当病人去世时,支持护士
Esther Otis1, Kathryn B Reid, Lauren K Sink
1Esther Otis is the staff resilience coordinator, Kathryn B. Reid is the nursing research coordinator, Lauren K. Sink is a direct care RN, Patricia A. Scherle is the current vice president/chief nursing officer, and Johnsa Greene-Morris is the former vice president/chief nursing officer, all at Sentara Martha Jefferson Hospital in Charlottesville, VA. Contact author: Esther Otis, eglozan1@sentara.com. The authors have disclosed no potential conflicts of interest, financial or otherwise.
一个新的死后护理团队协议可以帮助护士通过提供支持和时间来处理死后护理来应对患者的死亡. 该协议旨在减少燃烧和改善重症监护机构的护士福祉.
科学领域:
- 护理 护理 护理
- 医疗保健管理部门的管理.
- 临床心理学 临床心理学
背景情况:
- 病人死亡对护士产生重大影响,导致未被认可的创伤,道德困扰和倦怠.
- 护士经常面临即时的重新分配,阻碍了必要的死后护理和个人处理时间.
- 开发了一个死后护理团队协议,以便在患者死亡后系统地支持护士.
研究的目的:
- 评估死后护理团队协议对护士福祉的早期影响.
- 报告聚焦小组和关于协议有效性的调查结果.
- 确定成功实施临床医生支持系统的策略.
主要方法:
- 使用了一种混合方法方法,涉及定性焦点小组和定量调查.
- 该协议提供了工作负载保护,并在患者死亡后为护士提供额外的休息时间.
- 在一年内从69名护士收集的数据评估了协议的使用和感知到的帮助性.
主要成果:
- 护士希望得到有意义的支持,包括有时间进行死后护理和监督人员协助工作量变化.
- 死亡后护理团队协议在第一年被用于42%的患者死亡.
- 事反表明,与协议实施相关的积极益处和负面经验.
结论:
- 结果表明,患者死亡后的工作流程的流程改进,并强调需要在同行支持中进行文化变革.
- 该协议为有意义的护士支持提供了系统增强,并促进了机构文化变化.
- 在患者死亡等关键事件期间关注护士的福祉对于护士的留守和优质护理至关重要.
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