George Riya E, Lowe Wendy A
Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
Clin Teach. 2019 Aug;16(4):298-305. doi: 10.1111/tct.13051. Epub 2019 Jul 11.
Well-being and uncertainty are intimately related, although less easily defined from a health care perspective. Uncertainty is intrinsic to both the science and practice of health care, and dealing with uncertainty can bring feelings of stress, avoidance and resistance, all of which are detrimental to an individual's well-being.
Contrary to the majority of the literature, which suggests promoting resilience as a way to improve health care professionals' well-being, our paper argues that a better understanding of the relationship between well-being and uncertainty can support health care professionals in managing the complexity of everyday clinical interactions.
Various strategies and educational exercises around being comfortable in not knowing, preserving uncertainty through effective communication and the use of reflective silence are discussed to support clinical educators in recognising the impact of uncertainty on individual well-being. The relationship between uncertainty and well-being is poorly understood and vaguely defined … IMPLICATIONS: Our paper calls for a broader understanding of the term well-being, recognising the interplay between individual and environmental factors that contribute to maintaining our well-being. The recommended strategies and exercises can be considered in faculty member development sessions and used to promote the incorporation of curriculum initiatives in this area.
幸福与不确定性密切相关，尽管从医疗保健的角度来看，这种关系不太容易界定。不确定性是医疗保健科学与实践的固有特征，应对不确定性可能会带来压力、回避和抵触情绪，所有这些都不利于个人幸福。
与大多数建议将培养复原力作为改善医疗保健专业人员幸福感的方法的文献相反，我们的论文认为，更好地理解幸福与不确定性之间的关系，可以帮助医疗保健专业人员应对日常临床互动的复杂性。
讨论了各种策略和教育活动，包括坦然面对未知、通过有效沟通和运用反思性沉默来保留不确定性，以帮助临床教育工作者认识到不确定性对个人幸福的影响。人们对不确定性与幸福之间的关系了解甚少且定义模糊……
我们的论文呼吁更广泛地理解幸福这一概念，认识到个人因素与环境因素之间的相互作用对维持我们的幸福所起的作用。推荐的策略和活动可在教师发展课程中加以考虑，并用于推动将该领域的课程倡议纳入教学。
