Abstract Witnessing suffering and death in palliative care can cause moral distress, emotional exhaustion and maladaptive coping strategies. How sense and meaning is made from these experiences influences how physicians think, feel and act as professionals (professional identity formation or PIF). It also determines how they cope with their roles, care for patients and interact with other professionals. Timely, personalised and appropriate support is key as shaping how these physicians develop and contend with sometimes competing beliefs and roles. The Ring Theory of Personhood (RToP) and the Krishna-Pisupati Model (KPM) offer a means of mapping PIF and thus moulding, coping and meaning making. This study uses the RToP and KPM to explore how caring for end-of-life patients impacts the personhood of palliative care physicians. Semi-structured interviews with a purposive sample of 13 palliative care physicians—eleven females and two males aged between 35 and 50 years—at a cancer specialist centre were conducted. Transcripts of the audio-recorded interviews underwent content and thematic analysis where complementary themes and categories identified were combined to form domains that highlighted the physicians’ key experience of providing end-of-life care. The domains identified were (1) identity formation, (2) conflicts, (3) KPM elements and (4) support systems. Together, results revealed that palliative care physicians are driven by Innate, Individual, Relational and Societal belief systems that create an intertwined professional and personal identity, enabling them to find meaning in their experiences and adapt to present contexts within cultural norms and professional expectations. However, their failure to recognise their need for support when hampered by evolving personal, existential and clinical factors underlines the exigency for ongoing surveillance and a potential role for a RToP-based tool and portfolio system that can detect and direct timely, appropriate support to in-need physicians.

Lalit Kumar Radha Krishna

Nur Amira Binte Abdul Hamid

Nicole-Ann Lim

Chong Yao Ho

Halah Ibrahim

Asian Bioethics Review

亚洲生物伦理学评论 (ABR) 是一份立足亚洲的国际学术期刊，提供一个论坛，就生物伦理学的各个方面，尤其是与该地区相关的方面，表达和交流原创思想。该杂志每季度出版一次，旨在促进亚洲学者或对亚洲感兴趣的学者之间的合作研究，以及更广泛的多文化和多学科生物伦理研究。它将吸引所有致力于生物医学、医疗保健、护理和患者支持、遗传学、法律和治理、卫生系统和政策、科学研究和研究的生物伦理问题的人。 ABR 对生物伦理​​学的新方法、生物医学法律和政策的最新变化、能力建设和专业培训的发展以及来自学生的声音或论文提供分析、观点和见解。该期刊包括文章、研究报告、目标文章、案例评估和评论。它还出版书评和给编辑的信件。 ABR 欢迎来自所有国家的原创论文，尤其是与亚洲有关的论文。 ABR 是新加坡国立大学杨潞龄医学院生物医学伦理中心的旗舰出版物。生物医学伦理中心是世界卫生组织生物伦理学合作中心。

The Asian Bioethics Review (ABR) is an international academic journal focused on various aspects of bioethics, particularly those relevant to the Asian region. Published quarterly, the journal aims to foster collaborative research among scholars in Asia and those interested in the region, while promoting multicultural and multidisciplinary bioethics research. ABR attracts researchers dedicated to issues in biomedicine, healthcare, nursing, patient support, genetics, law and governance, health systems and policy, scientific research, and related bioethical concerns. The journal provides analyses, perspectives, and insights on new approaches to bioethics, the latest developments in biomedical law and policy, capacity building, professional training, and voices or papers from students. ABR includes articles, research reports, target articles, case evaluations, and reviews, as well as book reviews and letters to the editor. The journal welcomes original papers from all countries, especially those related to Asia. ABR is the flagship publication of the Centre for Biomedical Ethics at the Yong Loo Lin School of Medicine, National University of Singapore, which is a World Health Organization Collaborating Centre for Bioethics.

《Asian Bioethics Review》（亚洲生物伦理学评论，ABR）是一份国际学术期刊，专注于生物伦理学的各个方面，特别是与亚洲地区相关的议题。该期刊每季度出版一次，旨在促进亚洲学者及对亚洲感兴趣的研究者之间的合作研究，同时推动多文化和多学科的生物伦理研究。ABR吸引所有关注生物医学、医疗保健、护理、患者支持、遗传学、法律与治理、卫生系统与政策、科学研究及相关生物伦理问题的研究者。期刊提供对生物伦理学新方法、生物医学法律与政策的最新动态、能力建设与专业培训的发展，以及来自学生的声音和论文的分析、观点与见解。ABR刊登文章、研究报告、目标文章、案例评估和评论，同时也出版书评和给编辑的信件。该期刊欢迎来自各国的原创论文，尤其是与亚洲相关的研究。ABR是新加坡国立大学杨潞龄医学院生物医学伦理中心的旗舰出版物，该中心是世界卫生组织生物伦理学合作中心。

Journeying with the Dying—Lessons from Palliative Care Physicians

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Journal Info

Category	Quartile
MEDICAL ETHICS	3