"Backlash!"? A qualitative exploration of hospice palliative care staff's ongoing experiences of "living with covid".

IF 2.7 Q2 HEALTH CARE SCIENCES & SERVICES
Palliative Care and Social Practice Pub Date : 2024-09-30 eCollection Date: 2024-01-01 DOI:10.1177/26323524241283064
Rebecca Evans, John MacArtney
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引用次数: 0

Abstract

Background: "Living with covid" has meant that the SARS-CoV-2 virus has become a background concern for many in the United Kingdom. However, people with terminal conditions remain some of those at higher risk of Covid-19 affecting the quality-of-life left, as well as the amount of life. Little is known about how staff manage the ongoing risks and challenges-to themselves and those they seek to support-when providing palliative care in the context of an airborne transmissible virus.

Objective: To explore the experiences of UK hospice staff of "living with covid" to identify how Covid-19 continues to affect their work and well-being.

Design: An interpretivist qualitative interview study.

Methods: Reflexive thematic analysis of semi-structured online interviews with 12 staff recruited from three hospices in the West Midlands, UK.

Results: We explored how participants' accounts of "living with covid" included several ambivalences: Participants not only sought to assert the importance of not forgetting that time but also wished to "move-on." This included moving Covid-19 to the "background" through embedding systemic adaptions and lessons learnt, while also recognizing that they had to address issues relating to Covid-19 "case-by-case." Finally, participants' wish to move-on and a mostly reactive approach to mitigations meant that they were unable to meaningfully reconcile how asymptomatic transmission promotes patients' quality-of-life left.

Conclusion: Recollections of the difficulties of the Covid-19 public health emergency were part of a "backlash" to any future consideration of mitigations for airborne transmissible viruses and helped justify a "living with (getting) covid" approach. However, this also created uncertainty of how best to support patients who are vulnerable to having the quality and amount of life left compromised by viral infection. The pandemic has brought renewed impetus to re-examine hospice palliative care's ideals and practices in the context of airborne transmissible viruses.

"反弹!"?对临终关怀姑息关怀工作人员 "与 covid 共存 "的持续体验进行定性探索。
背景:"与 Covid 共存 "意味着 SARS-CoV-2 病毒已成为英国许多人关注的背景问题。然而,患有晚期疾病的人仍然是感染 Covid-19 的高危人群,这不仅影响了他们的生活质量,也影响了他们的生活质量。在空气传播病毒的背景下,工作人员在提供姑息关怀时如何应对持续存在的风险和挑战--对他们自己和他们所要支持的人--知之甚少:探索英国临终关怀工作人员 "与科威德共存 "的经历,以确定科威德-19 如何继续影响他们的工作和福祉:设计:一项解释主义定性访谈研究:方法:对从英国西米德兰兹郡三家临终关怀机构招募的 12 名工作人员进行的半结构化在线访谈进行反思性专题分析:我们探讨了参与者对 "与科维德共存 "的描述是如何包含几种矛盾心理的:参与者不仅强调了不忘那段时光的重要性,还希望 "继续前进"。这包括通过系统调整和吸取经验教训,将 Covid-19 移至 "背景",同时也认识到他们必须 "逐案 "解决与 Covid-19 相关的问题。最后,参与者希望继续前进,并对缓解措施大多采取被动应对的方法,这意味着他们无法有意义地协调无症状传播如何促进患者的生活质量:对 "科维德-19 "突发公共卫生事件所造成的困难的回忆是 "反弹 "的一部分,这种 "反弹 "影响了未来对空气传播病毒缓解措施的考虑,并有助于证明 "与(感染)科维德共存 "的方法是正确的。然而,这也造成了不确定性,即如何最好地支持那些容易因病毒感染而影响生活质量和数量的病人。这次大流行重新推动了人们在空气传播病毒的背景下重新审视安宁疗护姑息关怀的理想和实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Palliative Care and Social Practice
Palliative Care and Social Practice Nursing-Advanced and Specialized Nursing
CiteScore
2.90
自引率
0.00%
发文量
37
审稿时长
9 weeks
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