Being there: A scoping review of grief support training in medical education

Autor: Riley Saikaly, Sophie Soklaridis, Sarah Bonato, Laura Sikstrom, Pamela J Mosher, Genevieve Ferguson
Jazyk: angličtina
Rok vydání: 2019
Předmět:
020205 medical informatics
Medical Doctors
Health Care Providers
Reflective writing
Psychological intervention
Social Sciences
02 engineering and technology
Pediatrics
0302 clinical medicine
Learning and Memory
Sociology
0202 electrical engineering
electronic engineering
information engineering

Medicine and Health Sciences
Psychology
030212 general & internal medicine
Medical Personnel
media_common
Multidisciplinary
Education
Medical

Debriefing
Communication
humanities
Professions
Continuing professional development
Educational Status
Medicine
Workshops
Clinical Competence
Curriculum
Inclusion (education)
Research Article
Patients
media_common.quotation_subject
Science
education
MEDLINE
Psychological Stress
Education
03 medical and health sciences
Physicians
Mental Health and Psychiatry
Humans
Learning
Medical education
Physician-Patient Relations
Cognitive Psychology
Biology and Life Sciences
Trainees
Health Care
Medical Education
People and Places
Cognitive Science
Grief
Population Groupings
Medical Humanities
Neuroscience
Zdroj: PLoS ONE, Vol 14, Iss 11, p e0224325 (2019)
PLoS ONE
ISSN: 1932-6203
Popis: Introduction Medical education experts argue that grief support training for physicians would improve physician and patient and family wellness, and should therefore be mandatory. However, there is little evidence about the range of curricula interventions or the impact of grief training. The aim of this scoping review was to describe the current landscape of grief training worldwide in medical school, postgraduate residency and continuing professional development in the disciplines of pediatrics, family medicine and psychiatry. Methods Using Arksey and O’Malley’s scoping review principles, MEDLINE, EMBASE, ERIC, PsychInfo and Web of Science were searched by a librarian. Two levels of screening took place: a title and abstract review for articles that fit a predefined criteria and a full-text review of articles that met those criteria. Three investigators reviewed the articles and extracted data for analysis. To supplement the search, we also scanned the reference lists of included studies for possible inclusion. Results Thirty-seven articles published between 1979 and 2019 were analyzed. Most articles described short voluntary grief training workshops. At all training levels, the majority of these workshops focused on transmitting knowledge about the ethical and legal dimensions of death, dying and bereavement in medicine. The grief trainings described were characterized by the use of diverse pedagogical tools, including lectures, debriefing sessions, reflective writing exercises and simulation/role-play. Discussion Grief training was associated with increased self-assessed knowledge and expertise; however, few of the studies analyzed the impact of grief training on physician and patient and family wellness. Our synthesis of the literature indicates key gaps exist, specifically regarding the limited emphasis on improving physicians’ communication skills around death and dying and the limited use of interactive and self-reflexive learning tools. Most trainings also had an overly narrow focus on bereavement grief, rather than a more broadly defined definition of loss.
Databáze: OpenAIRE
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