Reflexión sobre la experiencia de la muerte del paciente en mi ejercicio profesional
Death is a biological fact. It has always been a subject of deep reflection for man. Perhaps, it is the most significant experience for the individual himself, for his affections and for the physician who cares for him at the end of life. Materials and methods Descriptive cross-sectional study with...
Guardado en:
| Publicado en: | Revista Médica Universitaria |
|---|---|
| Autores principales: | , , , |
| Materias: | |
| Acceso en línea: | https://bdigital.uncu.edu.ar/fichas.php?idobjeto=8440 |
| todos_str_mv |
1221 8432 HospLagClinMed HospLagClinMed HospLagClinMed HospLagClinMed spa Trabajo original |
|---|---|
| descriptores_str_mv |
Análisis cualitativo Análisis estadístico Encuestas Investigación participativa Médicos Muerte Pacientes Práctica profesional Relaciones médico-paciente |
| autor_str_mv |
Carena, José Alberto Elaskar, María Cielo Amira Rivas, Mirta Daniela Salomón, Susana Elsa |
| disciplina_str_mv |
Ciencias médicas |
| description_str_mv |
Death is a biological fact. It has always been a subject of deep reflection for man. Perhaps, it is the most significant experience for the individual himself, for his affections and for the physician who cares for him at the end of life. Materials and methods Descriptive cross-sectional study with quantitative and qualitative techniques (participatory research). A self-administered and anonymous survey was used with structured, semi-structured and open questions that allowed an extensive account of the situation perceived before the death of the first patient in the professional practice and the death of the patient who most affected him/her(if these situations did not match). It included a report of perceptions, behaviors and the experiences lived. Sociodemographic variables and answers to closed questions were analyzed. From the extensive accounts, a qualitative analysis was made by coding the text in units of meaning with a descriptive statistical analysis of these units. Results 48 physicians participated. Of these, 35 physicians were under the age of 40 (Youngers) (mean age 29.54 years) and 13 were older (Olders) (mean age 62.5 years), 52% were women. The Youngers had an average of 4 years of professional experience and the Olders of 32 years. For the Youngers the patient was their first one in 63% of the cases, for the Olders in 46%. The main perception to the first deceased patient were sadness (54%), tranquility and distress (26%), impotence (23%), worry and grief (17%), and relief (14%) in the Youngers. Sadness, anguish, and impotence prevailed for the patient that most affected them. Among the Olders, when their first patient died, impotence and distress (46%) and sadness (38%) were the most frequent perceptions. When the most touching patient died, sadness and anguish prevailed followed by pain and impotence. Younger participants expressed more perceptions than the Olders. About the reflections, in both groups the impact of unexpected death and of young patients death predominated. Accompaniment, empathy with the family and a good physician-patient relationship caused tranquility and relief. A striking fact is that in the Olders guilt and frustration were felt when they couldn’t do any more for the patient. In the younger ones, surprise manifested in different situations. In both groups, impotence was manifested in situations that exceeded medical practice and that made them feel identified, with difficulties in separating personal and professional experience. Conclusions This research shows that we are human beings, not only physicians, and that death also affects us, with difficulties to confront it. This makes us think about how important the learning of accompaniment skills is in the initial formation. In the professionals, feelings were mobilized and a positive reflection was made. La muerte es un hecho biológico. Ha sido siempre para el hombre un tema de profundas reflexiones. Es quizás la experiencia más significativa para el propio individuo, sus afectos y también para el médico que lo acompaña en el final de la vida. Materiales y Métodos: Estudio descriptivo transversal, con técnicas cuantitativas y cualitativas (investigación participativa). Se utilizó una encuesta autoadministrada y anónima con preguntas estructuradas, semi estructuradas y abiertas que permitieron un relato extenso de la situación percibida ante la muerte del primer paciente en el ejercicio profesional y la muerte del paciente que mas lo afectó (si éstas situaciones no coincidían). Se incluyó relato de percepciones, conductas tomadas y experiencias vividas. Se analizaron variables sociodemográficas y respuestas a preguntas cerradas. De los relatos extensos se hizo un análisis cualitativo mediante la codificación del texto en unidades de significado y un posterior análisis estadístico descriptivo de estas unidades. Resultados: Aceptaron participar 48 médicos. De ellos 35 médicos tenían menos de 40 años (Menores) (edad promedio 29.54 años) y 13 eran mayores de esa edad (Mayores) (edad promedio 62.5 años), 52% eran mujeres. Los Menores tenían en promedio 4 años de experiencia profesional y los Mayores, 32 años. De los Menores el 63% se trataba de su primer paciente, para los Mayores 46%. Los relatos de los Menores ante el primer paciente fallecido revelan como principales percepciones la tristeza (54%), tranquilidad y angustia (26%), impotencia (23%), preocupación y pena (17%) y alivio (14%). Ante el paciente que más los afectó predominó la tristeza, la angustia y la impotencia. Entre los Mayores ante el primer paciente fallecido, la impotencia y angustia (46%) y la tristeza (38%) fueron las más frecuentes. Ante el paciente más sentido, predominaron la tristeza y angustia seguido por dolor e impotencia. Los participantes más jóvenes expresaron más percepciones que los Mayores. Con respecto a la reflexiones, en ambos grupos predominó el impacto ante la muerte inesperada y en pacientes jóvenes. Genera tranquilidad y alivio el acompañamiento, empatía con la familia, la buena relación médico-paciente. Algo llamativo es que en los Mayores se manifiesta la sensación de culpa, de frustración ante el no poder haber hecho más por el paciente. En los más jóvenes, se manifiesta la sorpresa ante distintas situaciones. En ambos grupos se manifestó la impotencia ante situaciones que exceden la labor médica y el sentirse identificado, con dificultades para separar la experiencia personal de lo profesional. Conclusiones: Esta investigación nos muestra que además de médicos somos seres humanos a los cuales la muerte nos afecta en mayor o menor medida, con dificultades para afrontarla. Nos hace reflexionar sobre la necesidad de aprendizaje sobre el acompañamiento en esta situación desde la formación inicial. En los distintos profesionales se movilizaron sentimientos, provocando una reflexión positiva en la mayoría. |
