超越倦怠:在紧急诊所的医生中,道德伤害和情绪弹性
1emergency department, Aintree University Hospital, Liverpool University Hospitals NHS Foundation Trust, Liverpool, England.
概括
紧急医疗因系统性压力而面临道德伤害,影响临床医生.
科学领域:
- 紧急医疗 紧急医疗
- 医学伦理 医学伦理
- 医疗保健管理的管理
背景情况:
- 紧急部门 (ED) 是国家卫生服务 (NHS) 的前线,面临着越来越多的挑战.
- 慢性拥挤,产能赤字和系统性压力正在压迫ED资源和能力.
- 临床医师的痛苦,通常被称为倦怠,在紧急医疗环境中不断升级.
研究的目的:
- 讨论道德伤害作为英国紧急情况实践中的重大危险.
- 探索医疗保健专业人员所经历的心理和道德伤害.
- 确定需要的系统变化,以培养ED临床医生之间的道德性.
主要方法:
- 本文介绍了英国紧急医疗现状的讨论和分析.
- 它在医疗保健专业人员的经验背景下研究道德伤害的概念.
- 讨论以NHS及其前线工作人员面临的挑战为基础.
主要成果:
- 临床医师的痛苦正在从倦怠演变为道德伤害,专业人士无法根据他们的价值观采取行动.
- 道德伤害是由于紧急实践中的系统压力造成的心理和道德伤害造成的.
- 在NHS当前的系统性问题加剧了紧急医疗临床医生之间的道德伤害的风险.
结论:
- 解决道德伤害需要NHS内部的系统变化,而不仅仅是个人的应对策略.
- 实施受保护的反思时间,同行支持网络和富有同情心的领导力至关重要.
- 发展道德性对于紧急医疗服务的可持续性至关重要.
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