{"title":"“缺乏准备加重了提供者的悲伤”:一项针对儿科住院医师的悲伤培训需求评估的结果。","authors":"Erin Hickey, Erica L Jamro","doi":"10.1177/00099228251375267","DOIUrl":null,"url":null,"abstract":"<p><p>Educational interventions to prepare pediatric residents to care for grieving people are rare. This study aimed to identify gaps in grief training and assess any changes in grief-related experience, attitudes, and skills during residency training. Pediatric residents completed a survey conducted from March to April 2022 that assessed their experience, attitudes, skills, and knowledge of organizational support related to caring for grieving patients and families. The survey achieved a 49% response rate. Residents reported increasing clinical experience with grief over time (r = 0.45, <i>P</i> = .001), yet formal training about grief was inadequate and did not improve with time (r = 0.14, <i>P</i> = .34). Despite improvements in competence with delivering difficult news with years in residency (r = 0.31, <i>P</i> = .03), only 35.7% felt competent by PGY3/4. Only 19.5% of residents overall believe adequate grief support exists within their training program. Pediatric residents care for grieving people throughout residency. Opportunities for residents to receive formal grief training are inadequate.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251375267"},"PeriodicalIF":0.7000,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"\\\"The Lack of Preparation Compounds Provider Grief\\\": Results From a Needs Assessment on Grief Training Delivered to Pediatric Residents.\",\"authors\":\"Erin Hickey, Erica L Jamro\",\"doi\":\"10.1177/00099228251375267\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Educational interventions to prepare pediatric residents to care for grieving people are rare. This study aimed to identify gaps in grief training and assess any changes in grief-related experience, attitudes, and skills during residency training. Pediatric residents completed a survey conducted from March to April 2022 that assessed their experience, attitudes, skills, and knowledge of organizational support related to caring for grieving patients and families. The survey achieved a 49% response rate. Residents reported increasing clinical experience with grief over time (r = 0.45, <i>P</i> = .001), yet formal training about grief was inadequate and did not improve with time (r = 0.14, <i>P</i> = .34). Despite improvements in competence with delivering difficult news with years in residency (r = 0.31, <i>P</i> = .03), only 35.7% felt competent by PGY3/4. Only 19.5% of residents overall believe adequate grief support exists within their training program. Pediatric residents care for grieving people throughout residency. Opportunities for residents to receive formal grief training are inadequate.</p>\",\"PeriodicalId\":10363,\"journal\":{\"name\":\"Clinical Pediatrics\",\"volume\":\" \",\"pages\":\"99228251375267\"},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2025-09-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Pediatrics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/00099228251375267\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Pediatrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/00099228251375267","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0
摘要
教育干预准备儿科住院医生照顾悲伤的人是罕见的。本研究旨在找出哀伤训练的差距,并评估住院医师训练期间哀伤相关经验、态度和技能的变化。儿科住院医师完成了一项于2022年3月至4月进行的调查,评估了他们在照顾悲伤的患者和家属方面的组织支持的经验、态度、技能和知识。该调查的回复率为49%。住院医生报告说,随着时间的推移,他们对悲伤的临床经验增加了(r = 0.45, P = .001),但关于悲伤的正式培训不足,并且没有随着时间的推移而改善(r = 0.14, P = .34)。尽管随着住院医师年限的增加,在传递困难新闻方面的能力有所提高(r = 0.31, P = 0.03),但在PGY3/4时,只有35.7%的人认为自己有能力。总体而言,只有19.5%的住院医生认为在他们的培训项目中存在足够的悲伤支持。儿科住院医师在住院期间照顾悲伤的人。居民接受正式的悲伤训练的机会是不够的。
"The Lack of Preparation Compounds Provider Grief": Results From a Needs Assessment on Grief Training Delivered to Pediatric Residents.
Educational interventions to prepare pediatric residents to care for grieving people are rare. This study aimed to identify gaps in grief training and assess any changes in grief-related experience, attitudes, and skills during residency training. Pediatric residents completed a survey conducted from March to April 2022 that assessed their experience, attitudes, skills, and knowledge of organizational support related to caring for grieving patients and families. The survey achieved a 49% response rate. Residents reported increasing clinical experience with grief over time (r = 0.45, P = .001), yet formal training about grief was inadequate and did not improve with time (r = 0.14, P = .34). Despite improvements in competence with delivering difficult news with years in residency (r = 0.31, P = .03), only 35.7% felt competent by PGY3/4. Only 19.5% of residents overall believe adequate grief support exists within their training program. Pediatric residents care for grieving people throughout residency. Opportunities for residents to receive formal grief training are inadequate.
期刊介绍:
Clinical Pediatrics (CLP) a peer-reviewed monthly journal, is a must read for the busy pediatrician. CLP contains state-of-the-art, accurate, concise and down-to earth information on practical, everyday child care topics whether they are clinical, scientific, behavioral, educational, or ethical.