Professional grief in cancer care - A scoping review

Svenja Wandke, Hannah Fuehres, Mareike Rutenkroeger, Klaus Lang, Martin Haerter, Karin Oechsle, Isabelle Scholl
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Abstract

Objective: Healthcare professionals (HCPs) in cancer care often face patient deaths, yet there is a notable absence of comprehensive evidence regarding their grief. This scoping review seeks to identify key aspects of professional grief in cancer care and give an overview pertaining its' conceptualization and frequency and intensity. Methods: The primary search covered three databases (PUBMED, PSYNDEX, and PsycINFO). Two independent reviewers assessed 2,248 records, selecting 34 eligible articles. Results: Most studies originated from North America and Israel, with limited evidence from the global south, East Asia and Europe, as well as few quantitative studies. HCPs exhibit classic grief symptoms (such as sadness) and distinct features (e.g., feelings of guilt) in response to patient deaths, though a clear definition and measures of professional grief are lacking. Grief frequency varies highly (from 23% to 100%). Conclusions: Future research should refine definitions and measures to better support HCPs in effectively managing professional grief in cancer care.
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癌症护理中的职业悲伤--范围界定审查
目的:从事癌症护理的医疗保健专业人员(HCPs)经常面临患者死亡的问题,但有关他们悲痛的综合证据却明显缺乏。本范围综述旨在确定癌症护理中职业悲伤的主要方面,并概述其概念化、频率和强度。方法:主要检索涵盖三个数据库(PUBMED、PSYNDEX 和 PsycINFO)。两位独立审稿人评估了 2,248 条记录,筛选出 34 篇符合条件的文章。结果:大多数研究来自北美和以色列,来自全球南部、东亚和欧洲的证据有限,定量研究也很少。职业保健人员在病人死亡时会表现出典型的悲伤症状(如悲伤)和明显的特征(如内疚感),但目前还缺乏对职业悲伤的明确定义和测量方法。悲伤的频率差异很大(从 23% 到 100% 不等)。结论:未来的研究应完善定义和测量方法,以更好地支持职业保健人员有效管理癌症护理中的职业悲伤。
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