title: The experiences of stress of palliative care providers in Malaysia: a thematic analysis.
abstract: A qualitative study was conducted with semistructured interviews to explore the experiences of stress in 20 palliative care providers of University Malaya Medical Centre in Malaysia. The results were thematically analyzed. Nine basic themes were generated: (1) organizational challenges, (2) care overload, (3) communication challenges, (4) differences in opinion, (5) misperceptions and misconceptions, (6) personal expectations, (7) emotional involvement, (8) death and dying thoughts, and (9) appraisal and coping. A total care model of occupational stress in palliative care was conceptualized from the analysis. This model may inform the development of interventions in the prevention and management of stress in palliative care.
authors.affiliation: Department of Medicine, Faculty of Medicine, University Malaya Medical Center, Lembah Pantai, Kuala Lumpur, Malaysia pramudita_1@hotmail.com.
authors.forename: Tan Seng
authors.initials: TS
authors.lastname: Beng
authors.affiliation: Department of Medicine, Faculty of Medicine, University Malaya Medical Center, Lembah Pantai, Kuala Lumpur, Malaysia.
authors.forename: Loh Ee
authors.initials: LE
authors.lastname: Chin
authors.affiliation: Department of Psychological Medicine, Faculty of Medicine, University Malaya Medical Center, Lembah Pantai, Kuala Lumpur, Malaysia.
authors.forename: Ng Chong
authors.initials: NC
authors.lastname: Guan
authors.affiliation: Department of Psychological Medicine, Faculty of Medicine, University Malaya Medical Center, Lembah Pantai, Kuala Lumpur, Malaysia.
authors.forename: Anne
authors.initials: A
authors.lastname: Yee
authors.affiliation: Department of Psychological Medicine, Faculty of Medicine, University Malaya Medical Center, Lembah Pantai, Kuala Lumpur, Malaysia.
authors.forename: Cathie
authors.initials: C
authors.lastname: Wu
authors.affiliation: Department of Nursing Science, Faculty of Medicine, University Malaya Medical Center, Lembah Pantai, Kuala Lumpur, Malaysia.
authors.forename: Subramaniam
authors.initials: S
authors.lastname: Pathmawathi
authors.affiliation: Department of Medicine, Faculty of Medicine, University Malaya Medical Center, Lembah Pantai, Kuala Lumpur, Malaysia.
authors.forename: Kweh Ting
authors.initials: KT
authors.lastname: Yi
authors.affiliation: Department of Medicine, Faculty of Medicine, University Malaya Medical Center, Lembah Pantai, Kuala Lumpur, Malaysia.
authors.forename: Wong Sook
authors.initials: WS
authors.lastname: Kuan
authors.affiliation: Department of Medicine, Faculty of Medicine, University Malaya Medical Center, Lembah Pantai, Kuala Lumpur, Malaysia.
authors.forename: Lim Ee
authors.initials: LE
authors.lastname: Jane
authors.affiliation: Faculty of Medicine, University Malaya Medical Center, Lembah Pantai, Kuala Lumpur, Malaysia.
authors.forename: Christopher Boey Chiong
authors.initials: CB
authors.lastname: Meng
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D001293:Attitude to Death; D003142:Communication; D003220:Conflict, Psychological; D004644:Emotions; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008296:Malaysia / Q000453:epidemiology; D008297:Male; D009726:Nurses / Q000523:psychology; D010166:Palliative Care / Q000523:psychology*; D010820:Physicians / Q000523:psychology; D036301:Qualitative Research; D013315:Stress, Psychological / Q000453:epidemiology / Q000209:etiology*; D016526:Workload / Q000523:psychology
keywords: Malaysia; health care providers; palliative care; psychosocial issues; stress; thematic analysis