"工业规模的死亡" - - 通用医务实习生对COVID-19期间死亡和死亡的看法和经验:一个解释性的现象学分析
Rebecca Holdsworth1,2, Hugh Alberti3, Bryan Burford3
1Newcastle University, Newcastle upon Tyne, UK. rebecca.holdsworth@newcastle.ac.uk.
BMC medical education
|December 23, 2024
概括
在COVID-19大流行期间,在管理患者死亡时,全科医生 (GP) 实习生经历了高度的情绪和不确定性. 加强支持对于预防道德伤害和改善GP福利和患者护理至关重要.
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.
- 一般实践 一般实践
背景情况:
- 在英国,COVID-19大流行增加了家庭死亡,导致全科医生 (GPs) 对患者死亡的更大暴露.
- 在2020年3月至7月期间,GP实习生经历了显著的患者死亡暴露.
- 了解这些经验对于GP的支持,福祉和以患者为中心的护理至关重要.
研究的目的:
- 探索GP学员在COVID-19大流行初期管理患者死亡的经验.
- 在公共卫生危机期间,确定GP实习生在终身护理中面临的关键主题和挑战.
- 为GP实习生制定有针对性的支持系统提供信息.
主要方法:
- 使用了解释性现象学分析 (IPA).
- 在英格兰的一个地区,与全科医生实习生进行了半结构面试.
- 探索重点是2020年3月至7月期间患者死亡的经验.
主要成果:
- 来自不同环境的7名GP学员 (2名男性,5名女性) 参加了培训.
- 关键主题包括增加情绪反应,管理不确定性以及人际关系的重要性.
- 参与者注意到了积极的团队合作,但也经历了孤立;一些人发现了新的医疗保健灵活性和对NHS的重新欣赏的机会.
结论:
- 一般医生实习生需要加强支持,以管理对死亡和社区中死亡的放大情感反应.
- 管理患者死亡的不确定性可能会导致在没有足够的支持的情况下造成道德伤害.
- 该研究强调了需要支持性环境,以减轻对GP学员的负面心理影响.
关键词:
在 COVID-19 疫情中,死亡死亡死亡死亡死亡死亡死亡死亡在死亡中死去.终身护理 终身护理 终身护理家庭医学是家庭医学.一般医生的培训是一般医生的培训.解释性的现象学分析.抚慰性护理是一项非常重要的护理.主要的护理是初级护理.定性研究是指质量研究.更多相关视频
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