Can Organizational Leaders Sustain Compassionate, Patient-Centered Care and Mitigate Burnout?
Can Organizational Leaders Sustain Compassionate, Patient-Centered Care and Mitigate Burnout?
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DOI：
10.1097/jhm-d-18-00023
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发表时间：
2019-11-01
影响因子：
1.8
通讯作者：
Jones, Richard N.
中科院分区：
文献类型：
--
作者：
Lown, Beth A.;Shin, Andrew;Jones, Richard N.
组织领导人认识到迫切需要减轻临床医生的职业倦怠。他们面临着艰难的选择，因为他们知道，职业倦怠会威胁到护理的质量和安全，以及组织的可持续性。创造文化和改进系统来支持员工并减少倦怠是至关重要的领导技能。治愈的动机吸引了许多卫生专业人员从事他们所选择的工作。此外，研究表明，同情心会产生一种个人奖励感和职业满足感。尽管许多组织在使命和愿景声明中强调同情心，但他们提高幸福感的策略在很大程度上忽视了同情心作为快乐和与目标联系的来源。2009年通过的HITECH（健康信息技术促进经济和临床健康）法案和2010年通过的平价医疗法案开启了医疗保健的新时代。鲜为人知的是，与这些立法里程碑相关的医疗保健服务系统的变化如何影响卫生专业人员提供富有同情心的护理的能力。此外，人工智能和虚拟护理模式等进步使人们更加关注形成医患关系的要素。本研究分析了与2010年相比，美国医疗保健提供者对富有同情心的医疗保健状况的看法。假设同情心与职业倦怠呈负相关，我们研究了这种关系和影响因素。我们对基于证据的举措的回顾表明，领导者必须确定组织条件并实施支持专业人员天生同情心的流程，并为他们的福祉做出贡献，而不是通过补救策略来解决倦怠问题。
Organizational leaders are recognizing the urgent need to mitigate clinician burnout. They face difficult choices, knowing that burnout threatens the quality and safety of care and the sustainability of their organizations. Creating cultures and system improvements that support the workforce and diminish burnout are vital leadership skills. The motivation to heal draws many health professionals to their chosen work. Further, research suggests that compassion creates a sense of personal reward and professional satisfaction. Although many organizations stress compassion in mission and vision statements, their strategies to enhance wellbeing largely ignore compassion as a source of joy and connection to purpose.Passage of the HITECH (Health Information Thchnology for Economic and Clinical Health) Act in 2009 and the Affordable Care Act in 2010 ushered in a new era in healthcare. Little is known about how changes in the healthcare delivery system related to these legislative milestones have influenced health professionals' capacity to offer compassionate care. Further, advances such as artificial intelligence and virtual care modalities brought more attention to the elements that form the clinician-patient relationship.This study analyzed the views of U.S. healthcare providers on the status of compassionate healthcare compared with 2010. Postulating that compassion is inversely correlated with burnout, we studied this relationship and contributing factors. Our review of evidence-based initiatives suggests that leaders must define the organizational conditions and implement processes that support professionals' innate compassion and contribute to their well-being rather than address burnout later through remedial strategies.