Psychological training of palliative care specialists: Russian and foreign practice

Zinchenko D.

doi:10.14529/jpps240303

D. O. Zinchenko Pirogov Russian National Research Medical University (117997, Russia, Moscow, Ostrovityanova str., 1) dzsobesednik@yandex.ru

DOI: https://doi.org/10.14529/jpps240303

Keywords: palliative care, palliative medicine, professional resilience, palliative medicine specialists, quality of professional life, health workers, psychological support

Abstract

Introduction. This comprehensive review presents the results of meta-analyses and systematic literature reviews about palliative care development and staff training strategies, including psychological skill training. Aim: this study aims to provide insights into theoretical and practical aspects of psychological training for palliative care specialists. Materials and methods. This study presents a thorough analysis of 155 scholarly sources, including 100 international authors, over the period of 2014–2024. For this literature review, 45 sources were meticulously selected, complemented by five dissertations and three monographs. The bibliographic databases eLibrary and PubMed served for source identification and analysis. Results. Through an exhaustive examination of theoretical and practical aspects of psychological training for palliative care specialists, a multiparadigm model was analyzed, integrating the personal characteristics of specialists, their professional skills, and communication abilities. The significance of investigating these attributes through comprehensive analytical synthetic approaches within various psychological frameworks was underscored. A discernible disparity in palliative care training was identified, particularly in regards to enhanced focus on fostering empathy, compassion, and communication skills among medical professionals, with a lack of research in hospice nursing, palliative care staff, and nursing unit staff.
Conclusion. The analysis of Russian and international literature demonstrates a growing trend towards the development of standardized methodologies for enhancing the psychological skills of palliative care specialists. However, insufficient attention is paid to the individual characteristics of these specialists, which significantly influence their intrinsic readiness to provide psychological support to palliative patients and their relatives. In Russia, neither psychological assessments nor consultations are conducted during the hiring process for palliative care specialists. Consequently, multidimensional models of research focusing on professionally critical psychological skills are deemed essential.

Downloads

Download data is not yet available.

