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How Should Trainees Be Taught to Have Compassionate Intention When Force Is Necessary to Care Well for Patients?
1Co-director of psychology and the director of psychology training at Brigham and Women's Hospital and assistant professor of psychiatry at Harvard Medical School, both in Boston, Massachusetts.
Abstract:
Trainees are expected to encounter clinical training environments and situations that utilize methods of force as a component of clinical care. These include emergency care, critical care, and psychiatry. Several educational recommendations are offered in this paper related to these situations-including de-escalation training and crisis management skills, trauma-informed care, person-centered care approaches, and compassionate care approaches-to support trainee development across clinical care settings. Trainees require supervisors' focused attention to consider and implement force when caring for a diverse range of patients and retraumatization risk. Minimization of the need for forced care and the implementation of compassionate force in treatment require thoughtful and comprehensive educational plans.
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