"停顿"对蓝码团队的影响以及见证死亡的探索
Kathryn Samai1, Jennifer Bonamer2, Shannon Ziegler3
1Kathryn Samai is a clinical pharmacist, UNC Health, Pharmacy Department-Decentralized Services, Chapel Hill, North Carolina.
概括
医疗团队发现"停顿"对于在复苏后应对病人的死亡有帮助. 这一策略旨在支持福祉和减少痛苦,尽管COVID-19大流行使结果的测量变得复杂.
科学领域:
- 医疗保健专业人员的福祉
- 医学伦理学
- 在医学上提供心理支持
背景情况:
- 医疗保健专业人员经历患者死亡后的情绪创伤.
- 一个社区教学医院的蓝色代码团队介绍了"暂停"以支持跨专业的员工.
- 这种干预措施旨在减轻患者死亡的心理影响.
研究的目的:
- 评估"停顿"对同情疲劳,焦虑和正念的影响.
- 探索临床医生对患者死亡的经验以及他们使用"暂停"的方法.
主要方法:
- 一项多方法研究,包括实施前和后的调查.
- 采访了临床和非临床工作人员参与全院代码蓝事件.
- 数据收集发生在干预推出之前和之后.
主要成果:
- 在干预后,同情疲劳得分下降,正念得分增加,
- 参与者报告称,COVID-19疫情期间患者死亡增加了痛苦.
- 定性数据揭示了流行病对死亡的影响,情感应对以及"暂停"作为人性化的元素.
结论:
- "暂停"被视为一个有益的应对机制与蓝色密码有关的死亡.
- 随着COVID-19大流行,人们在量化干预效应方面面临挑战.
- "停顿"提供了一个潜在的途径, 支持和赋权医疗保健专业人员在临终关键时刻.
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