患者と医師の関係における感情的労働としての臨床的共感
1Group Health Cooperative, Center for Health Studies, University of Washington, Seattle 98101-1448, USA.
JAMA
|March 3, 2005
まとめ
医師は,共感を感情的労働と見なすことで,患者のケアと専門的な満足度を高めることができます. 深層と表面の演技を意識的に実践すると,共感能力が向上し,現代医学では医師も患者も恩恵を受けます.
科学分野:
- 医療倫理 医療倫理について
- 医師と患者の関係
- ヘルスケア・マネジメント・ヘルスケア・マネジメント
背景:
- 医師と患者の関係は,医療の進歩にもかかわらず,質の高いケアに不可欠です.
- 共感は,医療従事者の基本的な期待事項です.
- 感情労働,つまり職業上の目的のための感情の管理は,サービス業者の間で研究されている.
研究 の 目的:
- 医者の共感を感情的労働の一形態として見ることを提案する.
- 医者が,深層と表面の演技を通して,どのように感情的労働に従事するかを探求すること.
- 医療従事者に対する意識的な実践と共感の訓練を提唱する.
主な方法:
- 感情的労働としての共感の概念的分析は,経営と組織の行動研究から得られたものである.
- 深い演技 (真の感情的反応を生成する) と表面演技 (共感的な行動をシミュレートする) を区別する.
- これらの概念を医師と患者の相互作用の特定の文脈に適用する.
主要な成果:
- 医者は,深い演技,表面演技,またはその組み合わせを使用して,共感を示すために感情的労働に従事します.
- 深い演技は,真の共感のために好まれるが,表面的な演技は,即時の感情的なつながりが困難であるときに必要であるかもしれない.
- 演技技の意識的な実践を通じて,効果的な共感は,医師にとってより良い治癒の結果と職業的満足につながる可能性があります.
結論:
- 感情的な労働として共感を認識することは,医師にとって第一歩です.
- 深層演技と表面演技の意識的な実践は,患者との共感的な関わりを高めます.
- 医療教育には,テクノロジーの世界における医療の改善のための医師の共感能力を育てるための訓練が含まれるべきです.
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