COVID-19 in oncology palliative care: psychological stress from the perspective of psychodynamics at work

Siqueira, Alex Sandro de Azeredo; Teixeira, Enéas Rangel; Cunha, Daianny Arrais de Oliveira da; Santiago, Fernanda Barcellos; Kirby, Endi Evelin Ferraz; Neves, Luciene Miguel Lima

doi:10.21037/apm-21-56

Cited by 6 publications

(6 citation statements)

References 13 publications

(15 reference statements)

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“…Based on the summary of studies, one of the most notable and commonplace stressors among nurses is workload. Multiple researchers (as indicated in Table 1 ) have pointed out factors such as “Time management in providing care” ( 37 – 39 , 46 ), “care coordination time” ( 13 , 33 , 40 , 44 ), and “the participant cannot finish what is assigned to do in terms of nursing work” ( 6 , 12 , 41 ). These factors refer to the core concept of “High workloads.” High workload results from various reasons, including a shortage of nurses, a large number of patients, and a lack of medical equipment (such as face mask, and latex gloves) that could facilitate nursing tasks.…”

Section: Resultsmentioning

confidence: 99%

Exploring the concept and management strategies of caring stress among clinical nurses: a scoping review

Goudarzian,

Nikbakht Nasrabadi,

Sharif-Nia

et al. 2024

Front. Psychiatry

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ObjectiveThe concept of caring stress and its specific management has received less attention than other dimensions of stress in nurses. Therefore, to clarify the concept of caring stress, a scoping review study was designed. This scoping review aimed to investigate the concept of caring stress among clinical nurses and examine the strategies used for its management.MethodsThis review employed a scoping review methodology to comprehensively map the essential concepts and attributes of the phenomenon by drawing on a wide range of sources. International databases including PubMed, Scopus, Web of Science, Google Scholar, and Scientific Information Database (SID) were searched to gather relevant studies published until October 1, 2023. MESH terms included “caring stress”, “care”, “stress”, “nurse”, and “stress management” were used. Two reviewers independently collected data from full-text papers, ensuring that each paper underwent assessment by at least two reviewers.ResultsOut of 104,094 articles initially searched, 22 articles were included in this study. High workloads, transmitting the infection, stressful thoughts, stressful emotions, and stressful communications were the significant concepts and factors of caring stress among nurses. Also, rest breaks during patient care shifts, playing music in the ward, and denial of critical situations were examples of positive and negative coping and management ways to reduce caring stress.ConclusionEffective stress management strategies can lead to better patient care and safety. Stressed nurses are more likely to make errors or become less vigilant in their duties, impacting patient outcomes. By addressing caring stress, clinical practice can prioritize patient well-being. Further research is required to delve deeper into this critical issue concerning nurses in the future.

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Section: Resultsmentioning

confidence: 99%

Exploring the concept and management strategies of caring stress among clinical nurses: a scoping review

Goudarzian,

Nikbakht Nasrabadi,

Sharif-Nia

et al. 2024

Front. Psychiatry

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“…In addition to the institutions themselves, the medical staff responsible for palliative care also face this new difficulty. Many studies have pointed out the increased psychological burden of providing palliative care at special times (de Azeredo Siqueira et al, 2021; Dhavale et al, 2020; Franchini et al, 2021; Santin et al, 2022; Varani et al, 2021). The stress faced by caregivers stems from fear of making mistakes (Dhavale et al, 2020; Franchini et al, 2021), deterioration of their own physical health (Dhavale et al, 2020; Santin et al, 2022), additional tasks, limited support (Santin et al, 2022), fear of contracting COVID‐19 (Nyblom et al, 2022; Santin et al, 2022), the creation of social distance, and financial stress (Santin et al, 2022).…”

