干预措施,以支持医疗学员在患者死亡后的福祉:一个范围审查
Halah Ibrahim1, Leen Oyoun Alsoud1, Kelsey West2
1Department of Medical Sciences, Khalifa University College of Medicine and Health Sciences, Abu Dhabi, UAE.
Journal of hospital medicine
|August 18, 2024
概括
医疗学员需要更好的支持来管理患者死亡后的情绪. 本次审查确定了诸如研讨会和汇报等干预措施,以建立弹性并改善终身护理.
科学领域:
- 医学教育 医学教育
- 心理学 心理学 心理学
- 在生命末期的护理.
背景情况:
- 医疗学员经常遇到病人的死亡.
- 实习生往往缺乏足够的准备,以应对患者失去的情感影响.
- 有效的支持对于学员的福祉和专业发展至关重要.
研究的目的:
- 系统地审查患者死亡后支持医疗学员的干预措施.
- 综合有关现有支持策略的有效性和类型的调查结果.
- 确定实习生支持方面的差距和需要改进的领域.
主要方法:
- 在多个数据库 (MEDLINE,Scopus等) 中进行全面的文献搜索. ) 的情况.
- 包括对医学学生和住院生/研究员进行同行评审的英语语言研究.
- 排除执业临床医生和非医生实习生;由两名研究人员进行独立审查.
主要成果:
- 50项研究符合纳入标准,主要关注北美居民.
- 干预措施包括预防措施 (讲座,研讨会),临床安置和后期干预 (汇报,纪念).
- 艺术为基础的和反思性的叙事组成部分被注意到,但干预措施在频率和持续时间上往往是有限的.
结论:
- 有几种干预措施来支持经历患者死亡的学员.
- 需要提高这些支持策略的频率,持续时间和范围.
- 改进的支持培养了有情绪弹性的医生,能够提供富有同情心的生命终结护理.
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