Dana-Farber Cancer Institute, Boston Children's Hospital, Harvard Medical School, 450 Brookline Avenue, Boston, MA 02215, USA.
Dana-Farber Cancer Institute, Boston Children's Hospital, Harvard Medical School, 450 Brookline Avenue, Boston, MA 02215, USA.
Child Adolesc Psychiatr Clin N Am. 2018 Oct;27(4):591-598. doi: 10.1016/j.chc.2018.05.005. Epub 2018 Jul 4.
Pediatric consultation-liaison clinicians are well positioned to provide support, guidance, and systemic recommendations about how to help medical clinicians cope with the stresses of working with dying children. Interventions to support sustainability in this work need to occur at the institutional and team-based levels as well as in individual practice. Shared clinical work around challenging cases provides opportunities to engage with medical clinicians about their difficult experiences and provide reflection and support. Psychiatry services may also be in a role of advocating for institutionally based interventions that can help their medical colleagues.
儿科会诊联络临床医生非常适合提供支持、指导和系统建议，帮助医疗临床医生应对与临终儿童合作的压力。支持这项工作可持续性的干预措施需要在机构和团队层面以及个人实践中进行。围绕挑战性病例的共享临床工作为与医疗临床医生就其困难经历进行接触并提供反思和支持提供了机会。精神科服务也可能在倡导机构干预方面发挥作用，这些干预措施可以帮助他们的医疗同事。