Section: Resultsmentioning

confidence: 99%

“…The impact of related policies has made it difficult for patients to access hospitals, resulting in a decrease in institutional admissions and a significant increase in palliative consultation referrals. This situation has made it difficult for institutions to provide and manage palliative care services, and staff have suffered as a result (de Azeredo Siqueira et al, 2021; Dhavale et al, 2020; Franchini et al, 2021; Mishra et al, 2022; Moriyama et al, 2021; Nyblom et al, 2022; Penel et al, 2021; Rahnea‐Nita et al, 2021; Santin et al, 2022; Varani et al, 2021). Many options for improving palliative care during the COVID‐19 epidemic have also been proposed in the literature, including modification of treatment protocols, enhanced caregiver training, use of electronic patient symptom management programs, and use of telemedicine (Adhikari et al, 2021; Almouaalamy et al, 2022; Biswas, Adhikari, Gupta, et al, 2020; Calton et al, 2020; Caraceni et al, 2022; Cardoso et al, 2021; Frydman et al, 2022; Ghoshal et al, 2022; Jacobson et al, 2021; Palma et al, 2021; Rosa et al, 2022; Wujcik et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

Palliative care for cancer patients during the COVID‐19 pandemic: A narrative synthesis from 36 studies of 16 countries

Zhao

et al. 2023

Journal of Clinical Nursing

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BackgroundDuring the COVID‐19 epidemic, palliative care has become even more indispensable for cancer patients.AimTo identify the changes in palliative care for cancer patients and improvements in palliative care quality during the COVID‐19 pandemic.DesignA systematic review and narrative synthesis was conducted in PubMed, Embase and Web of Science. An evaluation tool using mixed methods was used to assess the quality of the study. The main relevant themes identified were used to group qualitative and quantitative findings.ResultsA total of 36 studies were identified, primarily from different countries, with a total of 14,427 patients, 238 caregivers and 354 health care providers. Cancer palliative care has been experiencing several difficulties following the COVID‐19 pandemic, including increased mortality and infection rates as well as delays in patient treatment that have resulted in poorer prognoses. Treatment providers are seeking solutions such as electronic management of patients and integration of resources to care for the mental health of patients and staff. Telemedicine plays an important role in many ways but cannot completely replace traditional treatment. Clinicians strive to meet patients' palliative care needs during special times and improve their quality of life.ConclusionsPalliative care faces unique challenges during the COVID‐19 epidemic. With adequate support to alleviate care‐related challenges, patients in the home versus hospital setting will be able to receive better palliative care. In addition, this review highlights the importance of multiparty collaboration to achieve personal and societal benefits of palliative care.Patient or Public ContributionNo Patient or Public Contribution.

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“…Due to the isolating situation caused by contact restrictions, the situation is particularly challenging for nurses in PC. 20 …”

Section: Discussionmentioning

confidence: 99%

‘…you just put up with it for the sake of humanity.’: an exploratory qualitative study on causes of stress in palliative care nursing during the COVID-19 pandemic in Germany

et al. 2021

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ObjectiveTo explore and analyse causes of stress among nurses in palliative and inpatient hospice care settings in Germany during the COVID-19 pandemic.DesignExplorative, qualitative study using problem-centred interviews. Interview data were analysed using structured qualitative content analysis.SettingTelephone interviews with nurses of different settings of palliative and inpatient hospice care.Participants16 nurses from inpatient hospice, palliative care units and specialised palliative home care were recruited.ResultsCOVID-19 infection control measures placed both physical and psychological strain on palliative care nurses. Due to changes in infection control information, workflows were being readjusted on a daily basis, preventing everyday routines and hindering relief from stress. There are reduced and limited opportunities for sharing and reflecting on daily working routines with team colleagues. Specific causes of stress in the individual settings of palliative and inpatient hospice care were identified. Overall, there is a tension between the nurses’ perceptions of proper palliative care nursing, in terms of closeness, psychosocial and emotional support and compliance with infection control measures.ConclusionsPalliative care nurses have been exposed to high levels of both physical and psychological stress during the COVID-19 pandemic. This requires rapid relief and support, with a need to ensure continuity of professional supervision and peer-support, which may be facilitated via digital technologies. The unique role of nurses in inpatient hospice and palliative care during COVID-19 ought to be recognised and valorised.

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COVID-19 in oncology palliative care: psychological stress from the perspective of psychodynamics at work

Cited by 6 publications

References 13 publications

Exploring the concept and management strategies of caring stress among clinical nurses: a scoping review

Exploring the concept and management strategies of caring stress among clinical nurses: a scoping review

Palliative care for cancer patients during the COVID‐19 pandemic: A narrative synthesis from 36 studies of 16 countries

‘…you just put up with it for the sake of humanity.’: an exploratory qualitative study on causes of stress in palliative care nursing during the COVID-19 pandemic in Germany

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