在创伤临床医生中检查代理创伤:混合方法研究研究
Kerry Drabish1, Nancy M Duvall, Chisom L Maduakonam
1Author Affiliations: Center for Health Services and Outcomes Research, Charleston Area Medical Center, Institute of Academic Medicine, Charleston, WV.
概括
代理创伤在创伤临床医生中普遍存在,这是由于暴露于痛苦. 医疗保健领导者必须实施干预措施,以保护临床医生并减轻对患者护理和福祉的负面影响.
科学领域:
- 医学研究 医学研究
- 心理学 心理学 心理学
- 职业健康 职业健康 职业健康
背景情况:
- 代理创伤 (VT) 是医疗保健专业人员的职业危险,因为他们反复暴露于他人的痛苦中.
- 视频培训对临床医生的个人和职业生活以及患者护理质量产生负面影响.
- 有限的研究存在于VT,特别是在创伤临床医生人群中.
研究的目的:
- 在创伤临床医生中调查代理创伤的患病率和特征.
- 了解临床医生为创伤患者提供直接护理的经验.
主要方法:
- 在一级创伤中心进行了为期5个月 (2024年5月至10月) 的解释性顺序混合方法研究.
- 通过电子调查收集的定量数据,使用Vicarious创伤量表项目.
- 通过对创伤临床医生的个人采访收集的定性数据.
主要成果:
- 76名临床医生参与了调查,护士占多数,其次是医生和执业护士.
- 临床医生报告说,暴露于令人痛苦的物质和受创伤的个人的高暴露率.
- 代理创伤在护士中更为明显;由于工作量和对判断的恐惧,福祉干预意识和使用率较低.
结论:
- 代理创伤在创伤临床医生中很明显,造成专业和个人风险.
- 医疗机构和创伤领导必须解决静脉训练风险.
- 需要采取积极的保护措施,以减轻代理创伤对临床医生的影响.
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