Creat Nurs. 2020 Nov 1;26(4):246-252. doi: 10.1891/CRNR-D-19-00086.
Health-care workers are at risk of experiencing negative consequences for their own health and job performance due to a wide variety of stressors. Care providers suffer from varying expressions of a generalized symptom set that has been termed "burnout" or "compassion fatigue." These terms can help us understand the phenomenon that is happening in our health system, but a strong understanding of the physical, mental, emotional, and psychological implications will increase the efficacy of treatment and benefit of preventive care. This article asserts that the term "compassion fatigue" is a misnomer, resulting in a misunderstanding of the causes and effects of compassion on the individual. This article challenges the term, positing that it has become outdated based on what we now know about the neuroscience of compassion, empathy, and mindfulness. Instead, this discussion offers the relevance of the term "empathic distress leading to empathic distress fatigue," suggesting that contemplative practice, mindfulness, and compassion training can protect and empower health-care providers.
医护人员由于面临各种各样的压力源,其自身健康和工作表现都有可能受到负面影响。医护人员会表现出各种各样的一般症状,这些症状被称为“职业倦怠”或“同情心疲劳”。这些术语可以帮助我们理解我们的医疗系统中正在发生的现象,但深入了解身体、心理、情感和心理方面的影响将提高治疗效果和预防保健的益处。本文认为,“同情心疲劳”这一术语是用词不当,导致人们对同情心对个人的原因和影响产生误解。本文对这一术语提出质疑,认为基于我们现在对同情心、同理心和正念的神经科学的了解,这一术语已经过时。相反,本文讨论了“同理心导致同理心疲劳”这一术语的相关性,提出了沉思实践、正念和同情心训练可以保护和增强医护人员的观点。