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Strategies for health care providers to help individuals experiencing grief and loss due to spinal cord injury (SCI): A qualitative study.
Rehabilitation Psychology ( IF 1.9 ) Pub Date : 2022-05-19 , DOI: 10.1037/rep0000438
Sherri L LaVela 1 , Ibuola Kale 1 , Elizabeth Burkhart 1 , Charles H Bombardier 2
Affiliation  

OBJECTIVE To explore health care professionals' perceptions of ideal strategies for providers to use in care provision to help individuals with spinal cord injuries (SCI) deal with injury-related grief and loss. METHOD This study used a descriptive qualitative design using semistructured interviews with 15 SCI health providers and thematic analysis. RESULTS The sample included interprofessional health providers who provided SCI care for an average of 10.3 years at six nationally distributed facilities. Participants identified eight themes around strategies that can be used by providers to help individuals with SCI experiencing grief and loss. Strategies/themes included those that are relational, such as (Theme 1) listening and engaging in open discussions, (Theme 2) being empathetic and fostering trust, (Theme 3) normalizing the experience of grief for the individual, and (Theme 4) focusing on the individual with SCI as a whole. Task-oriented themes included providing regular screening/assessments for grief (Theme 5), coordinated care to the individual (Theme 6), support services (Theme 7), and education to help individuals with SCI understand the grief process (Theme 8). CONCLUSIONS Providers identified strategies to facilitate holistic patient-centered grief care that included open communication, empathy, trust, and normalizing the grief experience, where appropriate. Providers believed that regular screenings for feelings of grief and loss are necessary to know where individuals with SCI are at in the grief process and what they need. Ideal grief care would benefit from coordinated care, support services, and patient education. These findings offer steps to guide health provider's approach to addressing grief and loss due to injury among individuals with SCI. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译:

医疗保健提供者帮助因脊髓损伤(SCI)而遭受悲伤和损失的个人的策略:一项定性研究。

目的 探讨医疗保健专业人员对提供者在护理提供中使用的理想策略的看法,以帮助脊髓损伤 (SCI) 患者处理与损伤相关的悲伤和损失。方法 本研究采用描述性定性设计,对 15 名 SCI 医疗保健提供者进行半结构化访谈和主题分析。结果 样本包括跨专业的医疗保健提供者,他们在六个全国分布的设施中平均提供 10.3 年的 SCI 护理。参与者围绕策略确定了八个主题,提供者可以使用这些主题来帮助 SCI 患者经历悲伤和失落。策略/主题包括相关的策略/主题,例如(主题 1)倾听和参与公开讨论,(主题 2)善解人意并培养信任,(主题 3)使个人的悲伤体验正常化,以及(主题 4)将 SCI 患者作为一个整体来关注。以任务为导向的主题包括为悲伤提供定期筛查/评估(主题 5)、对个人的协调护理(主题 6)、支持服务(主题 7)以及帮助 SCI 患者理解悲伤过程的教育(主题 8)。结论 提供者确定了促进以患者为中心的整体悲伤护理的策略,包括开放式沟通、同理心、信任和在适当的情况下使悲伤体验正常化。提供者认为,有必要定期检查悲伤和失落的感觉,以了解 SCI 患者在悲伤过程中的位置以及他们需要什么。理想的悲伤护理将受益于协调的护理、支持服务和患者教育。这些发现提供了指导医疗服务提供者解决因 SCI 患者受伤造成的悲伤和损失的方法的步骤。(PsycInfo 数据库记录 (c) 2022 APA,保留所有权利)。
更新日期:2022-05-19
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