Clinical application of mindfulness in end-of-life care from the perspective of palliative care professionals: A phenomenological study

IF 2.2 3区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Complementary Therapies in Clinical Practice Pub Date : 2024-08-05 DOI:10.1016/j.ctcp.2024.101891
Wei-Ting Lai , Hsun-Kuei Ko , Wan-Ru Chou , Pei-Yu Lee , Min-Tao Hsu
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Abstract

Background

and Purpose: With mindfulness being increasingly recognized for its potential to address psychological challenges related to advanced or terminal illnesses, palliative care professionals are incorporating mindfulness-based interventions into their practice. However, there is limited understanding of the practical applications of mindfulness in clinical settings, particularly for end-of-life patients. This study explored palliative care professionals’ experiences in delivering mindfulness-based therapy to end-of-life patients, thereby aiming to inform the development of effective interventions.

Materials and methods

Semi-structured interviews were conducted with 15 palliative care professionals. Participants were asked to describe their memorable experiences in applying mindfulness in a clinical setting. Data were analyzed following Moustakas's transcendental phenomenology approach.

Results

The interviews produced three themes: clinicians’ mindfulness experiences form the cornerstone of their clinical application of mindfulness; creating an optimal healing environment is essential for mindfulness practice; and patient-centric mindfulness guidance should be implemented.

Conclusion

This study underscores the critical role of mindfulness in end-of-life care, highlighting its integration into daily life by palliative care professionals. By drawing upon their own mindfulness experiences, palliative care professionals facilitated a therapeutic environment tailored to the unique needs of end-of-life patients. This patient-centered approach not only enhanced the quality of care but also fostered a healing connection rooted in compassion and empathy. The findings advocate for further education and development of mindfulness-based interventions, including group therapies, to support the holistic well-being of patients in collectivist cultures. Future research should further explore the practical applications and benefits of mindfulness in end-of-life care settings.

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从姑息关怀专业人员的角度看正念在临终关怀中的临床应用:现象学研究。
背景:及目的:随着正念在应对晚期或绝症相关心理挑战方面的潜力日益得到认可,姑息关怀专业人员正在将基于正念的干预措施纳入他们的实践中。然而,人们对正念在临床环境中的实际应用,尤其是对生命末期患者的应用了解有限。本研究探讨了姑息关怀专业人员为临终患者提供正念疗法的经验,旨在为开发有效的干预措施提供信息:对 15 名姑息关怀专业人员进行了半结构化访谈。要求参与者描述他们在临床环境中应用正念疗法的难忘经历。按照穆斯塔卡斯(Moustakas)的超越现象学方法对数据进行了分析:访谈产生了三个主题:临床医生的正念经验是他们在临床中应用正念的基石;创造最佳的治疗环境对正念实践至关重要;应实施以患者为中心的正念指导:本研究强调了正念在临终关怀中的关键作用,强调了姑息关怀专业人员将正念融入日常生活的重要性。姑息关怀专业人员通过利用自身的正念经验,为临终病人的独特需求量身打造了一个治疗环境。这种以病人为中心的方法不仅提高了护理质量,还促进了一种植根于同情心和同理心的治疗联系。研究结果提倡进一步教育和发展以正念为基础的干预措施,包括团体疗法,以支持集体主义文化中患者的整体福祉。未来的研究应进一步探索正念在临终关怀环境中的实际应用和益处。
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来源期刊
Complementary Therapies in Clinical Practice
Complementary Therapies in Clinical Practice INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
6.30
自引率
6.70%
发文量
157
审稿时长
40 days
期刊介绍: Complementary Therapies in Clinical Practice is an internationally refereed journal published to meet the broad ranging needs of the healthcare profession in the effective and professional integration of complementary therapies within clinical practice. Complementary Therapies in Clinical Practice aims to provide rigorous peer reviewed papers addressing research, implementation of complementary therapies (CTs) in the clinical setting, legal and ethical concerns, evaluative accounts of therapy in practice, philosophical analysis of emergent social trends in CTs, excellence in clinical judgement, best practice, problem management, therapy information, policy development and management of change in order to promote safe and efficacious clinical practice. Complementary Therapies in Clinical Practice welcomes and considers accounts of reflective practice.
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