Bursch Brenda, Lloyd Jessica, Mogil Catherine, Wijesekera Kanchana, Miotto Karen, Wu Michelle, Wilkinson Rebecca, Klomhaus Alexandra, Iverson Arija, Lester Patricia
Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Department of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
J Med Educ Curric Dev. 2017 Nov 16;4:2382120517741298. doi: 10.1177/2382120517741298. eCollection 2017 Jan-Dec.
An evidence-based trauma-informed resilience skills training program developed for deployed military personnel was adapted and pilot-tested with pediatric residents. We anticipated high satisfaction ratings and changes in knowledge, beliefs, and self-efficacy related to coping with stress and trauma.
The intervention included 6 skill-based modules covering emotion regulation, communication with angry patients and parents, reflective narrative, inspirational goal setting, problem-solving, and developing a self-care toolbox. An optional survey was administered before and after the training.
After training, 76% rated resilience skills as important, 60% were satisfied, and 82% indicated the training changed how they will respond to patient-related grief and trauma. They became more likely to believe attendings are affected by patient deaths and to know what helps them cope when they disagree with the medical decision making of others, more skilled in recognizing signs of stress and trauma, and more knowledgeable about evidence-based interventions.
为部署的军事人员开发的一项基于证据的创伤知情复原力技能培训计划，经过改编后在儿科住院医师中进行了试点测试。我们预计会有较高的满意度评分，以及在应对压力和创伤方面的知识、信念和自我效能的变化。
干预包括6个基于技能的模块，涵盖情绪调节、与愤怒的患者及家长沟通、反思性叙述、鼓舞人心的目标设定、问题解决以及开发自我护理工具箱。在培训前后进行了一项可选调查。
培训后，76%的人认为复原力技能很重要，60%的人表示满意，82%的人表示培训改变了他们对患者相关悲伤和创伤的应对方式。他们更有可能相信上级医生会受到患者死亡的影响，并且知道当他们不同意他人的医疗决策时什么能帮助他们应对，在识别压力和创伤迹象方面更有技巧，并且对基于证据的干预措施了解更多。
