初级保健临床医生如何处理患者死亡:物流,情绪和结构支持的机会
Jessica Alcalay Erickson1, Bridget C O'Brien2,3, Sarah Nouri4
1Department of Medicine, University of California San Francisco, San Francisco, CA, USA. Jessica.erickson@ucsf.edu.
Journal of general internal medicine
|March 8, 2024
概括
初级保健临床医生 (PCCs) 在管理患者死亡时面临挑战,经历了情绪上的痛苦和后勤的不确定性. 改善支持,包括明确的指导和同行汇报,对于PCC应对患者损失至关重要.
科学领域:
- 主要护理医学 医疗保健
- 医生福利 医生福利
- 悲伤和损失研究研究
背景情况:
- 患者死亡是医疗实践的一个固有方面,但对初级保健医生 (PCC) 经验的研究是有限的.
- 现有的研究主要集中在住院环境,忽视了PCC在门诊环境中面临的独特挑战.
- 了解PCC如何应对患者丧失对于开发有针对性的支持系统至关重要.
研究的目的:
- 调查患者死亡后,初级保健临床医生 (PCC) 的后勤和情感经历.
- 确定和探索支持性资源的建议,以帮助PCC处理患者损失.
- 弥合有关PCC在门诊环境中的应对机制的研究差距.
主要方法:
- 使用半结构面试进行定性研究设计.
- 采访了来自三个学术初级保健诊所的12名初级保健临床医生 (医生和护士执业人员).
- 采用模板分析来代地识别有关患者死亡导航的访谈成绩单中的主题.
主要成果:
- 医疗保险中心报告了异常和延迟的门诊死亡通知,加上关于通知后程序的不确定性.
- 临床医生经历了相当大的情绪压力,包括悲伤和内,特别是在年轻人,弱势群体或那些有可预防疾病的死亡时.
- 确定的需求包括程序指导,同行汇报会议和已故患者的正式确认.
结论:
- 初级保健医生与患者死亡的经验突出显著的后勤和情绪处理挑战.
- 初级保健的独特方面,如长期患者关系和专业隔离,需要量身定制的支持.
- 加强PCC的指导和支持对于减少倦怠和有效管理与患者丧失相关的悲伤至关重要.
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