Table 1 Regnant Belief System and Catalysts through the Lens of the RToP
Rings of the RToP | Regnant Beliefs | Catalysts |
|---|---|---|
Innate | “[caring for a dying patient] I was playing some hymns, and then suddenly my change of heart was just like that (to be a palliative care physician). It’s very strong… very certain to me.” (p3) | “There’s a phase that you go through where there’s hopelessness and there’s suffering because patients don’t see a way out, and we can’t seem to help them with their helplessness. So, that leads some to some spiritual questioning.” (p7) |
Individual | “You really can treat the patient holistically and really get to know their whole family. You really journey with them as a whole right till the end and I think it’s really a privilege… so, that’s really what put me in palliative.” (p1) | “Sometimes, when you are so caught up with caring for a patient, sometimes it’s hard to take leave. Because you are like, oh no, I’m leaving my patient (in the) ward. Can the other team cope?” (p1) |
Relational | “Staying very, very late and going in unnecessarily on weekends and things like that and just scrutinising everything that you do…so . you’re thinking about your patients when you’re at home and you’re thinking about your child when you’re at work.” (p11) | |
Societal | “So a lot of times, especially now with COVID, and you don’t get to travel, and even when you take leave, and you’re at home, people (from work) know that you’re actually physically around and you can always constantly be called.” (p4) |