Author Biography

D. O. Zinchenko , Pirogov Russian National Research Medical University (117997, Russia, Moscow, Ostrovityanova str., 1)

Assistant, Department of Psychotherapy

References

1. Schepin V.O., Telnova E.A., Karpova O.B., Proklova T.N. Palliative care: history, current state, perspectives. Byulleten Natsionalnogo nauchno-issledovatelskogo instituta obshchestvennogo zdorovya imeni N.A. Semashko = Bulletin of Semashko national research institute of public health. 2018;2:98–110. (in Russ.).
2. Novikov G.A., Vvedenskaya E.S., Vaysman M.A., Rudoi S.V. History of development of palliative medical care in the Russian Federation. Palliativnaya meditsina i reabilitatsiya = Palliative Medicine and Rehabilitation. 2020;2:49–55. (in Russ.).
3. Ivanov A. Relieving pain, relieving suffering ... palliative medical care in Russia: yesterday, today, tomorrow. Meditsinskaya gazeta = Medical newspaper. 2017;59:12.
4. Nevzorova D.V., Ustinova A.I., Vagaitseva M.V. The need for psychological support in the provision of palliative care: the view of a medical worker. Pallium: palliativnaya i khospisnaya pomoshch = Pallium: palliative and hospice care. 2023;4:27–32.
5. Masharipova A.V., Nurgalieva N.K., Derbysalina G.A. Actual issues and prospects of training nurses for the palliative care system. Profilakticheskaya meditsina = The Russian Journal of Preventive Medicine. 2023;26(2):24–30. DOI: 10.17116/profmed20232602124
6. Ikorsky A.A. Features of burnout among specialists, working with dying patients. Vestnik Pravoslavnogo Svyato-Tikhonovskogo gumanitarnogo universiteta. Seriya 4: Pedagogika. Psikhologiya = St. Tikhons University Review. Pedagogy. Psychology. 2015;1(36):102–121. DOI: 10.15382/sturIV201536.102-121.
7. Mikirtichan G.L., Chulkova V.A., Pestereva E.V. et al. The risk of a nurse burnout in the sphere of palliative medicine. Meditsina i organizatsiya zdravookhraneniya = Medicine and health care organization. 2019;4(2):37–44
8. Masharipova A.V., Nurgalieva N.K., Derbisalina G.A. Knowledge and skills of nurses in providing palliative care to patients at the PHC stage in foreign countries (literature review). Biologiya i integrativnaya meditsina = Biology and Integrative Medicine. 2021;6(53):176–182.
9. Sizova Zh.M., Nevzorova D.V., Beloborodova A.V. et al. Actual questions of teaching palliative care in a system of further professional education. Anesteziologiya i reanimatologiya = Anesthesiology and Reanimatology. 2016;61(4):260–263. DOI: 10.18821/0201-7563-2016-4-260-263
10. Kolpina L.V. Ageism and its consequences. Meditsinskaya sestra = Nurse. 2017;5:37–39.
11. Lazebnik L.B., Konev Yu.V. Ageism in the time of COVID-19. Klinicheskaya gerontologiya = Clinical gerontology. 2022;1-2. DOI: 10.26347/1607-2499202101-02005-009
12. Kalabina E.G., Gazizova M.R. Ageism: the main directions of research in modern conditions. Vestnik Tomskogo gosudarstvennogo universiteta. Ekonomika = Tomsk State University Journal of Economics. 2021;56:97–108. DOI: 10.17223/19988648/56/7.
13. Kolpina L.V. Age determination of ageism of social and medical workers. Srednerusskii vestnik obshchestvennykh nauk = Central Russian Bulletin of Social Sciences. 2017;1:105–112. DOI: 10.12737/24776
14. Sidorchuk T.A., Sidorchuk M.A. The role of the medical community in the prevention of ageism during a pandemic. Psikhologiya. Istoriko-kriticheskie obzory i sovremennye issledovaniya = Psychology. Historical-critical reviews and modern research. 2021;10(3A):202–210. DOI: 10.34670/AR.2021.73.57.018
15. Ilnitsky A.N., Belousov N.I., Osipova O.A. et al. Scientific research in the field of geron-tology and geriatrics in the Decade of Healthy Aging (2021–2030). Vrach = Doctor. 2021;32(6):5–8. DOI: 10.29296/25877305-2021-06-01
16. Kolpina L.V. Eidzhizm v obsluzhivanii pozhilykh grazhdan uchrezhdeniyami zdravookhraneniya i sotsialnoi zashchity [Ageism in the service of senior citizens by health and social protection institutions: monograph]. Ulyanovsk. Zebra Publ. 2015:128.
17. Turton B.M., Williams S., Burton C.R., Williams L. Arts-based palliative care training, education and staff development: A scoping review. Palliative Medicine. 2018;32(2):559–570. DOI: 10.1177/0269216317712189.
18. Van den Block L., Honinks E., Pivodic L. et al. PACE trial group. Evaluation of a palliative care program in nursing homes in 7 countries: the PACE cluster randomized clinical trial. JAMA Internal Medicine. 2020;180(2):233–242. DOI: 10.1001/jamainternmed.2019.5349.