| titulo_str_mv |
Reflexión sobre la experiencia de la muerte del paciente en mi ejercicio profesional |
| object_type_str_mv |
Textual: Revistas |
| id |
8440 |
| plantilla_str |
Artículo de Revista |
| record_format |
article |
| container_title |
Revista Médica Universitaria |
| journal_title_str |
Revista Médica Universitaria |
| journal_id_str |
r-1221 |
| container_issue |
Revista Médica Universitaria |
| container_volume |
Vol. 12, no. 2 |
| journal_issue_str |
Vol. 12, no. 2 |
| tipo_str |
textuales |
| type_str_mv |
Articulos |
| title_full |
Reflexión sobre la experiencia de la muerte del paciente en mi ejercicio profesional |
| title_fullStr |
Reflexión sobre la experiencia de la muerte del paciente en mi ejercicio profesional Reflexión sobre la experiencia de la muerte del paciente en mi ejercicio profesional |
| title_full_unstemmed |
Reflexión sobre la experiencia de la muerte del paciente en mi ejercicio profesional Reflexión sobre la experiencia de la muerte del paciente en mi ejercicio profesional |
| description |
Death is a biological fact. It has always been a subject of deep reflection for man. Perhaps, it is the most significant experience for the individual himself, for his affections and for the physician who cares for him at the end of life. Materials and methods Descriptive cross-sectional study with quantitative and qualitative techniques (participatory research). A self-administered and anonymous survey was used with structured, semi-structured and open questions that allowed an extensive account of the situation perceived before the death of the first patient in the professional practice and the death of the patient who most affected him/her(if these situations did not match). It included a report of perceptions, behaviors and the experiences lived. Sociodemographic variables and answers to closed questions were analyzed. From the extensive accounts, a qualitative analysis was made by coding the text in units of meaning with a descriptive statistical analysis of these units. Results 48 physicians participated. Of these, 35 physicians were under the age of 40 (Youngers) (mean age 29.54 years) and 13 were older (Olders) (mean age 62.5 years), 52% were women. The Youngers had an average of 4 years of professional experience and the Olders of 32 years. For the Youngers the patient was their first one in 63% of the cases, for the Olders in 46%. The main perception to the first deceased patient were sadness (54%), tranquility and distress (26%), impotence (23%), worry and grief (17%), and relief (14%) in the Youngers. Sadness, anguish, and impotence prevailed for the patient that most affected them. Among the Olders, when their first patient died, impotence and distress (46%) and sadness (38%) were the most frequent perceptions. When the most touching patient died, sadness and anguish prevailed followed by pain and impotence. Younger participants expressed more perceptions than the Olders. About the reflections, in both groups the impact of unexpected death and of young patients death predominated. Accompaniment, empathy with the family and a good physician-patient relationship caused tranquility and relief. A striking fact is that in the Olders guilt and frustration were felt when they couldn’t do any more for the patient. In the younger ones, surprise manifested in different situations. In both groups, impotence was manifested in situations that exceeded medical practice and that made them feel identified, with difficulties in separating personal and professional experience. Conclusions This research shows that we are human beings, not only physicians, and that death also affects us, with difficulties to confront it. This makes us think about how important the learning of accompaniment skills is in the initial formation. In the professionals, feelings were mobilized and a positive reflection was made. |
| dependencia_str_mv |
Facultad de Ciencias Médicas |
| title |
Reflexión sobre la experiencia de la muerte del paciente en mi ejercicio profesional |
| spellingShingle |
Reflexión sobre la experiencia de la muerte del paciente en mi ejercicio profesional Análisis cualitativo Análisis estadístico Encuestas Investigación participativa Médicos Muerte Pacientes Práctica profesional Relaciones médico-paciente Carena, José Alberto Elaskar, María Cielo Amira Rivas, Mirta Daniela Salomón, Susana Elsa |
| topic |
Análisis cualitativo Análisis estadístico Encuestas Investigación participativa Médicos Muerte Pacientes Práctica profesional Relaciones médico-paciente |
| topic_facet |
Análisis cualitativo Análisis estadístico Encuestas Investigación participativa Médicos Muerte Pacientes Práctica profesional Relaciones médico-paciente |
| author |
Carena, José Alberto Elaskar, María Cielo Amira Rivas, Mirta Daniela Salomón, Susana Elsa |
| author_facet |
Carena, José Alberto Elaskar, María Cielo Amira Rivas, Mirta Daniela Salomón, Susana Elsa |
| title_sort |
Reflexión sobre la experiencia de la muerte del paciente en mi ejercicio profesional |
| title_short |
Reflexión sobre la experiencia de la muerte del paciente en mi ejercicio profesional |
| url |
https://bdigital.uncu.edu.ar/fichas.php?idobjeto=8440 |
| estado_str |
3 |
| building |
Biblioteca Digital |
| filtrotop_str |
Biblioteca Digital |
| collection |
Artículo de Revista |
| institution |
Sistema Integrado de Documentación |
| indexed_str |
2023-04-25 00:37 |
| _version_ |
1764120240307830784 |
