دورية أكاديمية
أعرض في EDS

Surgery Hurts: Characterizing the Experience of Pain in Surgical Patients as Witnessed by Medical Students.

التفاصيل البيبلوغرافية
العنوان: Surgery Hurts: Characterizing the Experience of Pain in Surgical Patients as Witnessed by Medical Students.
المؤلفون: Zens TJ; Department of Surgery, University of Wisconsin, Madison, Wisconsin., Kopecky KE; Department of Surgery, Stanford University, Stanford, California; Department of Medicine, University of Wisconsin-Madison, Madison, Wisconsin., Schwarze ML; Department of Surgery, University of Wisconsin, Madison, Wisconsin; Department of Medical History and Bioethics, University of Wisconsin, Madison, Wisconsin., Suwanabol PA; Department of Surgery, University of Michigan, Ann Arbor, Michigan. Electronic address: pasuwan@med.umich.edu.
المصدر: Journal of surgical education [J Surg Educ] 2019 Nov - Dec; Vol. 76 (6), pp. 1506-1515. Date of Electronic Publication: 2019 May 03.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: United States NLM ID: 101303204 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-7452 (Electronic) Linking ISSN: 18787452 NLM ISO Abbreviation: J Surg Educ Subsets: MEDLINE
أسماء مطبوعة: Original Publication: New York, N.Y. : Elsevier
مواضيع طبية MeSH: Attitude of Health Personnel*, General Surgery/*education , Pain/*psychology , Students, Medical/*psychology, Clinical Clerkship ; Education, Medical, Undergraduate ; Female ; Humans ; Male ; Middle Aged ; Wisconsin ; Writing
مستخلص: Background: The patient experience around surgical care is poorly characterized. Medical students have a unique position on the surgical team, which allows them to observe patient experiences that may otherwise be overlooked. The objective of this study was to characterize surgical patients' experience with pain as witnessed by medical students.
Study Design: At the end of an 8-week surgical clerkship, we asked all third-year medical students to write a reflective essay describing one surgical patient in pain. We collected 341 essays over a 4-year period and used qualitative content analysis to explore the students' reports of pain experienced by surgical patients.
Results: When asked to tell a story about a surgical patient in pain, medical students report vivid descriptions of physical agony, emotional distress, and patient regret. For example, "Throughout the procedure our patient cried out and writhed in agony from the searing pain in his chest," and "The patient was practically shedding tears, complaining of pain, as [we] changed her dressing." The students' accounts reveal wide-ranging physical and emotional suffering among surgical patients, including alterations in self-image and feelings of vulnerability. Pain and suffering were intensified when patients felt they had lost control, in settings of uncertain prognosis and with unexpected outcomes.
Conclusions: Students' descriptions of the surgical patient's experience are disturbingly graphic. They expose suffering ranging from generalized discomfort to anguish and excruciating pain. These data suggest that surgical patients have substantial unmet needs with respect to symptom management and emotional support that, if better addressed, could improve the patient experience.
(Published by Elsevier Inc.)
فهرسة مساهمة: Keywords: Interpersonal and Communication Skills; Patient Care; Professionalism; medical student; pain; palliative care; surgery; surgical quality
تواريخ الأحداث: Date Created: 20190508 Date Completed: 20201013 Latest Revision: 20201013
رمز التحديث: 20221213
DOI: 10.1016/j.jsurg.2019.04.008
PMID: 31060970
قاعدة البيانات: MEDLINE
الوصف
تدمد:1878-7452
DOI:10.1016/j.jsurg.2019.04.008