家庭代孕创伤性压力在重症监护室的记录:定性分析
Brooke E Schroeder1, Raquel Garcia1, Julien Cobert2,3
1School of Medicine, Duke University, Durham, NC, USA.
The American journal of hospice & palliative care
|December 11, 2025
概括
临床医生笔记经常无法记录重症监护室 (ICU) 的家庭创伤性压力,除非它影响护理. 解决这个问题需要标准化的方法和多学科的团队来改善沟通和以患者为中心的护理.
科学领域:
- 医疗社会工作 医疗社会工作
- 关键护理医学 关键护理医学
- 精神病学是一个精神病学.
背景情况:
- 创伤性压力在重症患者的家庭中很常见,往往导致与医疗保健提供者发生冲突.
- 了解临床医生如何在电子健康记录 (EHR) 中记录家庭压力对于改善护理至关重要.
- 现有的记录实践可能无法充分捕捉遭受重大压力的家庭的经历.
研究的目的:
- 描述临床医生在ICU环境中经历高水平创伤性压力的家庭成员的文档.
- 在EHR笔记中识别与代理决策者的压力,行为和相互作用相关的模式和主题.
- 探索文档对家庭和临床医生的关系和决策过程的影响.
主要方法:
- 从重症监护室 (ICU) 患者的电子健康记录 (EHR) 注释的定性主题分析.
- 纳入标准:在创伤后应激症状量表上,机械通风患者与代理决策者得分超过35分.
- 代码书专注于代孕行为,应对,资源和医疗决策.
主要成果:
- 代理创伤性压力的文档不一致,通常只有在它扰乱了临床护理时才出现.
- 代孕妇与临床医生的冲突和目标不一致加剧了代孕妇的痛苦.
- 多学科团队的参与对于情感支持和沟通促进至关重要.
结论:
- 需要标准化的方法来识别和管理ICU中的代创性压力.
- 投资于多学科团队对于缓解困扰,培养信任和促进协作决策至关重要.
- 意识到文档有潜力延续耻辱是减少再创伤和推进以人为中心的ICU护理的关键.
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