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放射科医生在 COVID-19 时代的幸福感和职业成就感:促进创伤后成长。

Radiologist Well-Being and Professional Fulfillment in the COVID-19 Era: Fostering Posttraumatic Growth.

机构信息

Melvin E. Clouse, Professor of Radiology, Harvard Medical School, Chair, Department of Radiology, Beth Israel Deaconess Medical Center, Boston, Massachusetts.

Chief Wellness Officer, Stanford Medicine, Associate Dean, Stanford University School of Medicine, Stanford, California.

出版信息

J Am Coll Radiol. 2021 Aug;18(8):1198-1207. doi: 10.1016/j.jacr.2021.03.016. Epub 2021 Apr 15.

Abstract

The acute consequences of the COVID-19 pandemic have impacted wellness strategies aimed at mitigating the pre-existing epidemic of burnout in radiology. Specifically, safety measures including social distancing requirements, effective communications, supporting remote and distributed work teams, and newly exposed employment and treatment inequities have challenged many major efforts at fostering professional fulfillment. To get our wellness efforts back on track and to achieve a new and perhaps even a better "normal" will require refocusing and reconsidering ways to foster and build a culture of wellness, implementing practices that improve work efficiencies, and supporting personal health, wellness behaviors, and resilience. Optimizing meaning in work is also critical for well-being and professional fulfillment. In addition to these earlier approaches, organizations and leaders will need to reprioritize efforts to build high-functioning cohesive and connected teams; to train, implement, and manage peer-support practices; and to support posttraumatic growth. This growth represents the positive psychological changes that can occur after highly challenging life circumstances and, when successful, allows individuals to achieve a higher level of functioning by addressing and learning from the precipitating event. Our practices can support this growth through education, emotional regulation, and disclosure, by developing a narrative that reimagines a hoped-for better future and by finding meaning through services that benefit others.

摘要

COVID-19 大流行的急性后果影响了旨在减轻放射科现有倦怠流行的健康策略。具体来说,包括社交距离要求、有效沟通、支持远程和分布式工作团队以及新出现的就业和治疗不平等在内的安全措施,给许多促进专业成就感的主要努力带来了挑战。要使我们的健康计划重回正轨,并实现一个新的、甚至更好的“新常态”,就需要重新关注和重新考虑促进和建立健康文化的方法,实施提高工作效率的做法,并支持个人健康、健康行为和韧性。优化工作中的意义对健康和职业成就感也至关重要。除了这些早期方法外,组织和领导者还需要重新优先考虑建立高功能的凝聚力和有联系的团队的努力;培训、实施和管理同行支持实践;并支持创伤后成长。这种成长代表了在极具挑战性的生活环境下可能发生的积极的心理变化,并且当成功时,通过解决和从引发事件中学习,使个人能够达到更高的功能水平。我们的实践可以通过教育、情绪调节和披露来支持这种成长,通过发展一个重新想象美好未来的叙述,并通过为他人提供服务来找到意义。

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