19. Gillman L., Adams J., Kovacs R. et al. Strategies to promote coping and resilience among oncology and palliative care nurses caring for adult patients with cancer: an integrative systematic review. Joanna Briggs Institute Database of Systematic Reviews and Implementation Reports. 2015;13(5):131–204. DOI: 10.11124/jbisrir-2015-1898.
20. Currie C., Middleton H., Brown B. Palliative care education. Nurs Older People. 2009;21(9):18–23. DOI: 10.7748/nop2009.11.21.9.18.c7346.
21. Van de Geer J., Groot M., Andela R. et al. Training hospital staff in spiritual care in palliative care influences patient-reported outcomes: results of a quasi-experimental study research. Palliative Medicine. 2017;31(8):743–753. DOI: 10.1177/0269216316676648.
22. Bolt S.R., Meyers J.M., van der Steen J.T. et al. The needs of nursing staff in providing palliative care to people with dementia at home or in nursing homes: a survey. Journal of Nursing Scholarship. 2020;52(2):164–173. DOI: 10.1111/jnu.12542.
23. Huyten D.K., Bolt S.R., Meesterberends E., Meyers J.M. Nurses support needs in providing high-quality palliative care to people with dementia in hospital settings: a cross-sectional survey study. Journal of Nursing Scholarship. 2023;55(2):405–412. DOI: 10.1111/jnu.12828.
24. Chen I.H., Lin K.Y., Hu S.H. et al. Palliative care for advanced dementia: knowledge and attitudes of long-term care staff. Journal of Clinical Nursing. 2018;27(3-4):848–858. DOI: 10.1111/jocn.14132.
25. Dolgova V.I., Melnik E.V. Empatiya [Empathy]. Moscow. Pero Publ. 2014:185.
26. Slesarenko Z.R. Empatiya kak atributivnoe svoistvo kultury [Empathy as an attribute property of culture]. Kazan. Publ. Kazanskii gosudarstvennyi energeticheskii universitet. 2017:130.
27. Duarte J., Pinto-Gouveia J. Empathy and guilt experienced by nurses: a cross-sectional study of their role in symptoms of burnout and compassion fatigue. Applied Nursing Research. 2017;35:42–47. DOI: 10.1016/j.apnr.2017.02.006
28. Duarte J., Pinto-Gouveia J. The role of psychological factors in oncology nurses symptoms of burnout and compassion fatigue. European Journal of Oncology Nursing. 2017;28:114–121. DOI: 10.1016/j.ejon.2017.04.002
29. Zhao J., Xiantao O., Li Q. et al. The role of narrative medicine education in developing empathy in residents. BMC Medical Education. 2023;23(1):124. DOI: 10.1186/s12909-023-04096-5
30. Liao H.C., Wang Y.H. Storytelling in medical education: Narrative medicine as a resource for interdisciplinary collaboration. International Journal of Environmental Research and Public Health. 2020;17(4):1135. DOI: 10.3390/ijerph17041135
31. Bouffel du Vaur S., Lemonnier S., Bunge L. et al. Developing empathy among medical students: a randomized controlled trial conducted at two sites. Journal of Psychosomatic Research. 2017;103:102–107. DOI: 10.1016/j.jpsychores.2017.10.008
32. Lemonnier C., Buffel du Vaur S., Hertel N. et al. Balint groups and narrative medicine compared with a control condition in developing empathy in college students. BMC Medical Education. 2020;20(1):412. DOI:10.1186/s12909-020-02316-w
33. Trotter S.A. Do you need compassion to work in palliative medicine? BMJ Supportive and Palliative Care. 2021;11(4):422–426. DOI: 10.1136/bmjspcare-2020-002535
34. OMahony S., Ziadni M., Hoerger M. et al. Compassion fatigue among palliative care physicians: findings from personality factors and years of service. American Journal of Hospice and Palliative Medicine. 2018;35(2):343–347. DOI: 10.1177/1049909117701695
35. Delaney Mac. Caring for caregivers: Evaluating the impact of an eight-week pilot program of mindful self-compassion (MSC) training on nurses fatigue and resilience. PLoS One. 2018;13(11):e0207261. DOI: 10.1371/journal.pone.0207261
36. Vasilyeva S.N., Rylskaya E.A. Psychological training and narrative interview as a means of developing human vitality in old age. Mir nauki. Pedagogika i psikhologiya = World of Science. Pedagogy and psychology. 2023;11(4):35PSMN423 Available at: https://mir-nauki.com/PDF/35PSMN423.pdf. (accessed: 20.12.2023) (in Russ.).
37. Vasilyeva S.N., Rylskaya E.A. Constructing the definition of the concept “professional vitality”. Yaroslavskii pedagogicheskii vestnik = Yaroslavl Pedagogical Bulletin. 2019;2(107):106–113. DOI: 10.24411/1813-145X-2019-10358

References on translit

-