The impact of severe acute respiratory syndrome on medical house staff - A qualitative study

The impact of severe acute respiratory syndrome on medical house staff - A qualitative study
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DOI:
10.1111/j.1525-1497.2005.0099.x
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发表时间:
2005-05-01
影响因子:
5.7
通讯作者:
Straus, SE
Straus, SE
中科院分区:
医学2区
文献类型:
--
作者:
Rambaldini, G;Wilson, K;Straus, SE

文献摘要

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目的:探讨严重急性呼吸综合征(SARS)对医学培训项目的影响,并为专业培训项目制定原则,以应对未来类似的危机。设计:采用扎根理论方法进行定性访谈分析。地点:2003年SARS爆发期间加拿大多伦多的大学附属医院。医务室的工作人员被分配到一个普通内科临床教学单位,传染病咨询服务,或重症监护室。与会者描述了他们在疫情期间的经历,并强调了几个主题,包括对他们的人身安全和疫情对病人护理的负面影响的担忧,内务人员的教育,以及他们的情绪健康。透过相关信息的沟通,以及主管人员的领导和感染控制,提高了居民科普SARS爆发压力的能力军官希望卫生保健专业人员的培训计划能够在制定应对未来健康威胁的战略时实施这些危机管理原则。
OBJECTIVE: To explore the impact of severe acute respiratory syndrome (SARS) on a medical training program and to develop principles for professional training programs to consider in dealing with future, similar crises.DESIGN: Qualitative interviews analyzed using grounded theory methodology.SETTING: University-affiliated hospitals in Toronto, Canada during the SARS outbreak in 2003.PARTICIPANTS: Medical house staff who were allocated to a general internal medicine clinical teaching unit, infectious diseases consultation service, or intensive care unit.RESULTS: Seventeen medical residents participated in this study. Participants described their experiences during the outbreak and highlighted several themes including concerns about their personal safety and about the negative impact of the outbreak on patient care, house staff education, and their emotional well-being.CONCLUSION: The ability of residents to cope with the stress of the SARS outbreak was enhanced by the communication of relevant information and by the leadership of their supervisors and infection control officers. It is hoped that training programs for health care professionals will be able to implement these tenets of crisis management as they develop strategies for dealing with future health threats.