Department of Medicine, Khalifa University College of Medicine And Health Sciences, Abu Dhabi, UAE
Ruth Lilly Medical Library, Indiana University School of Medicine, Indianapolis, Indiana, USA.
BMJ Open. 2023 Jun 8;13(6):e072530. doi: 10.1136/bmjopen-2023-072530.
Existing literature demonstrates that medical students and residents experience complex emotions and substantial grief after patient deaths. Over time, this can lead to burnout and depression and adversely impact patient care. In response, medical schools and training programmes worldwide have developed and implemented interventions to help medical trainees to better cope with patient deaths. This manuscript provides a scoping review protocol that aims to systematically identify and document the published research reporting on the implementation or delivery of interventions to support medical students and residents/fellows in dealing with patient death.
A scoping review will be conducted following the Arksey-O'Malley five-stage scoping review method and the Scoping Review Methods Manual by the Joanna Briggs Institute. English language interventional studies published through 21 February 2023, will be identified in the following databases: MEDLINE, Scopus, Embase, Psych Info, Cochrane Database of Systematic Reviews, CINAHL and ERIC. Two reviewers will screen titles and abstracts and then independently screen full-text articles for inclusion. Two reviewers will assess the methodological quality of included studies using the Medical Education Research Study Quality Instrument. After extraction, data will be narratively synthesised. Experts in the field will be consulted to ensure the feasibility and relevance of the findings.
Ethical approval is not required as all data will be collected from published literature. The study will be disseminated through publication in peer-reviewed journals and presentation at local and international conferences.
现有文献表明,医学生和住院医师在患者死亡后会经历复杂的情绪和巨大的悲痛。随着时间的推移,这可能导致倦怠和抑郁,并对患者护理产生不利影响。为此,世界各地的医学院校和培训计划已经制定并实施了干预措施,以帮助医学实习生更好地应对患者死亡。本文提供了一个范围综述方案,旨在系统地确定和记录已发表的研究报告,这些研究报告涉及实施或提供干预措施以支持医学生和住院医师/研究员应对患者死亡的情况。
将按照 Arksey-O'Malley 五阶段范围综述方法和 Joanna Briggs 研究所的范围综述方法手册进行范围综述。通过以下数据库识别截止到 2023 年 2 月 21 日发表的英语干预性研究:MEDLINE、Scopus、Embase、Psych Info、Cochrane 系统评价数据库、CINAHL 和 ERIC。两名审查员将筛选标题和摘要,然后独立筛选全文文章以确定是否纳入。两名审查员将使用医学教育研究质量工具评估纳入研究的方法学质量。提取后,将对数据进行叙述性综合。将咨询该领域的专家,以确保研究结果的可行性和相关性。
由于所有数据都将从已发表的文献中收集,因此不需要伦理批准。该研究将通过在同行评议期刊上发表和在当地和国际会议上展示来传播。