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    Rights statement: This is the peer reviewed version of the following article: Cramond, L, Fletcher, I, Rehan, C. Experiences of clinical psychologists working in palliative care: A qualitative study. Eur J Cancer Care. 2020; 00:e13220. https://doi.org/10.1111/ecc.13220 which has been published in final form at https://onlinelibrary.wiley.com/doi/full/10.1111/ecc.13220 This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.

    Accepted author manuscript, 320 KB, PDF document

    Embargo ends: 5/01/21

    Available under license: CC BY-NC: Creative Commons Attribution-NonCommercial 4.0 International License

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Experiences of clinical psychologists working in palliative care: A qualitative study

Research output: Contribution to journalJournal article

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Article numbere13220
<mark>Journal publication date</mark>1/05/2020
<mark>Journal</mark>European Journal of Cancer Care
Issue number3
Volume29
Number of pages12
Publication statusPublished
Early online date5/01/20
Original languageEnglish

Abstract

Background
Compassion fatigue refers to the emotional and physical exhaustion felt by professionals in caring roles, whereas compassion satisfaction encompasses the positive aspects of helping others. Levels of compassion satisfaction and fatigue have been found to be inconsistent in palliative care professionals, which could have serious implications for patients, professionals and organisations.

Objectives
This study explored the experiences of clinical psychologists working in palliative care, all worked with adults with cancer, to gain an understanding of the impact this work has on their self and how they manage this.

Methods
A qualitative approach was taken, using semi‐structured interviews and interpretative phenomenological analysis.

Results
Three superordinate themes were identified: commitment, existential impact on the self and the oracle. The participants' experiences were characterised by the relationship between themselves and their patients, the influence of working in palliative services on their world view and the impact of organisational changes. Differences between working as a clinical psychologist in palliative care versus non‐palliative settings were considered.

Conclusions
Professionals working in palliative care should be supported to reflect on their experiences of compassion and resilience, and services should provide resources that facilitate staff to practice positive self‐care to maintain their well‐being.

Bibliographic note

This is the peer reviewed version of the following article: Cramond, L, Fletcher, I, Rehan, C. Experiences of clinical psychologists working in palliative care: A qualitative study. Eur J Cancer Care. 2020; 00:e13220. https://doi.org/10.1111/ecc.13220 which has been published in final form at https://onlinelibrary.wiley.com/doi/full/10.1111/ecc.13220 This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.