ABSTRACT

Social workers and nurses, as members of interprofessional palliative medicine teams, faced unfamiliar challenges and opportunities as they endeavored to provide humanistic care to patients and families during the coronavirus (COVID-19) pandemic. Typical methods for engaging patients and families in medical decision-making became thwarted by visitation restrictions and patients’ dramatic health declines. This paper presents an innovative social work and nursing intervention aimed at enhancing humanistic patient/family care and advanced directive dialogs. Through incorporating a narrative synthesis of the teams’ reflective journals from COVID-19, the paper chronicles the intervention implementation, patient/family responses, and team members’ personal and professional meaning-making processes.

摘要

作为跨行业的姑息医学团队的成员，社会工作者和护士在努力在冠状病毒（COVID-19）大流行期间为患者和家庭提供人文关怀时，面临着陌生的挑战和机遇。拜访限制和患者严重的健康状况恶化，阻碍了患者和家庭参与医疗决策的典型方法。本文提出了一种创新的社会工作和护理干预措施，旨在加强人文主义的患者/家庭护理和高级指导对话。通过结合来自COVID-19的团队反思性日记的叙述性综合，本文记录了干预措施的实施，患者/家人的反应以及团队成员个人和专业意义的形成过程。