Medizinische Klinik-Intensivmedizin Und Notfallmedizin最新文献

Frustrating reanimations, ethical dilemmas, or violence occur from time to time in intensive care and emergency medicine and exceed what is "normal" even in the broader professional sense. Such events often trigger existential questions among healthcare professionals, can lead to a feeling of an unjust world, and can shake their hope or even their sense of meaning. Healthcare professionals need the freedom and safety to address these thoughts and feelings. One approach to supporting those affected in coping is peer support, a system that has already worked well in the USA and counteracts the rising absenteeism and fluctuation rates among healthcare professionals.

The YoungDGIIN presents its position on the proposed German curriculum for a new Specialist in Emergency Medicine ("Facharzt für Notfallmedizin"). The statement supports the goal of further professionalizing clinical acute and emergency care but considers the current curriculum, in its present form, difficult to implement and in need of revision. Key concerns include the short clinical rotations, which do not realistically allow for the acquisition of the required competencies, and, from the perspective of the YoungDGIIN, the insufficient emphasis on internal medicine despite its central role in emergency care. The YoungDGIIN also calls for a clear definition of responsibilities and boundaries between specialties and, together with the relevant professional societies, advocates a structured further development of clinical emergency medicine to support its continued professionalization.

Spiritual needs play an important role in the experience of illness, particularly in cases involving an existential threat. The majority of patients in the emergency department express spiritual needs, particularly the desire for inner peace. Such needs are reported significantly more often by women. However, identifying these needs can be challenging due to a lack of time and insufficient staff training as well as patients' reluctance, which renders holistic, patient-centered care difficult. Nevertheless, many patients wish for their spiritual concerns to be acknowledged. Indications of these needs may arise from religious affiliation, advance directives, or spiritual symbols worn on the body. To adequately address these needs, protected spaces should be created. Relatives should be involved wherever possible and pastoral care should be organized if necessary. Among emergency patients, this increases trust in medical care that considers the person as a whole. Engaging with spirituality is also important for the treatment team as it helps to prevent compassion fatigue and burnout, thus improving care in the process. However, many staff members rate their spiritual competencies as low, which is why targeted training appears advisable. Overall, both patients and teams benefit from the conscious integration of spiritual aspects into emergency care.

Background: Spirituality in the field of neonatology begins with the care of pregnant women at risk of premature birth. This existential threat at the very beginning of life inevitably leads to a need for spiritual support. One major focus of care in prematurity is on building a bond between parents and child, which is fundamental for the child's further development.

Objectives: To identify the spiritual needs of parents in perinatal care and to demonstrate a possible way to meeting these needs.

Methods: This work is based on case reports, identification of topics, and a systematic literature search.

Results: The identified studies show considerable heterogeneity, e.g., regarding research questions and neonatal care settings. Across studies, spirituality was consistently found to play a significant role in perinatology, closely associated with parents' existential anxiety, which can interfere with the development of the parent-infant relationship. Parents consistently expressed the expectation that their spiritual needs are recognized; however, these needs were often inadequately addressed by the perinatal care team.

Conclusion: Spirituality is among the essential needs of parents of preterm infants in the intensive care unit. It enables parents to reduce stressors and thereby facilitates the establishment of a parent-infant relationship.