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一个工具包,用于个性化干预,以减轻第二受害者综合征在多样化的外科社区的手术
John F Eidt1, Kristyn Mannoia2
1Department of Vascular Surgery, Baylor Scott and White Heart and Vascular Hospital, Dallas, TX; Department of Surgery, Texas A&M School of Medicine, College Station, TX.
Journal of vascular surgery. Venous and lymphatic disorders
|September 12, 2023
概括
手术不良事件深深影响临床医生,被称为"第二受害者". 同行支持至关重要,PEARLS工具包为外科医生提供了一个培训框架,以帮助同事应对这些具有挑战性的经历.
科学领域:
- 医学伦理 医学伦理
- 手术患者的安全.
- 医疗保健专业人员的福祉
背景情况:
- 不良的手术结果是不可避免的,并可能导致临床医生严重的情绪困扰.
- "第二个受害者"的概念描述了医疗保健专业人员在不良事件中所经历的创伤.
- 外科医生经常经历羞耻,内和信心丧失,但很少寻求正式支持,更喜欢向同行信任.
研究的目的:
- 突出不良事件对外科医生的情感影响.
- 解决外科医生中寻求支持行为的报告不足的问题,特别是来自代表性不足的群体的外科医生.
- 倡导改善经历困难的外科医生同行支持系统.
主要方法:
- 关于不良事件对外科专业人员的心理影响的文献综述.
- 分析外科医生寻求支持的行为和障碍.
- 介绍PEARLS (专业精神,同情心,问责制,弹性,学习,支持) 工具包作为一个结构化的方法.
主要成果:
- 经历不良结果的外科医生经常遭受情绪创伤,被称为"第二受害者"综合征.
- 在正式的支持系统中存在很大的差距,外科医生依赖非正式的同行网络.
- 代表性不足的手术群体可能面临寻求帮助的额外障碍.
- 皮尔斯工具包提供了一个结构化,基于证据的方法,用于培训外科医生提供同行支持.
结论:
- 手术不良事件需要为临床医生提供强大的支持机制.
- 培训外科医生进行同行支持对于缓解"第二受害者"现象至关重要.
- 皮尔斯工具包提供了一个实用的框架,以加强对外科医生的支持,以应对不良结果.
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