The emotional involvement of physicians in the Oncology Intensive Care Unit: a phenomenological-hermeneutic study.

Oncology emotional involvement emotional labor intensive care unit physicians

Journal

Frontiers in psychology
ISSN: 1664-1078
Titre abrégé: Front Psychol
Pays: Switzerland
ID NLM: 101550902

Informations de publication

Date de publication:
2024
Historique:
received: 11 06 2024
accepted: 20 08 2024
medline: 23 9 2024
pubmed: 23 9 2024
entrez: 23 9 2024
Statut: epublish

Résumé

This phenomenological-hermeneutic study is about the experiences of physicians in the Oncology Intensive Care Unit of the Careggi University Hospital, in Florence. The Oncology Intensive Care Unit is a place of great emotional impact and can be create stressful situations. The emotional labor can lead to the development of cynicism, depersonalization and emotional exhaustion. The objective of the study was to learn about and come into contact with the experiences of operators who operate in a highly specialized and critical context. A semi-structured interview was conducted on 11 physicians in the Oncology Intensive Care Unit of careggi hospital. The interviews were transcribed and subjected to content analysis using the phenomenological-hermeneutic method. The results concerning the emotional involvement of doctors were placed in three macro categories: The interviews highlight the difficulty doctors have in coming into contact with the potentially deadly disease and a further aggravating element appears to be the identification with the patient himself. This condition of difficulty can lead doctors to commit medical errors or to reduce the quality of care. The results that emerged provide a more detailed understanding of the landscape of emotional reactions of working with the cancer patient in the intensive care unit. In light of the high emotional burden and the inherent possibility of developing burnout in this target population of health care workers, knowing the main critical issues and needs reported may facilitate a more effective tailored intervention.

Sections du résumé

Background UNASSIGNED
This phenomenological-hermeneutic study is about the experiences of physicians in the Oncology Intensive Care Unit of the Careggi University Hospital, in Florence. The Oncology Intensive Care Unit is a place of great emotional impact and can be create stressful situations. The emotional labor can lead to the development of cynicism, depersonalization and emotional exhaustion. The objective of the study was to learn about and come into contact with the experiences of operators who operate in a highly specialized and critical context.
Method UNASSIGNED
A semi-structured interview was conducted on 11 physicians in the Oncology Intensive Care Unit of careggi hospital. The interviews were transcribed and subjected to content analysis using the phenomenological-hermeneutic method. The results concerning the emotional involvement of doctors were placed in three macro categories:
Results UNASSIGNED
The interviews highlight the difficulty doctors have in coming into contact with the potentially deadly disease and a further aggravating element appears to be the identification with the patient himself. This condition of difficulty can lead doctors to commit medical errors or to reduce the quality of care.
Conclusion UNASSIGNED
The results that emerged provide a more detailed understanding of the landscape of emotional reactions of working with the cancer patient in the intensive care unit. In light of the high emotional burden and the inherent possibility of developing burnout in this target population of health care workers, knowing the main critical issues and needs reported may facilitate a more effective tailored intervention.

Identifiants

pubmed: 39309148
doi: 10.3389/fpsyg.2024.1447612
pmc: PMC11413587
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1447612

Informations de copyright

Copyright © 2024 Tringali, Carli, Chelazzi, Villa, Lanini, Bianchi, Amato, Romagnoli and Lauro Grotto.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision.

Auteurs

Debora Tringali (D)

Associazione Lapo APS, Florence, Italy.

Bernardo Carli (B)

Associazione Lapo APS, Florence, Italy.

Cosimo Chelazzi (C)

Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy.

Gianluca Villa (G)

Department of Health Sciences, Section of Anesthesiology, Intensive Care and Pain Medicine, University of Florence, Florence, Italy.

Iacopo Lanini (I)

FILE-Fondazione Italiana di Leniterapia, Florence, Italy.

Antonio Bianchi (A)

Department of Health Sciences, Section of Psychology, University of Florence, Florence, Italy.

Alessandra Amato (A)

Associazione Lapo APS, Florence, Italy.

Stefano Romagnoli (S)

Department of Health Sciences, Section of Anesthesiology, Intensive Care and Pain Medicine, University of Florence, Florence, Italy.

Rosapia Lauro Grotto (R)

Department of Health Sciences, Section of Psychology, University of Florence, Florence, Italy.

Classifications MeSH