Department of Psychiatry & Behavioral Medicine, Duke University School of Medicine, Chapel Hill, NC, USA.
Child Adolesc Ment Health. 2020 Sep;25(3):180-181. doi: 10.1111/camh.12406. Epub 2020 Jul 12.
The pandemic COVID-19 (SARS-CoV-2) has had a major global impact on the healthcare systems worldwide as they deal with the surge of critically ill persons. Additionally, the preventative measure of stay-at-home orders and closure of nonessential businesses has caused the disruption of entire communities. The child/youth mental health workforce bears the additional burden of the disruption of the systems-based practice crucial to the successful provision of mental health services. Major sources of stress for the workforce include: (a) a threat to the worker's personal/family health and life (traumatic injury), (b) a loss of colleagues or threat to professional mastery and identity (grief injury), (c) an inner conflict between ones' values and aspirations and what they are able to accomplish in their work (moral injury), and (d) fatigue, simply feeling worn out by the relentless work and need, without time for rest and recovery (fatigue injury). The rapid transformation of the in-person to virtual practice by the implementation of telehealth/telephonic sessions has eroded the boundary between personal/professional life and created a new Zoom fatigue.
大流行 COVID-19(SARS-CoV-2)对全球医疗保健系统造成了重大影响,因为它们需要应对大量重症患者。此外,居家令和非必要业务关闭等预防措施导致整个社区的中断。儿童/青年心理健康工作者承担着系统实践中断的额外负担,而这种实践对于成功提供心理健康服务至关重要。工作者的主要压力源包括:(a) 对工人个人/家庭健康和生命的威胁(创伤性伤害),(b) 同事的丧失或对专业掌握和身份的威胁(悲伤伤害),(c) 个人价值观、愿望与其在工作中能够完成的任务之间的内在冲突(道德伤害),以及 (d) 疲劳,只是因为无休止的工作和需求而感到疲惫,没有时间休息和恢复(疲劳伤害)。通过实施远程医疗/电话咨询,将面对面的实践迅速转变为虚拟实践,侵蚀了个人/职业生活之间的界限,并产生了新的“Zoom 疲劳”。