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“我们不会在没有秘密的情况下退休”:德语区瑞士医院医生和护士的与医疗相关的遗憾。

"We Won't Retire Without Skeletons in the Closet": Healthcare-Related Regrets Among Physicians and Nurses in German-Speaking Swiss Hospitals.

机构信息

1 University of Geneva, Geneva, Switzerland.

2 University Hospitals of Geneva, Geneva, Switzerland.

出版信息

Qual Health Res. 2018 Sep;28(11):1746-1758. doi: 10.1177/1049732318782434. Epub 2018 Jun 26.

DOI:10.1177/1049732318782434
PMID:29945491
Abstract

Physicians and nurses are expected to systematically provide high-quality healthcare in a context marked by complexity, time pressure, heavy workload, and the influence of nonclinical factors on clinical decisions. Therefore, healthcare professionals must eventually deal with unfortunate events to which regret is a typical emotional reaction. Using semistructured interviews, 11 physicians and 13 nurses working in two different hospitals in the German-speaking part of Switzerland reported a total of 48 healthcare-related regret experiences. Intense feelings of healthcare-related regrets had far-reaching repercussions on participants' health, work-life balance, and medical practice. Besides active compensation strategies, social capital was the most important coping resource. Receiving superiors' support was crucial for reaffirming professional identity and helped prevent healthcare professionals from quitting their job. Findings suggest that training targeting emotional coping could be beneficial for quality of life and may ultimately lead to lower job turnover among healthcare professionals.

摘要

医生和护士需要在复杂、时间紧迫、工作量大以及非临床因素影响临床决策的背景下,系统地提供高质量的医疗保健服务。因此,医疗保健专业人员最终必须应对遗憾这种典型的情感反应的不幸事件。通过半结构化访谈,在瑞士德语区的两家不同医院工作的 11 名医生和 13 名护士共报告了 48 例与医疗保健相关的遗憾经历。强烈的医疗相关遗憾感对参与者的健康、工作生活平衡和医疗实践产生了深远的影响。除了积极的补偿策略外,社会资本是最重要的应对资源。获得上级的支持对于确认专业身份至关重要,有助于防止医疗保健专业人员辞职。研究结果表明,针对情绪应对的培训可能对生活质量有益,并可能最终降低医疗保健专业人员的离职率。

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