tal Zilberstein and to Prof. Yaira Hamama-Raz and Prof. Liat Hamama for their partnership in this study. The data that supports the findings of this study are available on request from the corresponding author Y.N.S.

Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Keywords

  • End-of-life care
  • Medical health professionals
  • Memorable cases
  • Mixed methods
  • Quality of life
  • Well-being

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