A reflection on the essence of gratitude in palliative care: healing in severe disease and professional affirmation through accompanying patients until the end

Background: Gratitude has sparked interest in the world of health. It is considered as a personality characteristic or as an emotion. However, little has been explored in the context of the interpersonal relationship of caring. An exploration in the context of end of life is ground-breaking. Objecti...

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Main Authors: María Arantzamendi, Maria Aparicio, Carlos Centeno, Sergio Sánchez-Migallón, Mariana Riojas, Victoria De Julián, Mariano Crespo
Format: Article
Language:English
Published: SAGE Publishing 2023-01-01
Series:Palliative Care and Social Practice
Online Access:https://doi.org/10.1177/26323524221147538
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author María Arantzamendi
Maria Aparicio
Carlos Centeno
Sergio Sánchez-Migallón
Mariana Riojas
Victoria De Julián
Mariano Crespo
author_facet María Arantzamendi
Maria Aparicio
Carlos Centeno
Sergio Sánchez-Migallón
Mariana Riojas
Victoria De Julián
Mariano Crespo
author_sort María Arantzamendi
collection DOAJ
description Background: Gratitude has sparked interest in the world of health. It is considered as a personality characteristic or as an emotion. However, little has been explored in the context of the interpersonal relationship of caring. An exploration in the context of end of life is ground-breaking. Objectives: This study analyses and reflects on the object of gratitude from the perspective of both the persons being cared for and the professionals providing health care. What are patients and their family members grateful for in palliative care? What is the reason for gratitude? What do these health professionals perceive when there is gratitude? These questions were answered considering the gratitude generated in health care encounters, not gratitude as personality trait. Methods: The phenomenological approach was used starting from lived clinical experiences. In the light of the dialogue between clinical experiences and philosophy, this study proposes an explanation of the ‘real’ or essential object of gratitude in palliative care. It was conducted within the context of palliative care. The study materials were manifestations of gratitude expressed or felt in clinical encounters and published in newspapers or shared in daily encounters. These were the basis for analysis and reflection and interdisciplinary dialogue. Findings: The analyses performed indicated healing or deep relief in serious diseases as objects of gratitude according to patients’ perspective, and professional self-affirmation until the end according to the professionals’ perspective. Conclusion: The two perspectives shared an important common fact, namely, the need to consider the persons in their entirety, and the importance of not losing sight of the value they have. This concept would characterize the nature of gratitude, its object being the ‘objective good’ for patients, family members, and palliative care professionals.
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spelling doaj.art-74549403b4c441f7b09530f2a1c0edcf2023-01-13T14:03:19ZengSAGE PublishingPalliative Care and Social Practice2632-35242023-01-011710.1177/26323524221147538A reflection on the essence of gratitude in palliative care: healing in severe disease and professional affirmation through accompanying patients until the endMaría ArantzamendiMaria AparicioCarlos CentenoSergio Sánchez-MigallónMariana RiojasVictoria De JuliánMariano CrespoBackground: Gratitude has sparked interest in the world of health. It is considered as a personality characteristic or as an emotion. However, little has been explored in the context of the interpersonal relationship of caring. An exploration in the context of end of life is ground-breaking. Objectives: This study analyses and reflects on the object of gratitude from the perspective of both the persons being cared for and the professionals providing health care. What are patients and their family members grateful for in palliative care? What is the reason for gratitude? What do these health professionals perceive when there is gratitude? These questions were answered considering the gratitude generated in health care encounters, not gratitude as personality trait. Methods: The phenomenological approach was used starting from lived clinical experiences. In the light of the dialogue between clinical experiences and philosophy, this study proposes an explanation of the ‘real’ or essential object of gratitude in palliative care. It was conducted within the context of palliative care. The study materials were manifestations of gratitude expressed or felt in clinical encounters and published in newspapers or shared in daily encounters. These were the basis for analysis and reflection and interdisciplinary dialogue. Findings: The analyses performed indicated healing or deep relief in serious diseases as objects of gratitude according to patients’ perspective, and professional self-affirmation until the end according to the professionals’ perspective. Conclusion: The two perspectives shared an important common fact, namely, the need to consider the persons in their entirety, and the importance of not losing sight of the value they have. This concept would characterize the nature of gratitude, its object being the ‘objective good’ for patients, family members, and palliative care professionals.https://doi.org/10.1177/26323524221147538
spellingShingle María Arantzamendi
Maria Aparicio
Carlos Centeno
Sergio Sánchez-Migallón
Mariana Riojas
Victoria De Julián
Mariano Crespo
A reflection on the essence of gratitude in palliative care: healing in severe disease and professional affirmation through accompanying patients until the end
Palliative Care and Social Practice
title A reflection on the essence of gratitude in palliative care: healing in severe disease and professional affirmation through accompanying patients until the end
title_full A reflection on the essence of gratitude in palliative care: healing in severe disease and professional affirmation through accompanying patients until the end
title_fullStr A reflection on the essence of gratitude in palliative care: healing in severe disease and professional affirmation through accompanying patients until the end
title_full_unstemmed A reflection on the essence of gratitude in palliative care: healing in severe disease and professional affirmation through accompanying patients until the end
title_short A reflection on the essence of gratitude in palliative care: healing in severe disease and professional affirmation through accompanying patients until the end
title_sort reflection on the essence of gratitude in palliative care healing in severe disease and professional affirmation through accompanying patients until the end
url https://doi.org/10.1177/26323524221147538
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