Welch Alyssa A, Esquibel Brendon M, Osterloth Kohei A, Kallies Kara J, Fitzsimmons Alec J, Waller Christine J
General Surgery Residency, Department of Medical Education (Drs Welch and Esquibel), Department of Medical Research (Messrs Osterloth and Fitzsimmons and Ms Kallies), and Department of General Surgery (Dr Waller), Gundersen Health System, La Crosse, Wisconsin.
J Trauma Nurs. 2022;29(6):291-297. doi: 10.1097/JTN.0000000000000671.
Witnessing death can be difficult and emotionally draining for health care workers and presents a risk factor for burnout. The practice of a ritual pause at patient death to recognize the patient as a person, reflect, and acknowledge the health care team is an emerging intervention that has not been well studied in trauma.
This study aims to explore the effect of a team pause on trauma team member attitudes after emergency department patient death.
This is a pre- and postintervention study of the implementation of a Trauma PAUSE (Promoting Acknowledgment, Unity, and Sympathy at the End of Life) conducted from March 2018 to June 2020.
A total of 466 participated in this study. Emergency department employee responses to the pre- (296 of 745 employees contacted responded) and postimplementation surveys (170 of 732 employees contacted responded) were compared. Although not statistically significant, responses to the postsurvey suggested an increased connection to patients and belief in the need for a moment of silence following a death. Employees who had participated in a PAUSE (57/170) reported improvements in internal conflict, feeling of emptiness, resilience, and ability to move on to the next task. Overall, 84.2% (48/57) of Trauma PAUSE participants were satisfied with the Trauma PAUSE.
The Trauma PAUSE is a meaningful way to help trauma staff members find peace, maintain resiliency, and readily shift their focus to providing care to other patients.
目睹死亡对医护人员来说可能很困难且会消耗情感，是职业倦怠的一个风险因素。在患者死亡时进行仪式性停顿，以将患者视为人来加以认可、反思并认可医护团队，这一做法作为一种新兴干预措施，在创伤领域尚未得到充分研究。
本研究旨在探讨团队停顿对急诊科患者死亡后创伤团队成员态度的影响。
这是一项对2018年3月至2020年6月实施的创伤停顿（临终促进认可、团结与同情）进行干预前后的研究。
共有466人参与了本研究。比较了急诊科员工对干预前（联系的745名员工中有296人回复）和实施后调查（联系的732名员工中有170人回复）的回答。尽管无统计学意义，但对实施后调查的回答表明，与患者的联系有所增加，且认为死亡后需要片刻默哀。参与过停顿仪式的员工（57/170）报告称，内部冲突、空虚感、恢复力以及进入下一项任务的能力都有所改善。总体而言，84.2%（48/57）的创伤停顿参与者对创伤停顿感到满意。
创伤停顿是一种有意义的方式，可帮助创伤科室工作人员找到内心平静、保持恢复力，并能迅速将注意力转移到为其他患者提供护理上。
