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描述纪念与更新:整体自我保健计划。

Describing Remembrance & Renewal: A Holistic Self-Care Program.

机构信息

The Arthur G. James Cancer Hospital & Richard J. Solove Research Institute, Columbus, OH, USA.

The Ohio State University, Columbus, OH, USA.

出版信息

J Holist Nurs. 2023 Dec;41(4):327-334. doi: 10.1177/08980101231163448. Epub 2023 Mar 22.

Abstract

Holistic care interventions include support for healthcare worker grief in a relationship-based care paradigm. Few programs support oncology healthcare worker grief and renewal prior to and during the COVID-19 pandemic. Describe "knowledge of" and "engagement with" a program about grief and resilience, Remembrance & Renewal (R&R). An anonymous, electronic survey was available to healthcare workers at an academic, comprehensive cancer center. Demographic questions were analyzed against "knowledge of" and "engagement with." Of 105 responding to "awareness of," 81 knew about R&R and 48 had "engaged with" the program. Statistically significant relationships between a characteristic and awareness were found for education (  =  .03), setting (p < .01), and the frequency of learning about a death (  =  .04). Statistically significant relationships between a characteristic and level of participation were found for profession (  =  .02) and length of time in job (  =  .03). Open-ended questions asked about impact of patient death (  =  93), barriers to participation (  =  54), and feelings after "engagement with" (  =  45). Responses to impact, barriers, and feelings were respectively: sadness (75.3%); time (77.8%); and calm (75.6%). This study describes "knowledge of" and "engagement with" a holistic grief and renewal program. Further study will add to healthcare worker holistic self-care.

摘要

整体关怀干预措施包括在以关系为基础的关怀范式中支持医疗保健工作者的悲伤。在 COVID-19 大流行之前和期间,很少有计划支持肿瘤医疗保健工作者的悲伤和更新。描述一下关于悲伤和韧性的计划“了解”和“参与”,即“纪念与更新”(R&R)。在学术性综合癌症中心,向医疗保健工作者提供了一份匿名的电子调查。对人口统计学问题进行了分析,以了解“了解”和“参与”情况。在回应“知晓度”的 105 人中,81 人知道 R&R,48 人参与了该计划。在教育程度(=0.03)、工作环境(p<.01)和学习死亡频率(=0.04)方面,发现特征与意识之间存在统计学上显著的关系。在职业(=0.02)和工作时间(=0.03)方面,发现特征与参与程度之间存在统计学上显著的关系。开放性问题询问了患者死亡的影响(=93)、参与障碍(=54)以及“参与”后的感受(=45)。对影响、障碍和感受的回答分别是:悲伤(75.3%);时间(77.8%);平静(75.6%)。本研究描述了“了解”和“参与”整体悲伤和更新计划。进一步的研究将增加医疗保健工作者的整体自我保健。

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