当患者在手术过程中死亡:介入心脏病学中导航操作员悲伤
George Touma1, Sarah Fairley2, William Lombardi3
1Hurstville Private Hospital, Sydney, Australia.
概括
在干预心脏病手术过程中患者的死亡对操作人员产生了深刻的影响,造成悲伤和创伤. 通过支持和反思性实践来解决操作员的悲伤对于临床医生的福祉和高质量的心血管护理至关重要.
科学领域:
- 心脏病学 心脏病学
- 心理学 心理学 心理学
- 医学伦理 医学伦理
背景情况:
- 干预心脏病学中的程序内死亡给操作人员带来了重大的情感挑战.
- 这一事件超越了技术结果,导致悲伤,自我怀疑和心理创伤.
研究的目的:
- 探索手术内死亡对干预心脏病专家的多面情感损失.
- 检查操作员悲伤与道德伤害,倦怠和职业身份的交叉点.
- 确定恢复的障碍,并提出基于证据的可持续治愈策略.
主要方法:
- 本综述综合了有关在手术过程中患者死亡后操作员悲伤的现有文献.
- 它检查了心理影响,认知/文化障碍,以及影响恢复的系统因素.
- 概述了个人和机构支持的基于证据的战略.
主要成果:
- 运营商的悲伤加剧了道德伤害,倦怠和对职业身份的威胁.
- 认知偏见 (结果偏见,重复循环) 和文化因素 (细分化,系统性沉默) 阻碍了愈合.
- 缺乏制度支持会延长痛苦,抑制脆弱性.
结论:
- 可持续的复苏需要个人战略 (反思性实践,同行对话,汇报) 和机构支持.
- 将脆弱性重新定义为专业性和促进心理安全是必不可少的.
- 解决操作员悲伤对于临床医生的福祉和保持高质量,同情心血管护理至关重要.
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