How do surgeons experience and cope with the death and dying of their patients? A qualitative study in the context of life-limiting illnesses

Simple item page
dc.contributor.authorZambrano Ramos, S.
dc.contributor.authorChur-Hansen, A.
dc.contributor.authorCrawford, G.
dc.date.issued2013
dc.description.abstract<h4>Background</h4>The present qualitative study explores surgeons' experiences and coping mechanisms with the death of their patients in the context of life-limiting illnesses.<h4>Methods</h4>Nine Australian surgeons participated in in-depth interviews. Thematic analysis of the interview transcriptions allowed for identification of themes and subthemes. Methodological trustworthiness and rigor were preserved at all stages of the research process.<h4>Results</h4>The essence of surgical practice, comprising participants' descriptions of their identity as surgeons, influenced their experiences and coping mechanisms when dealing with death and dying. The following subthemes were identified: distancing from patients, wanting to fix problems, doing in terms of operating on a patient, prominence of the surgeon's personal ability, and high personal responsibility for patient outcomes. Giving hope and having a mixed surgical practice were some of the coping mechanisms described by participants.<h4>Discussion</h4>Death and dying are a part of surgical practice, and surgeons face challenges as they care for dying patients. Although participants stated that they felt less affected by dealing with patients dying of life-limiting illnesses than by unexpected deaths, their descriptions of their encounters, reactions, and behaviors, as well as their use of language, suggest that these deaths have a lasting impact. Potential areas for improvement of surgical practice and approaches to teaching about death and dying in surgery are addressed. Furthermore, the results of this study suggest the need to expand research in this area.
dc.description.statementofresponsibilitySofia C. Zambrano, Anna Chur-Hansen, Gregory B. Crawford
dc.identifier.citationWorld Journal of Surgery, 2013; 37(5):935-944
dc.identifier.doi10.1007/s00268-013-1948-2
dc.identifier.issn0364-2313
dc.identifier.issn1432-2323
dc.identifier.orcidZambrano Ramos, S. [0000-0002-0918-9722]
dc.identifier.orcidChur-Hansen, A. [0000-0002-2935-2689]
dc.identifier.orcidCrawford, G. [0000-0001-7347-8855]
dc.identifier.urihttp://hdl.handle.net/2440/79735
dc.language.isoen
dc.publisherSpringer
dc.rights© Société Internationale de Chirurgie 2013
dc.source.urihttps://doi.org/10.1007/s00268-013-1948-2
dc.subjectHumans
dc.subjectAdaptation, Psychological
dc.subjectAttitude of Health Personnel
dc.subjectAttitude to Death
dc.subjectPhysician's Role
dc.subjectPhysician-Patient Relations
dc.subjectGastroenterology
dc.subjectSpecialties, Surgical
dc.subjectColorectal Surgery
dc.subjectGynecology
dc.subjectQualitative Research
dc.subjectSocial Support
dc.subjectThanatology
dc.subjectPhysicians
dc.subjectSouth Australia
dc.subjectInterviews as Topic
dc.subjectGeneral Surgery
dc.titleHow do surgeons experience and cope with the death and dying of their patients? A qualitative study in the context of life-limiting illnesses
dc.typeJournal article
pubs.publication-statusPublished

Files

Collections

Psychiatry publications