Objective <p>Our primary objective was to determine whether brief, as-needed interprofessional meetings reduced distress related to specific patient cases for interprofessional clinicians in the neonatal intensive care unit.</p> Study design <p>We collected pre- and post-meeting surveys to quantify clinicians’ distress.</p> Result <p>We collected 416 paired responses (80% participation rate) from 192 unique clinicians.</p> Results <p>After meetings, clinicians reported reduced intensity of most distressing thoughts; they were more likely to feel their perspective was heard (1.51 to 1.17, SD 0.82, <i>p</i> &lt; 0.001), the team was united (1.56 to 1.22, SD 0.84, <i>p</i> &lt; 0.001), they could provide good care (1.76 to 1.62, SD 0.98, <i>p</i> &lt; 0.001), and that the rationale for care was reasonable (1.93 to 1.52, SD 0.93, <i>p</i> &lt; 0.001). Moral distress was also lower on post assessments (5.47 to 5.27, SD 2.55, <i>p</i> = 0.005).</p> Conclusions <p>Brief, as-needed interprofessional meetings decreased distressing thoughts about challenging cases, particularly for those experiencing the greatest distress.</p>

错误:搜索内容不能为空,请输入英文关键词
错误:关键词超出字数限制,请精简
高级检索

Addressing neonatal intensive care unit clinicians’ distress via interprofessional meetings

  • Katharine Press Callahan,
  • Katie Behringer,
  • Douglas Hill,
  • Kimberly Mason,
  • Jennifer Walter,
  • Lara Lechtenberg,
  • David Munson,
  • Chris Feudtner

摘要

Objective

Our primary objective was to determine whether brief, as-needed interprofessional meetings reduced distress related to specific patient cases for interprofessional clinicians in the neonatal intensive care unit.

Study design

We collected pre- and post-meeting surveys to quantify clinicians’ distress.

Result

We collected 416 paired responses (80% participation rate) from 192 unique clinicians.

Results

After meetings, clinicians reported reduced intensity of most distressing thoughts; they were more likely to feel their perspective was heard (1.51 to 1.17, SD 0.82, p < 0.001), the team was united (1.56 to 1.22, SD 0.84, p < 0.001), they could provide good care (1.76 to 1.62, SD 0.98, p < 0.001), and that the rationale for care was reasonable (1.93 to 1.52, SD 0.93, p < 0.001). Moral distress was also lower on post assessments (5.47 to 5.27, SD 2.55, p = 0.005).

Conclusions

Brief, as-needed interprofessional meetings decreased distressing thoughts about challenging cases, particularly for those experiencing the greatest distress.