Sustaining the workforce: a qualitative study exploring voluntary assisted dying supports and self-care.

IF 1.8 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Internal Medicine Journal Pub Date : 2025-05-28 DOI:10.1111/imj.70067

Casey M Haining, Lindy Willmott, Ben P White

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引用次数: 0

Abstract

Background: Victoria became the first Australian state to pass voluntary assisted dying (VAD) laws. While the VAD workforce has reportedly found this work rewarding, it has been found to take a toll on the workforce, raising sustainability concerns for the system. Little is known about the self-care practices and support structures available to this workforce to support them in delivering VAD.

Aims: This study sought to investigate self-care practices and support structures available to the Victorian VAD clinical workforce.

Methods: Semi-structured interviews were carried out with 37 VAD 'regulators' (i.e. people involved in steering and guiding behaviour in relation to VAD) between September 2022 and July 2023 and analysed using reflexive thematic analysis.

Results: Four themes were identified following analysis: (i) involvement in VAD is challenging; (ii) existing workforce supports and strategies; (iii) challenges with supporting and sustaining the workforce and attempts to address such challenges; and (iv) new approaches are needed to promote sustainability.

Conclusions: There are currently limited support systems and established self-care practices in place to assist the Victorian VAD clinical workforce. Consideration needs to be given to how current structures can be improved and what new strategies can be implemented to support the workforce and protect the system's sustainability.

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维持劳动力：一项探索自愿协助死亡支持和自我护理的定性研究。

背景：维多利亚成为澳大利亚第一个通过自愿协助死亡（VAD）法律的州。据报道，虽然VAD员工发现这项工作很有价值，但也发现它对员工造成了影响，引发了对系统可持续性的担忧。人们对这些工作人员提供的自我保健实践和支持结构知之甚少，以支持他们提供VAD。目的：本研究旨在调查维多利亚州VAD临床工作人员的自我保健实践和支持结构。方法：在2022年9月至2023年7月期间，对37名VAD“监管者”（即参与与VAD相关的指导和指导行为的人）进行了半结构化访谈，并使用反身性主题分析进行了分析。结果：以下分析确定了四个主题：(i)参与VAD具有挑战性；（ii）现有的劳动力支持和策略；（iii）支持和维持劳动力的挑战以及应对这些挑战的尝试；（四）需要新的方法来促进可持续性。结论：目前有有限的支持系统和建立的自我保健实践，以协助维多利亚VAD临床工作人员。需要考虑如何改进当前的结构，以及可以实施哪些新战略来支持劳动力并保护系统的可持续性。

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

Internal Medicine Journal 医学-医学：内科

CiteScore

3.50

自引率

4.80%

发文量

600

审稿时长

3-6 weeks

期刊介绍： The Internal Medicine Journal is the official journal of the Adult Medicine Division of The Royal Australasian College of Physicians (RACP). Its purpose is to publish high-quality internationally competitive peer-reviewed original medical research, both laboratory and clinical, relating to the study and research of human disease. Papers will be considered from all areas of medical practice and science. The Journal also has a major role in continuing medical education and publishes review articles relevant to physician education.