社论:在充满挑战的时代寻找希望

K. Sanders, Caroline A W Dickson
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引用次数: 0

摘要

在思考这篇社论的主题时,我们发现很难超越当前的健康和护理背景,以及那些努力发展以人为本的文化、为所有人带来最佳结果和体验的人所面临的持续挑战。通过与临床从业者的合作,我们都注意到了一个令人担忧的下降趋势,越来越多的员工疲劳和健康状况不佳、劳动力短缺和管理层频繁变动的报告,所有这些都是在患者需求不断增长的时候发生的。一场完美的风暴!最近,当我(凯特)准备演讲时,我发现自己在想汉斯的故事。汉斯是一个小男孩,他发现堤坝有漏洞,用手指堵住了洞,把他的小镇从潜在的洪水中拯救了出来。这让我想起了最近的一次监督会议,当时我用水坝的比喻来帮助人们探索他们所经历的压力。是什么促成了水的力量?如果有的话,在他们到达大坝之前,他们控制的水源是什么?建造大坝的砖块是什么性质的?如何支撑和加固砖块?哪里能找到更多的砖块?但是,抑制水不是一个人的天赋。我们需要分担负担,协同工作,了解什么是重要的,什么对人们(患者和工作人员)重要,并优先考虑我们的努力和精力。我们还需要创新和创造性,探索什么是可能的,让人们尽可能做到最好,并在短缺的时候提供希望和欢乐。因此,当我们与大家分享这期《国际实践发展杂志》时,令人鼓舞的是,作者们正以多种方式做到这一点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Editorial: Finding hope in challenging times
When thinking about the subject for this editorial, we found it hard to look beyond the current context of health and care and the continuous challenges faced by those striving to develop person-centred cultures, to enable the best outcomes and experiences for all. Through our work with clinically based practitioners, we have both noticed a concerning downward turn, with increasing reports of staff fatigue and ill health, workforce shortages and frequent changes in management, all at a time of growing levels of patient need. A perfect storm! As I (Kate) prepared a presentation recently, I found myself thinking about the story of Hans, a small boy who found a leak in a dike and used his finger to plug the hole and save his town from a potential deluge of water. This reminded me of a recent supervision session, when I used the metaphor of a dam to help someone to explore the pressure they were experiencing. What was contributing to the force of water? What, if any, were the sources of water that were in their control to divert before they reached the dam? What was the nature of the bricks the dam was built from? How could the bricks be supported and strengthened? Where could more bricks be found? But holding back the water is not in the gift of one individual. We need to share the load and work collaboratively to understand what is important and what matters to people (patients and staff), to prioritise where we put our efforts and energy. We also need to be innovative and creative, to explore what is possible, to enable people to be the best that they can be, and to offer hope and joy at a time when it is in short supply. And so, what is encouraging, as we share this issue of the International Practice Development Journal with you, are the many ways in which the authors are doing just that.
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