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The protective role of sense of coherence in resident physicians facing secondary trauma due to patient death in intensive care—A qualitative inquiry.

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Title: The protective role of sense of coherence in resident physicians facing secondary trauma due to patient death in intensive care—A qualitative inquiry.
Authors: Gabay, Gillie
Source: Death Studies. 2025, Vol. 49 Issue 5, p609-620. 12p.
Subjects: Psychological resilience, Sense of coherence, Death, Qualitative research, Human beings, Psychological adaptation, Descriptive statistics, Hospital medical staff, Thematic analysis, Intensive care units, Attitudes of medical personnel, Secondary traumatic stress, Well-being
Geographic Terms: Israel
Abstract: The salutogenic paradigm is increasingly used in research and practice but remains to be investigated in secondary trauma of health professionals. This qualitative study explored the main anchor of salutogenics, the sense-of-coherence, as a coping mechanism among resident physicians facing secondary trauma due to continuous exposure to patient suffering and deaths. Participants were sixteen resident physicians from intensive care units at emergency departments of two Israeli public tertiary hospitals. Data analysis employed reflexive thematic analysis. Findings suggest that while all residents described having comprehensibility, manageability and meaningfulness differed among residents. Some residents thrived, coped well with secondary trauma, centered on patient emotional needs, and drew meaningfulness from the challenges. Other residents suffered while providing care, reported poor well-being, were too overwhelmed to center patients, and doubted their career choices. Salutogenic-based interventions to cultivate the resilience of resident physicians experiencing secondary trauma are proposed. [ABSTRACT FROM AUTHOR]
Copyright of Death Studies is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: The salutogenic paradigm is increasingly used in research and practice but remains to be investigated in secondary trauma of health professionals. This qualitative study explored the main anchor of salutogenics, the sense-of-coherence, as a coping mechanism among resident physicians facing secondary trauma due to continuous exposure to patient suffering and deaths. Participants were sixteen resident physicians from intensive care units at emergency departments of two Israeli public tertiary hospitals. Data analysis employed reflexive thematic analysis. Findings suggest that while all residents described having comprehensibility, manageability and meaningfulness differed among residents. Some residents thrived, coped well with secondary trauma, centered on patient emotional needs, and drew meaningfulness from the challenges. Other residents suffered while providing care, reported poor well-being, were too overwhelmed to center patients, and doubted their career choices. Salutogenic-based interventions to cultivate the resilience of resident physicians experiencing secondary trauma are proposed. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Death Studies is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/07481187.2024.2348058
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 12
        StartPage: 609
    Subjects:
      – SubjectFull: Psychological resilience
        Type: general
      – SubjectFull: Sense of coherence
        Type: general
      – SubjectFull: Death
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Human beings
        Type: general
      – SubjectFull: Psychological adaptation
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      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Hospital medical staff
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Intensive care units
        Type: general
      – SubjectFull: Attitudes of medical personnel
        Type: general
      – SubjectFull: Secondary traumatic stress
        Type: general
      – SubjectFull: Well-being
        Type: general
      – SubjectFull: Israel
        Type: general
    Titles:
      – TitleFull: The protective role of sense of coherence in resident physicians facing secondary trauma due to patient death in intensive care—A qualitative inquiry.
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              M: 05
              Text: 2025
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