针对第二受害者现象的同行支持:实施和结果
Amber E High1, Sharron Forest2
1Anesthesiology, University of Texas Medical Branch, Galveston, USA.
Cureus
|February 14, 2025
概括
经历了第二个受害者现象的临床医生需要更好的支持. 一个新的同行支持计划显著改善了福祉和意识,证明了医疗保健机构的可扩展解决方案.
科学领域:
- 医学教育 医学教育
- 医疗保健管理的管理
- 心理学 心理学 心理学
背景情况:
- 第二个受害者现象显著影响医疗保健专业人员和患者护理.
- 现有的对第二次受害者的同行支持计划没有得到充分的记录.
- 目前存在着巨大的需求,20%的临床医生经历了痛苦,只有20%的临床医生感到足够的支持.
研究的目的:
- 为受第二受害者现象影响的临床医生实施和评估一个可扩展的,基于证据的同行支持计划.
- 为了解决在支持临床医生经历情感痛苦的工作事件中发现的差距.
- 提高临床医生的福祉,培养支持性的医疗保健文化.
主要方法:
- 快速推出一个同行支持计划,包括同行互动和在线平台.
- 培训同龄人,以促进对不良事件和个人问题的支持接触.
- 利用在线平台去污名化心理健康,使第二次受害成为正常.
主要成果:
- 在三个月的时间里,有33个支持接触得到了促进,解决了不良事件和欺凌.
- 该在线平台获得了100多次访问,有助于消除耻辱化的努力.
- 实施后,77%的临床医生报告了适当和及时的支持,对"第二受害者"术语的认识翻了一番.
结论:
- 实施的同行支持计划具有成本效益,并迅速部署,大大改善了临床医生对支持的看法.
- 该计划成功地提高了临床医生的福祉,并培养了更加关心的组织文化.
- 这种可转移的模型为医疗保健学科提供了一个主动的策略,以减轻倦怠和支持第二个受害者,帮助预防自杀的努力.
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