一项针对住院医师的成功汇报计划。

A Successful Debrief Program for House Staff.

作者信息

Leff Victoria, Klement Adrienne, Galanos Anthony

机构信息

a Clinical Social Work, Duke Palliative Care , Duke University Hospital , Durham , North Carolina , USA.

b Hospital Medicine , Durham VA Medical Center , Durham , North Carolina , USA.

出版信息

J Soc Work End Life Palliat Care. 2017 Apr-Sep;13(2-3):87-90. doi: 10.1080/15524256.2017.1314234. Epub 2017 Apr 20.

DOI:10.1080/15524256.2017.1314234

PMID:28426397

Abstract

Challenging end-of-life encounters can be stressful and may lead to burnout. Monthly debriefing sessions are led by a physician and clinical social worker (LCSW). Sessions focus on experiences and emotional reactions rather than case details. Themes identified included; feeling unsupported after difficult deaths, identifying with patients emotionally, and conceptualizing a "good" versus "bad" death. Debriefing provides opportunities for residency physicians to reflect on the affective side of their work and helps promote resiliency.

摘要

具有挑战性的临终接触可能会带来压力，并可能导致职业倦怠。每月一次的汇报会由一名医生和临床社会工作者（LCSW）主持。会议重点关注经历和情绪反应，而非病例细节。确定的主题包括：在经历艰难死亡后感到无人支持、在情感上与患者产生共鸣，以及将死亡概念化为“好”与“坏”。汇报会为住院医师提供了反思其工作情感层面的机会，并有助于提升适应能力。