病人的死亡经历在早期培训对住院医生的影响:一种定性研究
Wen Qing Wendy Ye1, Candice Griffin1, Irina Sverdlichenko1
1McMaster University (Ye, Griffin, Brandt Vegas), Hamilton, Ont.; University of Toronto (Ye, Griffin, Sverdlichenko), Toronto, Ont.; Department of Internal Medicine (Brandt Vegas), St. Joseph's Hospital, Hamilton, Ont.
CMAJ open
|October 31, 2023
概括
医疗人员在培训的早期经历了患者死亡的重大痛苦和情绪影响. 加强准备和应对策略对于减轻医生心理创伤和同情心丧失至关重要.
科学领域:
- 医学教育 医学教育
- 心理学 心理学 心理学
- 定性研究是指质量研究.
背景情况:
- 患者死亡是医学培训的一个常见但具有挑战性的方面.
- 这些经历可以导致心理困扰,减少同情心,以及受训人员的学习成果受损.
- 了解学员的经验对于开发有效的支持系统至关重要.
研究的目的:
- 探索住院医生在早期培训期间对患者死亡的经验.
- 为了确定这些事件的直接和延迟的心理影响.
- 评估学员的准备能力和应对机制,强调需要改进的支持领域.
主要方法:
- 一个使用现象学方法的定性研究.
- 与住院医生进行了半结构化的采访.
- 对转录的采访进行主题和解释性分析,确定了关键主题.
主要成果:
- 18名住院医生参与,其中大多数人在医学院期间首次患病死亡.
- 关键主题包括死亡情况 (意外,心肺复苏,家庭沟通),情感影响 (内,悲伤) 和准备.
- 准备不足与睡眠障碍和情绪疏远等负面后果有关,尽管被参与者正常化.
结论:
- 医疗培训期间患者死亡可能是创伤性的,可能会对同理心和实践产生持久影响.
- 建议教育干预侧重于准备和适应性应对策略.
- 需要进一步的研究来开发和评估这些培训人员的支持策略.
相关概念视频
Ethical Issues
981
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
981
Ethical Dilemmas II
1.1K
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:
1.1K
Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
Obedience
32.9K
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,...
32.9K
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
4.9K
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...
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...
4.9K
Cardiopulmonary Resuscitation III: AED Use
34
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...
34


