Expressive Writing and Self-Care in Palliative Care Professionals: A Qualitative Longitudinal Study.

IF 1.9 3区心理学 Q3 PSYCHOLOGY, CLINICAL

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-07-23 DOI:10.1007/s10880-025-10082-4

Chiara Cosentino, Giovanna Artioli, Giovanna Casella, Stella Neri, Gisele Manfrini, Clelia D'Apice, Annavittoria Sarli, Antonio Bonacaro

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Abstract

Palliative care professionals are exposed to emotionally intense situations. Stress, anxiety, and burnout can impact the dimension of care through the loss of motivation. Expressive writing in the general population effectively promotes emotion regulation through meaning-making. This study aimed to evaluate the impact of Expressive writing on the meaning change in the perception of traumatic professional events in multi-professional palliative care settings in Italy. We conducted a prospective study with longitudinal qualitative methodology, following an ad-hoc expressive writing protocol. The study involved the selection of 10 various palliative care professionals working in hospices, hospital palliative care units, and community palliative care. We identified six main themes that shifted meaning throughout the four writing sessions: description of the phenomena, strong emotions, health workers' elaborations, processing feelings, improvement strategies, and interior resources. Expressive writing is effective in helping palliative care professionals process intense emotions and feelings related to a traumatic event, stimulating critical self-reflection and self-care, and supporting meaning-making.

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表达性写作与缓和疗护专业人员自我照顾：一项质性纵向研究。

姑息治疗专业人员暴露在情绪紧张的情况下。压力、焦虑和倦怠会通过失去动力影响护理的维度。普通人群的表达性写作通过意义建构有效地促进了情绪调节。本研究旨在评估表达性写作对意大利多专业姑息治疗环境中创伤性专业事件知觉意义变化的影响。我们采用纵向定性方法进行了一项前瞻性研究，遵循特别表达性写作协议。本研究选取了10位不同的缓和疗护专业人员，分别在安宁疗护院、医院缓和疗护单位和社区缓和疗护工作。我们确定了在四个写作环节中改变意义的六个主要主题：对现象的描述、强烈的情绪、卫生工作者的阐述、处理感觉、改进策略和内部资源。表达性写作在帮助姑息治疗专业人员处理与创伤事件相关的强烈情绪和感受、刺激批判性的自我反思和自我照顾以及支持意义构建方面是有效的。

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来源期刊

Journal of Clinical Psychology in Medical Settings PSYCHOLOGY, CLINICAL-

CiteScore

4.00

自引率

4.50%

发文量

期刊介绍： Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.