Concepts of Suffering at the End of Life Amongst Emergency, Palliative Care and Geriatric Medicine Physicians in Malaysia
American Journal of Hospice and Palliative Medicine®,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 29, 2025
Background
Palliative
Care,
Geriatrics
and
Emergency
physicians
are
exposed
to
death,
terminally
ill
patients
distress
of
their
families.
As
bear
witness
patients’
suffering,
they
vulnerable
the
costs
caring—the
emotional
associated
with
providing
compassionate
empathetic
care
patients.
If
left
unattended,
this
may
culminate
in
burnout
compromise
professional
identity.
This
study
aims
provide
a
better
understanding
suffering
across
various
practice
settings
specialties
guide
design
support
frameworks
for
Methods
From
August
2023
September
2024,
semi-structured
interviews
were
conducted
sixteen
12
13
from
hospitals
Malaysia.
Interview
transcripts
analyzed
using
both
inductive
deductive
qualitative
analyses.
Results
Data
analysis
revealed
three
key
domains:
(1)
living
dying
well,
(2)
definition
(3)
impact
patient
on
physicians.
Conclusion
Physicians’
concepts
good
life
death
frame
notions
beyond
antithesis
life.
Suffering
is
found
be
at
loss
control,
independence
dignity,
alongside
presence
physical,
existential
distress.
Witnessing
predisposes
physician
as
question
goals
roles
care.
Our
findings
underscore
need
host
organizations,
clinical
departments
invest
more
We
believe
these
ought
applicable
many
resource-limited
nations
other
health
professionals
Malaysian
shores.
Language: Английский
The impact of death and caring for the dying and their families on surgeons - an AI assisted systematic scoping review
Jaimee Tan,
No information about this author
Yun Ting Ong,
No information about this author
Victoria Jia En Fam
No information about this author
et al.
BMC Surgery,
Journal Year:
2025,
Volume and Issue:
25(1)
Published: Feb. 5, 2025
Abstract
Context
Surgeons
are
taking
central
roles
in
caring
for
patients
leaving
them
prone
to
the
emotional
turmoil
and
grief
of
families
moral,
psychological
existential
distress
members
interprofessional
team
trainees.
This
has
implications
on
patient
safety
surgeon
welfare.
Objectives
A
systematic
scoping
review
was
carried
out
address
primary
research
question
“what
is
known
effects
dying
impact
patient’s
death
surgeons?”.
It
hoped
that
insights
gained
will
better
guide
support
assessment
surgeons
their
evolving
roles.
Methods
Guided
by
Systematic
Evidence-based
Approach
(SEBA),
we
conducted
a
(SSR).
included
articles
published
between
1st
January
2000
2nd
September
2024
Pubmed,
Embase,
Scopus,
Google
Scholar,
ERIC
databases.
To
enhance
trustworthiness
comprehensiveness
our
identified
were
also
evaluated
using
ChatGPT
4o
Notebook
LM.
The
findings
these
assistive
processes
compared
with
independent
thematic
content
analysis
two
teams.
Results
In
total,
4966
titles
abstracts
identified,
174
full-text
reviewed,
26
analysed.
With
AI
tools
echoing
teams-
key
domains
identified:
(1)
personhood,
(2)
predisposing
factors.
Conclusion
assisted
SSR
SEBA
confirms
do
suffer
from
cumulative
supporting
family
Without
timely
personalized
depression,
burnout,
substance
abuse,
compromises
experiences,
outcomes,
satisfaction.
need
effective
longitudinal
clear.
Language: Английский
Moral Distress and the Cost of Caring Amongst Medical Oncologists in Singapore
Vijayendran Rajalingam,
No information about this author
Yutian Yu,
No information about this author
Yun Ting Ong
No information about this author
et al.
American Journal of Hospice and Palliative Medicine®,
Journal Year:
2025,
Volume and Issue:
unknown
Published: March 27, 2025
Background
Moral
distress
(MD),
the
notion
of
not
being
permitted
to
act
in
a
morally
and
ethically
correct
manner,
is
evident
amongst
oncologists
caring
for
terminally
ill
patients.
Oncologists
often
contend
with
complex
decisions,
such
as
withholding
treatment
managing
family
distress.
Sociocultural
individual
considerations
also
influence
an
oncologist’s
perception
MD,
which
can
vary
severity
due
changing
ethical,
practical,
clinical,
moral
professional
shifting
contextual
circumstances.
Their
impact
compromises
wellbeing,
patient
outcomes
care
their
family.
Recent
data
suggests
long-term
consequences
MD
alludes
broader
cost
that
encompasses
compassion
fatigue,
vicarious
trauma,
secondary
traumatic
stress
burnout.
Methods
This
study
aims
determine
how
Singapore
experience
costs
through
analysis
interviews
12
oncologists.
Results
Analysis
interview
transcripts
revealed
following
domains:
1)
sources
MD;
2)
caring;
3)
protective
factors.
Conclusion
Singaporean
frequently
isolated
experience;
rather,
it
leads
growing
oncologists—contributing
wider
caring.
then
impacts
oncologists’
decisioning,
actions,
practice
career
trajectories.
Longitudinal
structured
training,
establishing
personalised
support
all
creating
safe
working
environment
supported
by
host
organisation
are
thus
critical
ensure
sustainable
practice.
Language: Английский
Occupational Risk Factors for Burnout Syndrome Among Healthcare Professionals: A Global Systematic Review and Meta-Analysis
Sohrab Amiri,
No information about this author
Nailah Mahmood,
No information about this author
Halla Mustafa
No information about this author
et al.
International Journal of Environmental Research and Public Health,
Journal Year:
2024,
Volume and Issue:
21(12), P. 1583 - 1583
Published: Nov. 27, 2024
Health
professionals
are
disproportionately
affected
by
burnout
compared
to
other
occupational
groups.
This
study
aims
systematically
review
and
meta-analyze
thirteen
risk
factors
related
syndrome
among
health
globally.
A
comprehensive
literature
search
was
conducted
in
August
2023.
The
protocol
registered
International
Prospective
Register
of
Systematic
Reviews
(PROSPERO),
registration
number
CRD42023396081.
Using
a
random-effects
model,
this
meta-analysis
assessed
the
association
between
burnout,
reporting
odds
ratios
(ORs)
95%
confidence
intervals
(CIs).
included
109
studies
from
diverse
global
locations.
Key
influencing
workplace
bullying,
job
stress,
poor
communication,
with
protective
such
as
supportive
work
environments,
adequate
staffing,
individual
resilience.
All
examined
showed
significant
positive
relationship
incidence.
Workplace
bullying
strongly
associated
increased
(OR
4.05–15.01,
p
<
0.001).
Similarly,
low
satisfaction
high
stress
were
ORs
5.05
(95%
CI
3.88–6.56,
0.001)
4.21
1.62–10.94,
=
0.003),
respectively.
findings
highlight
importance
addressing
these
through
enhanced
environments
promoting
personal
resilience
strategies.
Language: Английский