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Table 3 Residents’ perceptions of caring for dying patients

From: What do Japanese residents learn from treating dying patients? The implications for training in end-of-life care

Theme

Kolb’s ELT

I. Mixed feelings associated with providing care for dying patients

 
 

1

Dilemmas in confronting the reality of medical uncertainty

Experience

 

2

Disrupted self-efficacy due to miscommunication in stressful situations

 

3

Feelings of guilt and powerlessness both as a person and as a doctor

II. Reflections on the experience of providing care for dying patients

 

1

The importance of facing patients’, families’ and one’s own emotions

Reflection

 

2

Broadening of perspectives from individual communication to inter-professional communication

 

3

Renewed awareness from a disease-oriented cure to a palliative care-oriented treatment of pain relief

III. Rebuilding awareness for EOL care

 

1

A desire for communication that anticipates the future of patients and patients’ families and patient-centered care

Conceptualization/Planning

 

2

Self-awareness of professional identity and the desire to continually develop skills

  1. EOL end-of-life