{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T18:09:17Z","timestamp":1777918157636,"version":"3.51.4"},"reference-count":86,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,9,23]],"date-time":"2021-09-23T00:00:00Z","timestamp":1632355200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat Med"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Coping is essential to manage palliative care professionals\u2019 challenges. The focus has been on the effects of coping mechanism; however, little is known about coping itself in palliative care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To synthesise evidence of coping strategies in palliative care professionals, and how different strategies play roles over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Systematically conducted integrative review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data sources:<\/jats:title>\n                    <jats:p>\n                      PubMed; CINAHL; Medline; PsycINFO and B-ON were searched (1996\u20132021) combining \u2018coping\u2019 AND \u2018palliative care\u2019. A predefined data extraction sheet was developed to report data. Two researchers performed constant comparative analysis using Nvivo\n                      <jats:sup>\u00ae<\/jats:sup>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Thirty-one studies were included. Four main strategies with recurrent reference to time were found: (a) proactive coping, involving activities to achieve self-confidence and control situations and emotions; (b) self-care based coping, including self-protection and self-awareness activities, with behavioural disconnection; (c) self-transformation coping, involving activities to accept limits; and (d) encountering deep professional meaning, is a coping mechanism based on meaning, frequently considering the deepest meaning of work. The dynamic and influencing factors were training, team interaction, professional motivation and family. They were usually protective factors, though sometimes they represented risk factors. The emotional burden associated with healthcare and systemic stressors were always risk factors. An explanatory model describes a complex and dynamic process, in which everyday strategies and more introspective strategies are combined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The model showed a process of adaptation and learning to persevere in palliative care. It changes over time under factors and strategies, and evolves in a personal and professional transformation, parallel to the working life. It would be worth assessing coping in healthcare professionals who chose to leave palliative care and to investigate the reasons they did so and their coping mechanisms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692163211047149","type":"journal-article","created":{"date-parts":[[2021,9,23]],"date-time":"2021-09-23T09:35:23Z","timestamp":1632389723000},"page":"15-29","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":32,"title":["Adaptation and continuous learning: integrative review of coping strategies of palliative care professionals"],"prefix":"10.1177","volume":"36","author":[{"given":"Paula","family":"Sapeta","sequence":"first","affiliation":[{"name":"Escola Superior de Sa\u00fade Dr. Lopes Dias, Instituto Polit\u00e9cnico de Castelo Branco, Castelo Branco, Portugal"}]},{"given":"Carlos","family":"Centeno","sequence":"additional","affiliation":[{"name":"Institute for Culture and Society, 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