The effects of Expressing Writing on Palliative Care healthcare professionals: a qualitative study

The effects of Expressing Writing on Palliative Care healthcare professionals: a qualitative study

Authors

  • Chiara Cosentino University of Parma https://orcid.org/0000-0003-1324-4007
  • Elena Baccarini
  • Martina Melotto
  • Riccardo Meglioraldi
  • Silvia D'Antimi
  • Valentina Semeraro
  • Victoria Cervantes Camacho
  • Giovanna Artioli

Keywords:

Expressive Writing, Qualitative Study, Palliative Care, Healthcare Professionals

Abstract

Background and aim of the work: Expressive Writing (EW) is a useful tool for taking care of the person globally, and literature shows that self-care and self-awareness improve the coping skills of health professionals, positively increasing personal and professional satisfaction and reducing the negative aspects related to the profession, such as burnout. The objective of the research is to analyze the writings produced by healthcare professionals belonging to palliative care in a previous quantitative study to identify any changes between two sessions. Methods: It is a longitudinal qualitative research with an interpretative phenomenological methodology of analysis of documents written by professionals. The study included 50 expressive writings: 25 at Time 0 (T0) and 25 at Time 1 (T1). The analysis sample is composed of 25 professionals. All participants completed an Expressive Writing protocol homogeneous in procedure, mandate, and timing. Results: The study revealed a variation in contents from T0 to T1 highlighting both professional and intimate growth of the professionals. The practitioner appears more aware of working together to achieve a goal. Writing evolve as more spontaneous. Attention is focused on the relationship with the patient as an engine of personal and professional growth. The satisfaction is linked to the management of a complex case in its entirety. Conclusions: The investigated instrument resulted in a beneficial change in the healthcare professionals involved. Writing helps to find strategies to take care of the other, improves communication, favors the sharing of experience with the other, increasing the awareness of limitations and strengths.

References

DiMenichi BC, Ceceli AO, Bhanji JP, Tricomi E. Effects of expressive writing on neural processing during learning. Front Hum Neurosci. 2019; 13: 389.

Pennebaker JW, Beall SK. Confronting a traumatic event: toward an understanding of inhibition and disease. J Abnorm Psychol. 1986; 95(3): 274.

Harber KD, Pennebaker JW, Christianson S. Overcoming traumatic memories. The handbook of emotion and memory: Research and theory. 1992; 359-387.

Iacono GL. Lo studio sperimentale della scrittura autobiografica: la prospettiva di James Pennebaker. Psicologia dell’Emergenza e dell’Assistenza Umanitaria. 2005: 34.

Tonarelli A, Cosentino C, Tomasoni C, Nelli L, Damiani I, Goisis S et al. Expressive writing. A tool to help health workers of palliative care. Acta Biomed. 2018; 89(6): 35.

Sexton JD, Pennebaker JW, Holzmueller CG, Wu AW, Berenholtz S M, Swoboda SM et al. Care for the caregiver: benefits of expressive writing for nurses in the United States. Prog Palliat Care. 2009; 17(6): 307-312.

Tonarelli A, Cosentino C, Artioli D, Borciani S, Camurri E, Colombo B et al. Expressive writing. A tool to help health workers. Research project on the benefits of expressive writing. Acta Biomed. 2017; 88(5): 13.

Smyth JM. Written emotional expression: effect sizes, outcome types, and moderating variables. J Consult Clin Psychol. 1998; 66(1): 174.

Pennebaker JW. Writing about emotional experiences as a therapeutic process. Psychol Sci. 1997; 8(3): 162-166.

Gallo I, Garrino L, Di Monte V. L'uso della scrittura espressiva nei percorsi di cura dei pazienti oncologici per la riduzione del distress emozionale: analisi della letteratura. Prof Inferm. 2015, 68(1).

Smyth JM, Pennebaker JW. Sharing one’s story: Translating emotional experiences into words as a coping tool. Coping: The psychology of what works 1999: 70-89.

Rosenberg HJ, Rosenberg SD, Ernstoff MS, Wolford GL, Amdur RJ, Elshamy MR, et al. Expressive disclosure and health outcomes in a prostate cancer population. Int J Psychiatry Med. 2002; 32(1): 37-53.

Stanton AL, Danoff-Burg S. Emotional expression, expressive writing, and cancer. American Psychological Association. 2002.

Pennebaker JW, Kiecolt-glaser JK, Glaser R. Disclosure of traumas and immune function: health implications for psychotherapy. J Consult Clin Psychol. 1988; 56(2): 239.

Esterling BA, Antoni MH, Fletcher MA, Marguilies S, Schneiderman N. Emotional disclosure through writing or speaking modulates latent Epstein-Barr virus antibody titers. J Consult Clin Psychol. 1994; 62(1): 130.

