{"title":"How Do Home Care Workers Experience A Client's Death, Professionally and Personally? A Systematic Review and Meta-Synthesis.","authors":"Gillian Mhairi Findlay, Noelle Robertson","doi":"10.1177/00302228241302431","DOIUrl":null,"url":null,"abstract":"<p><p><b>Background:</b> Home care workers (HCWs) may frequently experience client death. This critical interpretive meta-synthesis aimed to identify the impacts of client death to offer preliminary recommendations with respect to support. <b>Method:</b> Five electronic databases, APA PsycINFO, CINAHL, MEDLINE, Web of Science, and Scopus, were searched systematically using keywords and subject headings. <b>Results:</b> <i>Eight papers focusing on HCWs' experiences of client death were identified</i>. <i>Constructs were elicited and interpreted via Reciprocal Translation Analysis</i>. <i>The interpreted line of argument highlighted four interrelated themes: ''Personal grief: The impact of loss', 'Disenfranchised grief: no space for humanity and connection'', Inherent tension between self-care and organisational expectations: \"You need a moment to hit the reset\", and 'I wish someone was there to talk to: HCW support needs'</i>. <b>Conclusions:</b> The findings demonstrate that HCWs are affected in multiple ways by client death, but these impacts are not consistently recognised or responded to by their organisations.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228241302431"},"PeriodicalIF":0.0000,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Omega","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/00302228241302431","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Home care workers (HCWs) may frequently experience client death. This critical interpretive meta-synthesis aimed to identify the impacts of client death to offer preliminary recommendations with respect to support. Method: Five electronic databases, APA PsycINFO, CINAHL, MEDLINE, Web of Science, and Scopus, were searched systematically using keywords and subject headings. Results:Eight papers focusing on HCWs' experiences of client death were identified. Constructs were elicited and interpreted via Reciprocal Translation Analysis. The interpreted line of argument highlighted four interrelated themes: ''Personal grief: The impact of loss', 'Disenfranchised grief: no space for humanity and connection'', Inherent tension between self-care and organisational expectations: "You need a moment to hit the reset", and 'I wish someone was there to talk to: HCW support needs'. Conclusions: The findings demonstrate that HCWs are affected in multiple ways by client death, but these impacts are not consistently recognised or responded to by their organisations.
背景:家庭护理工作者(HCWs)可能经常遇到客户死亡。这一重要的解释性综合研究旨在确定病人死亡的影响,并就支持提供初步建议。方法:系统检索APA PsycINFO、CINAHL、MEDLINE、Web of Science、Scopus 5个电子数据库,采用关键词和主题词进行检索。结果:共收录了八篇关于卫生保健工作者病人死亡经历的论文。构念通过对等翻译分析得到并解释。解释后的论点强调了四个相互关联的主题:“个人悲伤:失去的影响”,“被剥夺权利的悲伤:没有人性和联系的空间”,自我照顾和组织期望之间的内在紧张关系:“你需要一点时间重新开始”,以及“我希望有人在那里说话:HCW支持需求”。结论:研究结果表明,卫生保健工作者受到客户死亡的多重影响,但这些影响并没有得到他们所在组织的一致认可或回应。