Pepper Victoria K, Thirumoorthi Arul, Munoz Amanda, Vannix Rosemary, Baerg Joanne, Hernandez Barbara, Tagge Edward
Division of Pediatric Surgery, Loma Linda University Children's Hospital, Loma Linda, California, USA.
Am Surg. 2018 Oct 1;84(10):1551-1554.
Surgical trainees are expected to demonstrate family-centered care. However, it is unclear if residents know how to address psychosocial issues of pediatric patients and their families. Our aim was to evaluate surgical trainees' knowledge of family dynamics. Over a six-month period, trainees (n = 16) were surveyed regarding their comfort and familiarity with the psychosocial aspects of patient care and family dynamics. Residents recorded their comfort level with managing various behaviors using a Likert scale, and indicated which family issues they felt least prepared to handle. Most trainees lacked knowledge of family adjustment phases (50%), relational triangles (78%), developmental stages of families (40%), ambiguous loss (75%), ABCX model of family stress (100%), and the SPIKES model (88%). Excluding anxiety and sadness, almost half of residents felt unprepared for dealing with a variety of challenging behaviors. Finally, trainees were least comfortable with breaking bad news. A Family Dynamics curriculum could potentially increase resident management skills and improve patient care.
外科实习生应展示以家庭为中心的护理。然而，尚不清楚住院医师是否知道如何处理儿科患者及其家庭的心理社会问题。我们的目的是评估外科实习生对家庭动态的了解。在六个月的时间里，对实习生（n = 16）进行了调查，了解他们对患者护理和家庭动态的心理社会方面的舒适度和熟悉程度。住院医师使用李克特量表记录他们处理各种行为的舒适度，并指出他们认为最没有准备好处理的家庭问题。大多数实习生缺乏对家庭适应阶段（50%）、关系三角（78%）、家庭发展阶段（40%）、模糊丧失（75%）、家庭压力的ABCX模型（100%）和SPIKES模型（88%）的了解。除了焦虑和悲伤，几乎一半的住院医师觉得没有准备好应对各种具有挑战性的行为。最后，实习生对传达坏消息最不自在。家庭动态课程可能会提高住院医师的管理技能并改善患者护理。
