我们在一起:在困难时期保持我们医疗团队的健康。

Tai Mendenhall
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引用次数: 0

摘要

在医疗保健实践中预防或减轻职业倦怠的努力在生物医学和心理健康领域都是长期存在的——从课堂、实习和住院医生的早期培训到初级、二级、三级和其他医疗环境中的研究生工作(Berg & Garrard, 1980;Chen et al., 2019;Prins et al., 2007)。从关于工作/生活平衡、睡眠卫生、身体活动和健康饮食的一般性建议,到跨个人和组织层面的具体干预措施,旨在支持个人代偿失调和/或可能使患者面临风险的受训人员和提供者,科学和非专业文献、资源、规划和协议都存在。我们——作为个人、护理团队和护理系统——是否以及如何有效地推进这些努力同样是多种多样的。COVID-19改变了这种对话,或者至少改变了它的紧迫性。在某种程度上,考虑到我们中的许多人突然发现自己的工作时间增加了(阅读:不再平衡工作和生活),这是完全有道理的。但也有很多其他意想不到的事情发生了。在这一期中,Cornelius等人(2021)与纽约市卫生保健工作者的接触是说明性的。与经历困难但有明确终点的事情(如24小时轮班或四年住院)不同,我们不知道这场大流行何时会结束。感觉就像跑马拉松,没有里程标记,也没有庆祝终点线。与向特定地理区域的特定社区(如受恐怖袭击或飓风影响的社区)提供响应性护理不同,我们不知道这次大流行的病毒在哪里。因为我们无法真正看到COVID-19,我们更担心感染它。如果我们抓到它,也许能把它带回家。如果我们把它带回家,我们可能会杀了我们的配偶。或者我们的孩子。也许是我们全家。当我们背负着这样的情感负担时,很难做好工作。(PsycInfo Database Record (c) 2021 APA,版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
We are in this together: Maintaining our health care teams' wellness during challenging times.

Efforts to prevent or mitigate burnout in health care practice(s) are longstanding in both biomedical and mental health arenas-from early training in classrooms, internships, and residencies to postgraduate work in primary, secondary, tertiary, and other care contexts (Berg & Garrard, 1980; Chen et al., 2019; Prins et al., 2007). From generic advice about work/ life balance, sleep hygiene, physical activity, and healthy eating to specific interventions across individual and organizational levels designed to support trainees and providers who are personally decompensating and/or potentially putting their patients at risk, scientific and lay literature, resources, programming, and protocols are extant. Whether and how we-as individuals, care teams, and care systems-have advanced these efforts effectively are similarly diverse. COVID-19 changed this conversation-or at least the urgency of it. In some ways, this makes perfect sense in light of the increased hours that many of us suddenly found ourselves working (read: no more work/life balance). But there were a lot of other things-less expected things happened. In this issue, Cornelius et al.'s (2021) engagement with health care workers in New York City is illustrative. Unlike traversing something that is difficult but has a clear endpoint (like a 24-hr shift or a four-year residency), we do not know when this pandemic will be over. It feels like running a marathon with no mile markers or celebratory finish line. And unlike offering responsive care to a specific community in a defined geographic area (like one impacted by a terrorist attack or a hurricane), we do not know where this pandemic's virus is. Because we cannot actually see COVID-19, we worry more about catching it. If we catch it, we might bring it home. If we bring it home, we could kill our spouses. Or our children. Maybe our whole families. It is hard to do good work when we carry emotional burdens like that. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

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