The physician's suffering in the face of the patient's death: an integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v11i10.33154

Keywords:

Physicians; Psychological stress; Death.

Abstract

Objective: To analyze in the scientific literature the published evidence on the suffering of the medical professional in the face of the patient's death. Method: An integrative review of the scientific literature published in Pubmed, Scielo, Lilacs, Cinahl, Scopus and Web of Science databases was performed. The search was guided by the research question: What are the scientific evidence about the physician's suffering in the face of the inpatient's death? The search was carried out in June and July 2022. Scientific articles published between the years 2017 to 2022 were included. Results: Seven articles with varied methodological designs were selected, reporting the physician's feeling regarding the patient's death, its consequences and coping mechanisms. Conclusion: The physician's suffering in the face of the patient's death is present with varied consequences and greater training of this professional is necessary, as well as further studies are needed to evaluate the various aspects and coping mechanisms.

References

Botelho, L. L. R., Cunha, C. C. de A., & Macedo, M. (2011). O método da revisão integrativa nos estudos organizacionais. Gestão e Sociedade, 5(11), 121. https://doi.org/10.21171/ges.v5i11.1220

Destro, C., Destro, C. R. de S., Destro, L. R. de S., Silva, R. M. C. R. A., & Pereira, E. R. (2022). Evidências científicas do luto do profissional da equipe de enfermagem frente ao óbito do paciente no ambiente hospitalar: Uma revisão integrativa. Research, Society and Development, 11(6), e30611629126–e30611629126. https://doi.org/10.33448/rsd-v11i6.29126

Destro, C. R. de S., Destro, C., Destro, L. R. de S., Silva, R. M. C. R. A., & Pereira, E. R. (2022). O atendimento na insuficiência cardíaca crônica e sua inserção nos cuidados paliativos. Research, Society and Development, 11(7), e24411729632–e24411729632. https://doi.org/10.33448/rsd-v11i7.29632

Dias, F. A., Pereira, E. R., Silva, R. M. C. R. A., & Medeiros, A. Y. B. B. V. de. (2020). Espiritualidade e saúde: Uma reflexão crítica sobre a vida simbólica. Research, Society and Development, 9(5), e52953113–e52953113. https://doi.org/10.33448/rsd-v9i5.3113

ffrench-O’Carroll, R., Feeley, T., Crowe, S., & Doherty, E. M. (2019). Grief reactions and coping strategies of trainee doctors working in paediatric intensive care. British Journal of Anaesthesia, 123(1), 74–80. Scopus. https://doi.org/10.1016/j.bja.2019.01.034

Flores, I. P., Pereira, E. R., Silva, R. M. C. R. A., Bezerra, C. M. P. D., & Alcantara, V. C. G. de. (2020). A religiosidade e sua influência no processo de cura terapêutico. Research, Society and Development, 9(6), 59. https://dialnet.unirioja.es/servlet/articulo?codigo=7435464

Granek, L., Ben-David, M., Nakash, O., Cohen, M., Barbera, L., Ariad, S., & Krzyzanowska, M. K. (2017). Oncologists’ negative attitudes towards expressing emotion over patient death and burnout. Supportive Care in Cancer, 25(5), 1607–1614. Scopus. https://doi.org/10.1007/s00520-016-3562-y

Kovács. (2010). Sofrimento da equipe de saúde no contexto hospitalar: Cuidando do cuidador profissional. O Mundo da Saúde, 34(4), 420–429. https://doi.org/10.15343/0104-7809.20104420429

Kovács, M. J. (2014). A caminho da morte com dignidade no século XXI. Revista Bioética, 22(1), 94–104. https://doi.org/10.1590/S1983-80422014000100011

Laor-Maayany, R., Goldzweig, G., Hasson-Ohayon, I., Bar-Sela, G., Engler-Gross, A., & Braun, M. (2020). Compassion fatigue among oncologists: The role of grief, sense of failure, and exposure to suffering and death. Supportive Care in Cancer, 28(4), 2025–2031. Scopus. https://doi.org/10.1007/s00520-019-05009-3

Linane, H., Connolly, F., McVicker, L., Beatty, S., Mongan, O., Mannion, E., Waldron, D., & Byrne, D. (2019). Disturbing and distressing: A mixed methods study on the psychological impact of end of life care on junior doctors. Irish Journal of Medical Science, 188(2), 633–639. Scopus. https://doi.org/10.1007/s11845-018-1885-z

