Reading Chekhov on the Cancer Ward.

Paulette Mehta, Allen C Sherman
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Abstract

Background: Studies have shown that nonmedical reading is associated with low burnout and that small group study sections can promote wellness. Burnout and other psychosocial distress are common among health care professionals, necessitating additional measures to promote well-being. The field of narrative medicine is one proposed solution.

Observations: We added small narrative medicine group discussions of nonmedical fiction to our hematology oncology clinical program to promote physician resilience and decrease risk for burnout. We explored how reading and reflecting would result in profound changes in thinking and feeling and noted 7 different ways by which reading and reflecting together can increase well-being. We describe how stories led us to increase bonding, improve empathy, and promote meaning in medicine.

Conclusions: Our small group discussions showed that the intervention was feasible, improved empathy and fulfillment at work, and resulted in greater appreciation for the human dimensions of health care.

在癌症病房读契诃夫。
背景:研究表明,非医学阅读与低倦怠有关,小组学习部分可以促进健康。职业倦怠和其他社会心理困扰在保健专业人员中很常见,需要采取额外措施来促进福祉。叙事医学领域是一种被提出的解决方案。观察:我们在血液学肿瘤学临床项目中增加了非医学小说的小型叙事医学小组讨论,以提高医生的适应能力并降低倦怠的风险。我们探讨了阅读和反思如何导致思维和感觉的深刻变化,并指出了阅读和反思共同提高幸福感的7种不同方式。我们描述了故事如何引导我们增加联系,提高同理心,并促进医学的意义。结论:我们的小组讨论表明,干预是可行的,提高了工作中的同理心和成就感,并导致对医疗保健人性化方面的更多赞赏。
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