?Not Just Anybody Can Do It?: A Qualitative Study of the Lived Experience of Inpatient Palliative Care Professionals in China's Mainland

Background: Over the past 5 years, China has invested substantially in palliative care programs to meet the rising demand for such services. In China's mainland, most palliative care programs are embedded within an established hospital unit, but a small subset of providers practice exclusively...

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Main Authors: Rui Fu, Jia Lu Lilian Lin, Jianjun Jiang, Tingting Zhou, Jay Pan, Peter C. Coyte
Format: Article
Language:English
Published: Mary Ann Liebert 2021-04-01
Series:Palliative Medicine Reports
Subjects:
Online Access:https://www.liebertpub.com/doi/full/10.1089/PMR.2021.0014
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author Rui Fu
Jia Lu Lilian Lin
Jianjun Jiang
Tingting Zhou
Jay Pan
Peter C. Coyte
author_facet Rui Fu
Jia Lu Lilian Lin
Jianjun Jiang
Tingting Zhou
Jay Pan
Peter C. Coyte
author_sort Rui Fu
collection DOAJ
description Background: Over the past 5 years, China has invested substantially in palliative care programs to meet the rising demand for such services. In China's mainland, most palliative care programs are embedded within an established hospital unit, but a small subset of providers practice exclusively in a stand-alone inpatient palliative care department. Objective: To explore the lived experience of professionals at an independently operating palliative care hospital department in China's mainland. Design: We used purposive sampling to select palliative care physicians and nurses. Semistructured in-depth interviews were conducted in person. Thematic analysis was used to elicit key themes that pertained to participants' lived experience. Setting/Subjects: Ten palliative care physicians and seven nurses at the palliative medicine department in the West China Fourth Hospital of Sichuan University in Chengdu, Sichuan Province, participated in the interviews. Results: Three themes related to participants' lived experience were (1) interactions with patients and families (e.g., frequent encounters with death, communication difficulties, witnessing family struggles, and developing mutually trusting relationships); (2) factors influencing their work life (e.g., supportive working environment, unmet training needs, policy restrictions, and lack of public awareness); and (3) perceived nature of work (e.g., complex and demanding, underappreciation, encroachment of work stress into personal life, deriving accomplishment from work, and personal growth). Conclusion: This study helps fill the void in the palliative care literature regarding the lived experience of inpatient palliative care professionals in China's mainland. Our findings revealed factors influencing the well-being of palliative care professionals that are meaningful to policymakers.
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spelling doaj.art-dfafd3bb595c4a8c8eca1fb620eb059b2024-01-26T04:57:29ZengMary Ann LiebertPalliative Medicine Reports2689-28202021-04-012110411210.1089/PMR.2021.0014?Not Just Anybody Can Do It?: A Qualitative Study of the Lived Experience of Inpatient Palliative Care Professionals in China's MainlandRui FuJia Lu Lilian LinJianjun JiangTingting ZhouJay PanPeter C. CoyteBackground: Over the past 5 years, China has invested substantially in palliative care programs to meet the rising demand for such services. In China's mainland, most palliative care programs are embedded within an established hospital unit, but a small subset of providers practice exclusively in a stand-alone inpatient palliative care department. Objective: To explore the lived experience of professionals at an independently operating palliative care hospital department in China's mainland. Design: We used purposive sampling to select palliative care physicians and nurses. Semistructured in-depth interviews were conducted in person. Thematic analysis was used to elicit key themes that pertained to participants' lived experience. Setting/Subjects: Ten palliative care physicians and seven nurses at the palliative medicine department in the West China Fourth Hospital of Sichuan University in Chengdu, Sichuan Province, participated in the interviews. Results: Three themes related to participants' lived experience were (1) interactions with patients and families (e.g., frequent encounters with death, communication difficulties, witnessing family struggles, and developing mutually trusting relationships); (2) factors influencing their work life (e.g., supportive working environment, unmet training needs, policy restrictions, and lack of public awareness); and (3) perceived nature of work (e.g., complex and demanding, underappreciation, encroachment of work stress into personal life, deriving accomplishment from work, and personal growth). Conclusion: This study helps fill the void in the palliative care literature regarding the lived experience of inpatient palliative care professionals in China's mainland. Our findings revealed factors influencing the well-being of palliative care professionals that are meaningful to policymakers.https://www.liebertpub.com/doi/full/10.1089/PMR.2021.0014health personnelinpatientspalliative carepalliative medicinequalitative research
spellingShingle Rui Fu
Jia Lu Lilian Lin
Jianjun Jiang
Tingting Zhou
Jay Pan
Peter C. Coyte
?Not Just Anybody Can Do It?: A Qualitative Study of the Lived Experience of Inpatient Palliative Care Professionals in China's Mainland
Palliative Medicine Reports
health personnel
inpatients
palliative care
palliative medicine
qualitative research
title ?Not Just Anybody Can Do It?: A Qualitative Study of the Lived Experience of Inpatient Palliative Care Professionals in China's Mainland
title_full ?Not Just Anybody Can Do It?: A Qualitative Study of the Lived Experience of Inpatient Palliative Care Professionals in China's Mainland
title_fullStr ?Not Just Anybody Can Do It?: A Qualitative Study of the Lived Experience of Inpatient Palliative Care Professionals in China's Mainland
title_full_unstemmed ?Not Just Anybody Can Do It?: A Qualitative Study of the Lived Experience of Inpatient Palliative Care Professionals in China's Mainland
title_short ?Not Just Anybody Can Do It?: A Qualitative Study of the Lived Experience of Inpatient Palliative Care Professionals in China's Mainland
title_sort not just anybody can do it a qualitative study of the lived experience of inpatient palliative care professionals in china s mainland
topic health personnel
inpatients
palliative care
palliative medicine
qualitative research
url https://www.liebertpub.com/doi/full/10.1089/PMR.2021.0014
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