Magalhães, M. V., & Melo, S. C. A. (2015). MORTE E LUTO: O sofrimento do profissional da saúde. Psicologia e Saúde em debate, 1(1), 65–77. http://www.psicodebate.dpgpsifpm.com.br/index.php/periodico/article/view/7

Medisauskaite, A., & Kamau, C. (2019). Reducing burnout and anxiety among doctors: Randomized controlled trial. Psychiatry Research, 274, 383–390. Scopus. https://doi.org/10.1016/j.psychres.2019.02.075

Mendes, K. D. S., Silveira, R. C. de C. P., & Galvão, C. M. (2008). Revisão integrativa: Método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & Contexto - Enfermagem, 17(4), 758–764. https://doi.org/10.1590/S0104-07072008000400018

Minkowski, E. (2000). Breves reflexões a respeito do sofrimento (aspecto pático da existência) (M. V. P. de C. Pacheco, Trad.). Revista Latinoamericana de Psicopatologia Fundamental, 3(4), 156–164. https://doi.org/10.1590/1415-47142000004012

Parkes, C. M. (1985). Bereavement. British Journal of Psychiatry, 146(1), 11–17. Cambridge Core. https://doi.org/10.1192/bjp.146.1.11

Parkes, C. M. (1998a). Bereavement in adult life. BMJ (Clinical Research Ed.), 316(7134), 856–859. https://doi.org/10.1136/bmj.316.7134.856

Parkes, C. M. (1998b). Facing loss. BMJ (Clinical Research Ed.), 316(7143), 1521–1524. https://doi.org/10.1136/bmj.316.7143.1521

Popa-Velea, O., Truţescu, C.-I., Diaconescu, L. V., Trutescu, C., & Trutescu, C.-I. (2019). The impact of Balint work on alexithymia, perceived stress, perceived social support and burnout among physicians working in palliative care: A longitudinal study. International Journal of Occupational Medicine & Environmental Health, 32(1), 53–63. https://doi.org/10.13075/ijomeh.1896.01302

Ramos, E. S. G., & Garcia, R. R. (2022). Cuidados paliativos e conhecimento docente: Diálogos possíveis na área da saúde. Research, Society and Development, 11(1), e19211124651–e19211124651. https://doi.org/10.33448/rsd-v11i1.24651

Silva, A. E., Guimarães, M. A. M., Carvalho, R. C., Carvalho, T. V., Ribeiro, S. A., & Martins, M. R. (2021). Cuidados paliativos: Definição e estratégias utilizadas na prática médica. Research, Society and Development, 10(1), e18810111585–e18810111585. https://doi.org/10.33448/rsd-v10i1.11585

Stroebe, M., & Schut, H. (1999). The dual process model of coping with bereavement: Rationale and description. Death Studies, 23(3), 197–224. https://doi.org/10.1080/074811899201046

Stroebe, M., & Schut, H. (2010). The dual process model of coping with bereavement: A decade on. Omega, 61(4), 273–289. https://doi.org/10.2190/OM.61.4.b

Stroebe, M., Schut, H., & Boerner, K. (2010). Continuing bonds in adaptation to bereavement: Toward theoretical integration. Clinical Psychology Review, 30(2), 259–268. https://doi.org/10.1016/j.cpr.2009.11.007

Tamada, J. K. T., Dalaneze, A. S., Bonini, L. M. de M., & Melo, T. R. de C. (2017). Relatos de médicos sobre a experiência do processo de morrer e a morte de seus pacientes. Revista de Medicina, 96(2), 81–87. https://doi.org/10.11606/issn.1679-9836.v96i2p81-87

Zeitlin, S. V. (2001). Grief and bereavement. Primary Care, 28(2), 415–425. https://doi.org/10.1016/s0095-4543(05)70031-2

Published

09/08/2022

How to Cite

DESTRO, C.; DESTRO, C. R. de S.; DESTRO, L. R. de S. .; SILVA, R. M. C. R. A.; PEREIRA, E. R. . The physician’s suffering in the face of the patient’s death: an integrative review. Research, Society and Development, [S. l.], v. 11, n. 10, p. e517111033154, 2022. DOI: 10.33448/rsd-v11i10.33154. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/33154. Acesso em: 26 nov. 2022.

Issue

Section

Health Sciences