在重症监护室哀悼儿童死亡:实施标准化流程
Claudia Delgado-Corcoran1,2, Sarah E Wawrzynski3, Kelly Mansfield4
1Division of Critical Care, Department of Pediatrics, University of Utah, Salt Lake City, Utah, USA.
Journal of palliative medicine
|October 25, 2023
概括
见证儿童死亡的医疗保健专业人员面临二次创伤. 一个同行支持计划改善了重症监护室 (ICU) 工作人员的应对能力和福祉.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 医疗保健专业人员的心理健康
- 悲伤和失去的支持支持.
背景情况:
- 亲眼目睹孩子的死亡可能会造成次要创伤,倦怠和医疗保健专业人员的流动.
- 没有解决的悲伤会对重症监护室 (ICU) 工作人员的福祉和性产生负面影响.
- 需要为高压环境中的医疗保健工作者提供有效的支持系统.
研究的目的:
- 描述一个结构化的,对等的 ICU 工作人员的哀悼支持计划的实施.
- 评估计划对员工应对能力和福祉的可行性和影响.
- 识别程序参与的障碍和促进者,并收集改进建议.
主要方法:
- 一个虚拟的,对等的哀悼支持计划的描述性实施研究.
- 35个虚拟会议在一年内为一家高等儿童医院的重症监护室工作人员进行.
- 会议后反调查收集了参与者经验,死亡影响和倦怠程度的数据.
主要成果:
- 该计划是可行的,并对员工的应对能力和福祉产生了积极的影响.
- 参与者分享了观点,使反应正常化,并探索了应对策略.
- 会议后的调查表明,患者死亡对工作人员有负面影响,并且几乎普遍报告了倦怠.
结论:
- 结构化,点对点的哀悼支持计划有效地提高了ICU工作人员的福祉和应对能力.
- 解决悲伤和次要创伤对于保留医疗保健专业人员至关重要.
- 进一步的研究应该探索克服出席障碍和优化节目交付的策略.
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