研究动态
Articles below are published ahead of final publication in an issue. Please cite articles in the following format: authors, (year), title, journal, DOI.

支持护士的适应力和处理悲伤和失去的能力:一项继续教育计划中的质性主题分析。

Supporting Resilience and the Management of Grief and Loss among Nurses: Qualitative Themes from a Continuing Education Program.

发表日期:2022 Jun 01
作者: Mary Jane Esplen, Jiahui Wong, Vachon Mary L S
来源: Disease Models & Mechanisms

摘要:

对患癌症病人的照顾极富刺激和回报,吸引了享受管理复杂疾病挑战的医护专业人员进入这个领域。在面对持续的疾病或治疗影响时,医护专业人员常常与他们的患者建立亲密的联系,这可能与涉及功能损失和/或最终生命丧失的多重损失有关。对患者的持续损失暴露,以及具有挑战性的工作环境,可能对医护专业人员的健康和福祉产生重大压力和影响。而燃尽和同情疲劳(CF)的患病率很高,但医护专业人员对这些问题知之甚少。为提供肿瘤学护理的医护供应者提供了为期6周的继续教育计划,其中包括每周小组视频会议、以病例为基础的学习和一个在线社区。计划内容包括与CF相关的个人、组织和团队风险和保护因素,悲伤模型以及减轻CF的策略。内容分析作为该计划的评估部分进行了完成。总共有189名参与者(93%为护士)完成了该计划,与对CF和支持自我和团队韧性的策略的自信和知识的显著提高有关。将计划体验的定性主题和插图呈现。关键主题包括知识空白,与CF相关的支持不足以及支持韧性的策略,组织和团队方面的因素阻碍了对临床工作影响的表达,医护专业人员在护理中的“人”角色,以及个人变量、自我技能实践、以及自我和团队教育和支持的建议。版权© 2022年韩国临终关怀和姑息治疗学会.
Caring for patients with cancer is highly stimulating and rewarding, attracting health professionals to the field who enjoy the challenge of managing a complex illness. Health professionals often form close bonds with their patients as they confront ongoing disease or treatment impacts, which may be associated with multiple losses involving function and/or eventual loss of life. Ongoing exposure to patient loss, along with a challenging work setting, may pose significant stress and impact health professionals' well-being. The prevalence rates of burnout and compassion fatigue (CF) are significant, yet health professionals have little knowledge on these topics. A 6-week continuing education program consisting of weekly small-group video-conferencing sessions, case-based learning, and an online community of practice was delivered to health care providers providing oncology care. Program content included personal, organization and team-related risk and protective factors associated with CF, grief models, and strategies to mitigate against CF. Content analysis was completed as part of the program evaluation. In total, 189 participants (93% nurses) completed the program, which was associated with significant improvements in confidence and knowledge of CF and strategies to support self and team resilience. Qualitative themes and vignettes from experiences with the program are presented. Key themes included knowledge gaps, a lack of support related to CF and strategies to support resilience, organization- and team-based factors that can inhibit expression about the impacts of clinical work, the health professional as a "person" in caregiving, and the role of personal variables, self-skill practices, and recommendations for education and support for self and teams.Copyright © 2022 by Korean Society for Hospice and Palliative Care.