Can Clinical Empathy Survive? Distress, Burnout, and Malignant Duty in the Age of Covid-19
Can Clinical Empathy Survive? Distress, Burnout, and Malignant Duty in the Age of Covid-19
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DOI：
10.1002/hast.1216
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发表时间：
2021-01-01
影响因子：
3.3
通讯作者：
Halpern, Jodi
中科院分区：
文献类型：
--
作者：
Anzaldua, Adrian;Halpern, Jodi
Covid-19 危机加速了医护人员倦怠的趋势，这清楚地表明，当提供医疗保健不仅充满压力和悲伤，而且在情感上疏远时，尤其容易出现倦怠；在这种情况下，临床医生没有心理空间来体验真正的临床同理心。对每位患者的好奇心是医疗保健提供者的意义和联系的源泉，它可以防止同情心的痛苦和倦怠。在像 Covid-19 这样的长期危机中，临床医生出于责任感提供护理，尤其是不放弃的责任。我们认为，当过度依赖责任，恐惧和挫败感不断受到抑制时，倦怠的风险就会急剧增加。即使在 Covid-19 之前，临床医生也经常在非人性和不公正的条件下工作，医生的倦怠率为 50%，护士的倦怠率为 33%。 Covid-19 职业倦怠的加剧可以敲响警钟：如果我们要防止失去整整一代富有同理心的临床医生，就需要改善医疗保健结构。
The Covid‐19 crisis has accelerated a trend toward burnout in health care workers, making starkly clear that burnout is especially likely when providing health care is not only stressful and sad but emotionally alienating; in such situations, there is no mental space for clinicians to experience authentic clinical empathy. Engaged curiosity toward each patient is a source of meaning and connection for health care providers, and it protects against sympathetic distress and burnout. In a prolonged crisis like Covid‐19, clinicians provide care out of a sense of duty, especially the duty of nonabandonment. We argue that when duty alone is relied on too heavily, with fear and frustration continually suppressed, the risk of burnout is dramatically increased. Even before Covid‐19, clinicians often worked under dehumanizing and unjust conditions, and rates of burnout were 50 percent for physicians and 33 percent for nurses. The Covid‐19 intensification of burnout can serve as a wake‐up call that the structure of health care needs to be improved if we are to prevent the loss of a whole generation of empathic clinicians.