在手术桌上的死亡:手术室工作人员如何体验手术期间的死亡? 定性证据的叙事综合
Jonathan Bayuo1, John Akortiakumah2, Mary Abboah-Offei3
1School of Nursing and Midwifery, University of Southern Queensland, Toowoomba, Queensland, Australia jonathan.bayuo@unisq.edu.au.
BMJ supportive & palliative care
|December 17, 2025
概括
手术室工作人员在手术期间患者死亡后经历了严重的情绪困扰,特别是意外的死亡. 支持策略,如团队汇报,对于劳动力弹性和患者安全至关重要.
科学领域:
- 医学社会学 医学社会学
- 心理学 心理学 心理学
- 医疗保健管理的管理
背景情况:
- 在手术期间发生的死亡虽然很少见,但在手术室 (OR) 工作人员中造成了严重的,未被解决的情绪困扰.
- 患者死亡后对OR团队的心理影响需要更多的认可和支持.
研究的目的:
- 综合了手术室工作人员在手术期间患者死亡后的经验.
- 确定支持OR工作人员应对这些事件的策略.
主要方法:
- 进行了对定性研究的叙述性审查.
- 对多个同行评审和灰色文献数据库进行了广泛的搜索.
主要成果:
- 意外或可预防的手术期间死亡导致严重的心理痛苦,包括内和道德痛苦.
- 应对机制各不相同:外科医生使用创造意义,麻醉师经历过无敏化,护士面临着沉默的文化.
- 即使是预期的死亡也会引起情绪上的伤害,尽管不那么强烈.
结论:
- 需要紧急干预,包括团队汇报和系统性政策变化,以解决OR员工的情绪损失.
- 将脆弱性正常化和整合情绪管理对于劳动力弹性和患者安全至关重要.
- 在日益增长的外科需求中,关注员工福利是从道德上必不可少的,对于保持医疗保健质量至关重要.
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