关键词: Grief education Needs assessment Pediatric residency

来  源:   DOI:10.1016/j.jpainsymman.2024.06.023

Abstract:
BACKGROUND: Pediatric residents care for dying children during training. Few educational efforts focus on helping trainees better understand their own grief process and the supports available to them and their patients\' families.
OBJECTIVE: This work aims to assess pediatric residents\' needs and preferences for content included in a curriculum on grief and bereavement.
METHODS: Pediatric residents, at a single institution, completed an electronic survey in Spring 2023 on how they cope with patient deaths and their preferences on content in a proposed grief and bereavement curriculum.
RESULTS: The survey was emailed to 165 current or recent trainees; 71 surveys were fully completed (43% response rate). Most respondents (63/71, 89%) indicated that a formalized bereavement curriculum for pediatric residents is important. The resources most frequently utilized by residents following a pediatric death included peer support (59/71, 83%), attending a debrief coordinated by residency leadership or the supportive care division (38/71, 54%), and reading a patient\'s obituary (23/71, 32%). The most desired content areas were institutional services provided to bereaved families (66/71, 93%), unique aspects of healthcare professional grief (58/71, 82%), and experiences of bereaved families hearing from providers after their child\'s death (56/71, 79%).
CONCLUSIONS: Pediatric residents indicate a strong desire for structured curricula on grief and bereavement focusing on resources that exist for families, approaches to grieving as a healthcare professional, and better understanding the experiences of bereaved families. These data may inform educators on priorities in training and support of pediatric residents on grief and bereavement.
摘要:
背景:儿科住院医师在训练期间照顾垂死的儿童。很少有教育工作集中在帮助受训者更好地了解他们自己的悲伤过程以及他们和他们的患者家属的支持。
目的:这项工作旨在评估儿科居民对悲伤和丧亲课程内容的需求和偏好。
方法:儿科居民,在一个单一的机构,2023年春季完成了一项电子调查,内容涉及他们如何应对患者死亡以及他们对拟议的悲伤和丧亲课程内容的偏好。
结果:该调查已通过电子邮件发送给165名当前或最近的受训人员;71项调查已完全完成(答复率为43%)。大多数受访者(63/71,89%)表示,针对儿科居民的正式丧亲课程很重要。儿科死亡后居民最常使用的资源包括同伴支持(59/71,83%),参加由居民领导或支持护理部门协调的汇报(38/71,54%),并阅读患者的ob告(23/71,32%)。最需要的内容领域是向失去亲人的家庭提供机构服务(66/71,93%),医疗保健专业悲伤的独特方面(58/71,82%),以及失去亲人的家庭在孩子死后从提供者那里听到的经历(56/71,79%)。
结论:儿科居民表示强烈希望针对悲伤和丧亲的结构化课程,重点关注家庭的资源,作为一名医疗保健专业人士的悲伤方法,更好地了解失去亲人的家庭的经历。这些数据可能会告知教育工作者在培训和支持儿科居民的悲伤和丧亲方面的优先事项。
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