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Impacto de "La Pausa" en el Equipo Código Azul y la Exploración de la Muerte Testigo
Kathryn Samai1, Jennifer Bonamer2, Shannon Ziegler3
1Kathryn Samai is a clinical pharmacist, UNC Health, Pharmacy Department-Decentralized Services, Chapel Hill, North Carolina.
Resumen
Los equipos de atención médica encontraron "La Pausa" útil para hacer frente a las muertes de pacientes después de los esfuerzos de reanimación. Esta estrategia tenía como objetivo apoyar el bienestar y reducir la angustia, aunque la pandemia de COVID-19 complicó la medición de resultados.
Área de la Ciencia:
- Bienestar de los profesionales de la salud
- Ética médica
- Apoyo psicológico en medicina
Sus antecedentes:
- Los profesionales de la salud experimentan un trauma emocional después de la muerte de un paciente después de la reanimación.
- El equipo de código azul de un hospital comunitario introdujo "La Pausa" para apoyar al personal interprofesional.
- Esta intervención tenía como objetivo mitigar el impacto psicológico de la mortalidad de los pacientes.
Objetivo del estudio:
- Para evaluar el efecto de "La Pausa" en la fatiga de la compasión, la angustia y la atención.
- Para explorar las experiencias de los médicos con la muerte del paciente después del código azul y su uso de "La Pausa".
Principales métodos:
- Un estudio multimétodo que incluye encuestas previas y posteriores a la aplicación.
- Se realizaron entrevistas con el personal clínico y no clínico involucrado en eventos de código azul en toda la casa.
- La recopilación de datos se realizó antes y después de la puesta en marcha de la intervención.
Principales resultados:
- Las puntuaciones de fatiga por compasión disminuyeron, y las puntuaciones de atención aumentaron después de la intervención, aunque no significativamente.
- Los participantes informaron de una mayor angustia por las muertes de pacientes durante la pandemia de COVID-19.
- Los datos cualitativos revelaron temas sobre el impacto de la pandemia en la muerte, el afrontamiento emocional y "La Pausa" como un elemento humanizador.
Conclusiones:
- "La Pausa" fue percibida como un mecanismo de afrontamiento beneficioso para las muertes relacionadas con el código azul.
- La pandemia de COVID-19 presentó desafíos para cuantificar los efectos de la intervención.
- "La Pausa" ofrece una vía potencial para apoyar y empoderar a los profesionales de la salud durante los momentos críticos de presenciar la muerte.
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