Evidence map›Paper›PMID 34554042›Full record

ReviewPalliative medicine2022

Adaptation and continuous learning: integrative review of coping strategies of palliative care professionals.

Paula Sapeta, Carlos Centeno, Alazne Belar, María Arantzamendi

Abstract readReview
In one paragraph

Review in Palliative medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Provision of Appropriate Care as a Source of Clinician Distress.The American journal of bioethics : AJOB · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Paula SapetaEscola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, Castelo Branco, Portugal.
Carlos CentenoInstitute for Culture and Society, ATLANTES, Universidad de Navarra, Pamplona, Navarra, Spain.
Alazne BelarInstitute for Culture and Society, ATLANTES, Universidad de Navarra, Pamplona, Navarra, Spain.ORCID 0000-0002-4831-5218
María ArantzamendiInstitute for Culture and Society, ATLANTES, Universidad de Navarra, Pamplona, Navarra, Spain.ORCID 0000-0003-2406-0668

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoping is essential to manage palliative care professionals' challenges. The focus has been on the effects of coping mechanism; however, little is known about coping itself in palliative care.

aimTo synthesise evidence of coping strategies in palliative care professionals, and how different strategies play roles over time.

designSystematically conducted integrative review. DATA SOURCES: PubMed; CINAHL; Medline; PsycINFO and B-ON were searched (1996-2021) combining 'coping' AND 'palliative care'. A predefined data extraction sheet was developed to report data. Two researchers performed constant comparative analysis using Nvivo

resultsThirty-one studies were included. Four main strategies with recurrent reference to time were found: (a) proactive coping, involving activities to achieve self-confidence and control situations and emotions; (b) self-care based coping, including self-protection and self-awareness activities, with behavioural disconnection; (c) self-transformation coping, involving activities to accept limits; and (d) encountering deep professional meaning, is a coping mechanism based on meaning, frequently considering the deepest meaning of work. The dynamic and influencing factors were training, team interaction, professional motivation and family. They were usually protective factors, though sometimes they represented risk factors. The emotional burden associated with healthcare and systemic stressors were always risk factors. An explanatory model describes a complex and dynamic process, in which everyday strategies and more introspective strategies are combined.

conclusionsThe model showed a process of adaptation and learning to persevere in palliative care. It changes over time under factors and strategies, and evolves in a personal and professional transformation, parallel to the working life. It would be worth assessing coping in healthcare professionals who chose to leave palliative care and to investigate the reasons they did so and their coping mechanisms.

Indexed as

Health PersonnelPalliative CareAdaptation, PsychologicalEducation, ContinuingHumansCopingemotional adjustmentemotional demandemotional regulationend-of-life careintegrative reviewpalliative careprofessional developmentreview

Identifiers

PMID34554042
PMCPMC8793319

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.