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American Journal of Hospice and Palliative Medicine®
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The struggle for the soul of hospice: Stress, coping, and change among hospice workers

Maria DiTullio, EdD

Le Moyne College, Syracuse, New York

Douglas MacDonald, CSW

New York state

This article reports preliminary findings from an ongoing study of occupational stress, coping, and change among employees at a hospice in New York state. The study sought to identify those aspects of hospice work that direct-service and middle-management staff considered unique and rewarding, and also to examine those conditions that created problematic levels of stress. A qualitative methodology was employed, based on heuristic principles of grounded theory and action research. Techniques included field observation and participation, 38 semi-structured interviews, and group discussion and review of data by research participants. The authors elaborate upon established models of occupational stress and coping, and identify hospice-specific stressors and resources for coping. The research highlights "support" as a critically important, multidimensional element for successful coping. A re-examination and reinterpretation of "coping" as it applies to stress in hospice work is suggested.

American Journal of Hospice and Palliative Medicine®, Vol. 16, No. 5, 641-655 (1999)
DOI: 10.1177/104990919901600505


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This article has been cited by other articles:


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AM J HOSP PALLIAT CAREHome page
K. Hiatt, C. Stelle, M. Mulsow, and J. Pearson Scott
The Importance of Perspective: Evaluation of Hospice Care From Multiple Stakeholders
American Journal of Hospice and Palliative Medicine, November 1, 2007; 24(5): 376 - 382.
[Abstract] [PDF]



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