Building Resiliency in a Palliative Care Team: A Pilot Study
Building Resiliency in a Palliative Care Team: A Pilot Study
复制标题
DOI：
10.1016/j.jpainsymman.2015.10.013
复制
发表时间：
2016-03-01
影响因子：
4.7
通讯作者：
Jackson, Vicki A.
中科院分区：
文献类型：
--
作者：
Mehta, Darshan H.;Perez, Giselle K.;Jackson, Vicki A.
上下文姑息治疗临床医生（PCC）是容易倦怠的结果，慢性压力与重病患者的工作。倦怠会导致旷工、无效沟通、医疗差错和工作周转。干预措施，促进更好地应对压力是需要在这一人群。该试点研究测试了姑息治疗临床医生放松反应恢复力计划的可行性，该计划旨在减少压力和增加恢复力，在一个主要的学术医疗中心的多学科PCC队列（N = 16）中。一名医生在两个月内分五次进行干预（总共12小时）。数据是在项目开始前一周和完成后两个月收集的。主要结果是该方案的可行性。感知压力，积极和消极的影响，观点采择，乐观，生活满意度和自我效能感的变化进行了检查，使用非参数统计检验。使用Cohen's d.结果量化效应大小。干预是可行的，所有参与者参加了至少四个五届会议，并没有减员。干预后，参与者表现出减少感知压力和改善的观点采择。我们的研究结果表明，一种新的团队为基础的弹性干预的基础上引出的放松反应是可行的，可能有助于促进弹性和保护免受压力的负面后果PCC。(C)2016年美国临终关怀和姑息医学学会。爱思唯尔公司出版All rights reserved.
Context. Palliative care clinicians (PCCs) are vulnerable to burnout as a result of chronic stress related to working with seriously ill patients. Burnout can lead to absenteeism, ineffective communication, medical errors, and job turnover. Interventions that promote better coping with stress are needed in this population.Objectives. This pilot study tested the feasibility of the Relaxation Response Resiliency Program for Palliative Care Clinicians, a program targeted to decrease stress and increase resiliency, in a multidisciplinary cohort of PCCs (N = 16) at a major academic medical center.Methods. A physician delivered the intervention over two months in five sessions (12 hours total). Data were collected the week before the program start and two months after completion. The main outcome was feasibility of the program. Changes in perceived stress, positive and negative affect, perspective taking, optimism, satisfaction with life, and self-efficacy were examined using nonparametric statistical tests. Effect size was quantified using Cohen's d.Results. The intervention was feasible; all participants attended at least four of the five sessions, and there was no attrition. After the intervention, participants showed reductions in perceived stress and improvements in perspective taking.Conclusion. Our findings suggest that a novel team-based resiliency intervention based on elicitation of the relaxation response was feasible and may help promote resiliency and protect against the negative consequences of stress for PCCs. (C) 2016 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.