コード・ブルー・チームと目撃者の死への影響

Kathryn Samai¹, Jennifer Bonamer², Shannon Ziegler³

¹Kathryn Samai is a clinical pharmacist, UNC Health, Pharmacy Department-Decentralized Services, Chapel Hill, North Carolina.

American journal of critical care : an official publication, American Association of Critical-Care Nurses

|August 31, 2025

まとめ

医療チームは"The Pause"が患者の死後の再蘇生に役立つことを発見しましたこの戦略は,福祉を支援し,苦痛を軽減することを目的としたが,COVID-19のパンデミックは結果の測定を複雑にした.

科学分野:

医療従事者の福祉
医学倫理
医学における心理的支援

背景:

医療従事者は患者の死後に感情的なトラウマを経験します
コミュニティ教育病院のコードブルーチームはインタープロフェッショナルスタッフを支援するために"The Pause"を導入しました
この介入は患者の死亡率の心理的影響を軽減することを目的としています.

研究の目的:

"The Pause"の効果を評価するために慈悲の疲労,苦痛,そしてマインドフルネス
患者の死後の経験と "The Pause"の利用について

主な方法:

実施前の調査と実施後の調査を含む複数の方法の研究.
病院全体で実施される"コード・ブルー"イベントに携わる臨床スタッフと非臨床スタッフをインタビューした.
データ収集は介入開始前と後に行われました.

主要な成果:

介入後,思いやりや疲労のスコアは低下し,マインドフルネスのスコアは増加しましたが, 顕著ではありませんでした.
参加者は,COVID-19のパンデミック中に患者の死亡による苦痛が増加したと報告しました.
定性的なデータは,死に対するパンデミックの影響,感情的対処,そして"The Pause"が人間的な要素であるテーマを明らかにしました.

結論:

"一時停止"はコード・ブルーによる死に対する有益な対処メカニズムとして捉えられました
COVID-19 パンデミックは,介入の効果を定量化する上で課題を提示しました.
"ザ・パウズ"は死を目の当たりにしたときの医療従事者への支援と支援の可能性を秘めています

さらに関連する動画

05:25

Setup and Execution Of the Blindfolded Code Training Exercise

Published on: March 29, 2019

9.5K

09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

17.3K

関連する概念動画

01:21

Kubler Ross's Stages of Dying

326

Elisabeth Kübler-Ross significantly advanced psychology's understanding of the process of dying with her influential book, On Death and Dying (1969). She focused on studying terminally ill individuals and outlined five stages commonly experienced when coping with death: denial, anger, bargaining, depression, and acceptance.
In denial, individuals reject the reality of their condition, often thinking, "This isn't true; I feel fine," as a way to protect themselves from...

326

01:30

Ethical Dilemmas II

1.3K

Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:

1.3K

01:23

Cardiopulmonary Resuscitation III: AED Use

Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...

01:15

Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch

5.3K

The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...

5.3K

01:08

Obedience

33.1K

According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...

33.1K

02:09

Bystander Effect

9.6K

The discussion of bullying highlights the problem of witnesses not intervening to help a victim. This is a common occurrence, as the following well-publicized event demonstrates. In 1964, in Queens, New York, a 19-year-old woman named Kitty Genovese was attacked by a person with a knife near the back entrance to her apartment building and again in the hallway inside her apartment building. When the attack occurred, she screamed for help numerous times and eventually died from her stab wounds.