Creating and Implementing a Resident Emotional Wellness Initiative in an Acute Care Setting: The Role of the Palliative Care Social Worker

Msw, Lcsw Sheila B. Weiner

doi:10.1080/15524256.2020.1745730

Cited by 3 publications

(1 citation statement)

References 15 publications

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“…Finally, relatively little has been published about the impact of palliative care interventions on critical care clinician wellness. One single site study showed that trainees felt palliative care involvement was supportive for them and helped them be better clinicians [ 50 ]. “Death Rounds”, collaboratively reviewing the cases of patients who have died and the clinicians’ experiences of caring for them, are common within palliative care programs.…”

Section: Introductionmentioning

confidence: 99%

Primary palliative care recommendations for critical care clinicians

et al. 2022

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Palliative care is an interdisciplinary care to optimize physical, psychosocial, and spiritual symptoms of patients and their families whose quality of life is impaired by serious, life-limiting illness. In 2021, the importance of providing palliative care in the intensive care unit (ICU) is well recognized by various studies to alleviate physical symptoms due to invasive treatments, to set patient-centered goals of care, and to provide end-of-life care. This paper summarizes the evidence known to date on primary palliative care delivered in the ICU settings. We will then discuss the potential benefits and harms of primary palliative care so that critical care clinicians are better equipped to decide what services might best improve the palliative care needs in their ICUs.

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Section: Introductionmentioning

confidence: 99%

Primary palliative care recommendations for critical care clinicians

et al. 2022

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Interventions to support medical trainee well‐being after patient death: A scoping review

Ibrahim,

Oyoun Alsoud,

West

et al. 2024

Journal of Hospital Medicine

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BackgroundMedical trainees are at the forefront of end‐of‐life care provision in the hospital setting but often feel unprepared to manage the complex emotions after patient death.ObjectivesTo systematically identify and synthesize the published literature on interventions to support medical trainees dealing with patient death.MethodsSearches were conducted in MEDLINE, Scopus, Embase, Psych Info, Cochrane Database of Systematic Reviews, CINAHL, and ERIC from inception to June 30, 2023. English language peer‐reviewed publications of interventions to support medical students and residents/fellows dealing with patient death. Studies of practicing clinicians and nonphysician healthcare trainees were excluded. Two reviewers independently determined study eligibility. Discrepancies were resolved through consensus and a third reviewer served as a tiebreaker if needed.ResultsOf the 9107 articles retrieved, 973 underwent full‐text review, and 50 studies met inclusion criteria. Most interventions targeted residents (n = 32; 64%) and were conducted in North America (n = 45, 90%). Types of interventions included preventive measures involving educational lectures and workshops (n = 19; 38%), clinical placements (n = 10; 20%), and postventions (n = 16; 32%), including debriefing and memorial services. Several interventions incorporated the arts (n = 5; 10%), including movies, drama, and artwork, and most incorporated reflective narratives (n = 16; 32%). Most interventions were limited in frequency and duration.ConclusionsThis review identified several interventions to support trainees through the experience of patient death but also highlighted areas for improvement. Strengthening support for medical trainees will foster emotionally resilient physicians who are better equipped to deliver high‐quality, empathetic care to dying patients and their families.

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