Levaot Yael, Dolfin Dror
Staff Resilience Unit, Soroka Medical Center.
Harefuah. 2024 Aug;163(8):496-500.
We present a case study dealing with the emotional coping of a physician's exposure to continuous traumatic stress starting with the events of Oct. 7, 2023 and during the following months.
The medical staff at Soroka Medical Center in southern Israel have faced unprecedented challenges over the past months due to ongoing conflict along the Gaza border. Since October 7, 2023, over 2,550 wounded patients have been treated at Soroka for injuries of varying severity, with more than 250 requiring life-saving surgeries. As the region's largest trauma center, Soroka's staff have endured continuous exposure to traumatic stress, suffering, distress and grief - both within the hospital and in their personal lives.
While the long-term impacts remain to be seen, preliminary findings suggest that organizational efforts during routine may help mitigate potential negative effects of exposure to traumatic stress in the course of emergency. Further research is needed to understand how cumulative exposure interacts with process of recovery and growth.
The current report presents the different layers of traumatic exposure, the associated risk and resilience factors and a perception that was instilled in the hospital in the years preceding the current war which promoted a culture of proactive peer discourse about emotional hardship and normalization of referral for professional help when needed. We also present coping behaviors that were common among many staff members and organizational responses, considering the uniqueness of the current challenges, their scope and duration.
我们呈现一个案例研究,该研究涉及一名医生自2023年10月7日事件起及随后几个月中持续遭受创伤性应激时的情绪应对情况。
由于加沙边境持续的冲突,以色列南部索罗卡医疗中心的医务人员在过去几个月里面临了前所未有的挑战。自2023年10月7日以来,索罗卡医疗中心已治疗了超过2550名伤势轻重不一的伤员,其中超过250人需要进行挽救生命的手术。作为该地区最大的创伤中心,索罗卡医疗中心的工作人员在医院内外以及个人生活中都持续遭受创伤性应激、痛苦、困扰和悲伤。
虽然长期影响仍有待观察,但初步研究结果表明,日常工作中的组织努力可能有助于减轻在紧急情况下遭受创伤性应激的潜在负面影响。需要进一步研究以了解累积暴露如何与恢复和成长过程相互作用。
本报告介绍了创伤暴露的不同层面、相关的风险和恢复力因素,以及在当前战争之前的几年里在医院中逐渐形成的一种观念,这种观念促进了一种积极的同伴间关于情感困境的对话文化,并在需要时推动了寻求专业帮助的常态化。我们还介绍了许多工作人员共有的应对行为以及组织的应对措施,同时考虑到当前挑战的独特性、其范围和持续时间。