The Learning of Bereavement Care by Family Physicians: A Qualitative Study

Haruka Izukura, Eiko Yoshizawa, Ayano Hamai, Tadao Okada
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Abstract

Introduction : The learning and practice of bereavement care by Japanese family practitioners has largely been unexplored. The purpose of this study was to clarify what family doctors thought they learned by providing care for bereaved families and how they changed because of it. Methods : Semi-structured interviews were conducted with seven family practitioners working in bereaved family outpatient care at the researcherʼs hospital. A modified grounded theory approach was used for the analysis. Results : The analysis identified five thematic categories: 1) the doctorʼs feelings and thoughts before learning about bereavement care, 2) things they learned from providing bereavement care, 3) things they learned by interacting with the families and things they learned upon reflections afterward, 4) changes in themselves, and 5) changes in their feelings after learning about bereavement care. Conclusion : The doctors learned to provide bereavement care by directly interacting with families and by re-flecting on those experiences; for example, they learned to listen and be empathetic, and to understand indi-vidualsʼ personal responses to grief. As a result, they may have gained the ability to have a more rounded view of life and death and of their role in helping families adjust to the death of a family member.
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家庭医生对丧亲护理的学习:一项质的研究
导言:日本家庭从业者对丧亲护理的学习和实践在很大程度上尚未得到探索。这项研究的目的是澄清家庭医生认为他们在为失去亲人的家庭提供护理中学到了什么,以及他们如何因此而改变。方法:采用半结构式访谈法,对在研究者所在医院从事丧亲家庭门诊服务的7名家庭医生进行访谈。采用一种改进的扎根理论方法进行分析。结果:分析确定了五个主题类别:1)医生在学习丧亲护理前的感受和想法,2)提供丧亲护理的心得,3)与家属互动及事后反思的心得,4)自身的变化,5)学习丧亲护理后的感受变化。结论:医生通过与家属的直接互动和对这些经历的反思,学会了提供丧亲护理;例如,他们学会了倾听和同情,并理解个人对悲伤的个人反应。因此,他们可能有能力对生与死以及他们在帮助家庭适应家庭成员死亡方面的作用有更全面的看法。
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