Addressing Palliative Care Clinician Burnout in Organizations: A Workforce Necessity, an Ethical Imperative
Addressing Palliative Care Clinician Burnout in Organizations: A Workforce Necessity, an Ethical Imperative
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DOI：
10.1016/j.jpainsymman.2017.01.007
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发表时间：
2017-06-01
影响因子：
4.7
通讯作者：
Swetz, Keith M.
中科院分区：
文献类型：
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作者：
Harrison, Krista L.;Dzeng, Elizabeth;Swetz, Keith M.
临床医生的职业倦怠降低了提供者和卫生系统提供及时、高质量、以患者为中心的护理的能力，并增加了临床医生离职的风险。这在临终关怀和姑息治疗中尤其成问题：患者往往体弱多病、年事已高、易受伤害且复杂；获得保健的机会往往超过需要；随着姑息治疗进一步融入常规治疗，对临床专家的需求将会增加。减轻和预防职业倦怠的努力目前集中在临床医生个人身上。然而，对职业倦怠问题的分析应扩大到包括个人和系统层面的因素以及解决方案；综合干预措施必须同时解决这两个问题。作为一个社会，我们认为组织有责任在道德上行事，特别是当它涉及到宝贵的和有限的资源的部署和保护。同样，我们也应该让组织负起责任，通过全面的项目来解决职业倦怠问题，成为训练有素、才华横溢的临床医生资源的道德管家。(C) 2017年美国临终关怀与姑息医学学会。Elsevier Inc.出版。版权所有。
Clinician burnout reduces the capacity for providers and health systems to deliver timely, high quality, patient-centered care and increases the risk that clinicians will leave practice. This is especially problematic in hospice and palliative care: patients are often frail, elderly, vulnerable, and complex; access to care is often outstripped by need; and demand for clinical experts will increase as palliative care further integrates into usual care. Efforts to mitigate and prevent burnout currently focus on individual clinicians. However, analysis of the problem of burnout should be expanded to include both individual-and systems-level factors as well as solutions; comprehensive interventions must address both. As a society, we hold organizations responsible for acting ethically, especially when it relates to deployment and protection of valuable and constrained resources. We should similarly hold organizations responsible for being ethical stewards of the resource of highly trained and talented clinicians through comprehensive programs to address burnout. (C) 2017 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.