Petrie KJ, Booth RJ., Pennebaker JW, Davison KP, Thomas MG. Disclosure of trauma and immune response to a hepatitis B vaccination program. J Consult Clin Psychol. 1995; 63(5): 787.

Walker BL, Nail LM, Croyle RT. Does emotional expression make a difference in reactions to breast cancer?. Oncol Nurs Forum. 1999; 26(6): 1025-1032.

De Moor C, Sterner J, Hall M, Warneke C, Gilani Z, Amato R, et al. A pilot study of the effects of expressive writing on psychological and behavioral adjustment in patients enrolled in a Phase II trial of vaccine therapy for metastatic renal cell carcinoma. Health Psychol. 2002; 21(6): 615.

Cosentino C, Corte C, Fioresi E, Ojeda FM, Pastore S, Severgnini F, et al. Effects of Expressive Writing on organizational variables in Palliative Care health Professionals: an explorative study. Acta Biomed. 2019; 90(11): 108.

Oliver A, Galiana L, Simone GD, Tomás JM, Arena F, Linzitto J, et al. Palliative care professionals’ inner lives: Cross-cultural application of the awareness model of self-care. Healthc. 2021; 9(1): 81.

Corli O, Marini MG, Andreoli G, Castelli N, Pizzuto M, Nastri A et al. Analisi del clima di lavoro nelle cure palliative. CIC Edizioni Internazionali. 2005.

Teixeira FB, Gorini MI. Understanding nurses' emotions during cancer patient care. Rev Gaucha Enferm. 2008; 29(3): 367-373.

Maslach C, Jackson SE. The measurement of experienced burnout. J Organ Behav. 1981; 2(2): 99-113.

Sinefos PE. Alexithymia: past and present. JAMA Psychiatry. 1996.

Krystal H. Alexithymia and psychotherapy. Behav Anal (Wash D C). 1979; 33(1): 17-31.

Lazzari D, Pisanti R, Avallone F. Perception of organizational climate and burnout amongst health care workers: the role of alexithymia as a moderator. G Ital Med Lav Ergon. 2006; 28(1) (Suppl): 43-48.

Pini M, Martellucci PM, Puleggio A, Calamari E. Burnout symptoms, psychological distrusts and alexithymia characteristics in workers of a Mental Health Unit. Med Psicosom. 2006; 51(2): 67-73.

Caccamo F, Ghedin S, Marogna C. La valutazione del burnout e dell’alessitimia in un gruppo di operatori in cure palliative: uno studio pilota. G Ital Med Lav Ergon. 2017; 39(4): 249-55.

Kearney MK, Weininger RB, Vachon ML, Harrison RL, Mount BM. Self-care of physicians caring for patients at the end of life:“Being connected... a key to my survival”. Jama. 2009 Mar; 301(11): 1155-64.

Eckroth-Bucher M. Self-awareness: A review and analysis of a basic nursing concept. ANS Adv Nurs Sci. 2010 Oct; 33(4): 297-309

Drury A, Eicher M, Dowling M. Experiences of Cancer Care in COVID-19: Phase 1 Results of a Longitudinal Qualitative Study. Int J Nurs Stud Adv. 2021 Nov; 3:100030.

Giorgi A. The theory, practice, and evaluation of the phenomenological method as a qualitative research procedure. JPP. 1997; 28(2): 235-260.

Artioli G, Bedini G, Bertocchi E, Ghirotto L, Cavuto S, Costantini M, Tanzi S. Palliative care training addressed to hospital healthcare professionals by palliative care specialists: a mixed-method evaluation. BMC Palliat Care. 2019 Oct; 18(1): 88.

Braun V, Clarke V. Thematic analysis. In Cooper H, Camic PM, Long DL, Panter AT, Rindskopf D, & Sher KJ (Eds.). APA handbook of research methods in psychology, vol. 2. Research designs: Quantitative, qualitative, neuropsychological, and biological (pp. 57-71). American Psychological Association.

Gale NK, Heath G, Cameron E, Rashid S, Redwood S. Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Med Res Methodol. 2013 Sep; 13: 117.

Smyth J, Helm R. Focused expressive writing as self‐help for stress and trauma. J Clin Psychol. 2003 Feb; 59(2): 227-35.

Pennebaker JW. Theories, therapies, and taxpayers: On the complexities of the expressive writing paradigm. Clinical Psychology: Science and Practice. 2004 June; 11(2): 138-142.

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Published

22-12-2021

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Section

Original articles: Health Professions 3/2021

How to Cite

1.
The effects of Expressing Writing on Palliative Care healthcare professionals: a qualitative study. Acta Biomed [Internet]. 2021 Dec. 22 [cited 2024 Mar. 29];92(S2):e2021335. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/12650