在息护理奖学金中的悲伤培训
Sara A Barlow1, Meghan Price2, Christopher A Jones1
1Duke University Hospital (S.A.B., C.A.J., C.P., A.N.G.), Durham, North Carolina, USA.
Journal of pain and symptom management
|January 12, 2024
概括
对于临终关怀和丧医疗 (HPM) 奖学员来说,悲伤和丧失培训至关重要,但目前的课程非常多变,往往缺乏足够的同事参与. 需要最佳实践来确保在息护理这一重要领域的能力.
科学领域:
- 医学教育 医学教育
- 抚慰性护理是一种缓解性护理.
- 心理学 心理学 心理学
背景情况:
- 没有先前的研究评估了美国临终关怀和息医学 (HPM) 奖学金计划中的悲伤和丧失课程.
- 专业悲伤和丧亲是息护理培训和实践中至关重要的,但未被充分认识到的方面.
研究的目的:
- 评估HPM奖学金计划中悲伤和丧失课程的当前状态.
- 了解项目主管对悲伤和丧亲的态度,为研究员提供悲伤和丧亲培训.
主要方法:
- 在ACGME认可的HPM奖学金项目主管中,分发了一份14项调查.
- 该调查评估了计划的人口统计,课程重点,悲伤/丧失计划以及对培训的态度.
主要成果:
- 获得了63%的响应率,大多数项目都是学术性的,只有很少的研究员.
- 90%的课程只将0%-10%的课程用于悲伤/丧失;同事参与往往很低 (53%).
- 虽然大多数课程都提供了解答 (55%) 和心理健康资源 (41%),但内容和同事参与度有很大差异.
结论:
- 计划主管们绝大多数都同意,对HPM研究员来说,悲伤和丧失培训是很重要的.
- 目前的培训在专用时间,内容和同事参与方面存在很大变化,这表明缺乏认可的需求.
- 传播最佳实践对于标准化悲伤和丧亲课程以及确保HPM同学能力至关重要.
相关概念视频
01:17Bonanno's Theory of Grieving
77
Grieving is a complex psychological and emotional process that varies significantly among individuals. George Bonanno's research on bereavement identified four distinct patterns of grieving, offering a nuanced understanding of how people cope with significant loss, such as the death of a spouse, over extended periods. These patterns — resilience, recovery, chronic dysfunction, and delayed grief — highlight the diversity in emotional responses and adaptive mechanisms.
Resilience
Resilience
77
01:25Continuing Care
1.5K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.5K
01:21Kubler Ross's Stages of Dying
72
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...
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...
72
01:15Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
4.8K
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...
4.8K
01:23Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
8.0K
Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
8.0K
01:27Ethical Issues
968
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:
968