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减轻大流行后再次出现对医疗保健的影响。

Mitigating the Impact of Reemergence From a Pandemic on Healthcare.

机构信息

Harry S. Truman Memorial Veterans' Hospital, Columbia, MO 65201, USA.

出版信息

Mil Med. 2021 Aug 28;186(9-10):259-262. doi: 10.1093/milmed/usab265.

Abstract

Healthcare workers have never faced a medical crisis that compares to the coronavirus disease-2019 pandemic. This modern-day pandemic fight draws parallels to a war. Because of these similarities, it would make sense that the experiences frontline providers have when transitioning to a normal healthcare routine would emulate experiences service members voice when reintegrating home from a battlefield. These common experiences include a unified mission, an exhausting, adrenaline-packed responsibility, and a celebrity-like status to the public. The pandemic response consumed healthcare with one united mission, but as we reemerge from the pandemic and restore other aspects of our healthcare system, multiple missions develop and compete. Returning to a common routine and regular status can manifest feelings of disappointment in healthcare workers' everyday lives and career choices and lead to a reexamination of priorities and professions. As an organization with a focus on high reliability, mitigating the harm to staff and delivery system may be our new priority. The risk of not facing this situation head on is a potential exodus of seasoned professionals contemplating their future and selecting other career paths, thus draining the current institutional knowledge and potentially deterring future generations from healthcare. Leaders in the healthcare industry need to take a proactive stance in addressing this reemergence. Integrated, proactive programming is needed utilizing evidence-based resiliency training from professional organizations such as the National Alliance on Mental Illness, the Department of Health and Human Services' Substance Abuse and Mental Health Services Administration, as well as the existing Department of Defense programs. The Veterans Affairs has the backbone to develop and offer these programs and make a positive difference with Employee Whole Health efforts. Organized, evidence-based programming such as second victim education, mindfulness, and other personal skill building could be key to improving the lifelong well-being of our caregivers.

摘要

医护人员从未面临过与 2019 年冠状病毒病大流行相媲美的医疗危机。这场现代的大流行病斗争与战争有相似之处。由于这些相似之处,前线医护人员在过渡到正常医疗常规时所经历的情况与服务人员从战场返回家园时所表达的经历相似是有道理的。这些共同的经历包括一个统一的使命、一项令人筋疲力尽、充满肾上腺素的责任,以及公众对他们的名人般的地位。大流行病应对使医疗保健工作者有了一个统一的使命,但当我们从大流行病中恢复并恢复医疗保健系统的其他方面时,就会出现多个使命并展开竞争。回到一个共同的常规和常规状态可能会使医护人员在日常生活和职业选择中感到失望,并导致对优先事项和职业的重新审视。作为一个专注于高可靠性的组织,减轻对员工和交付系统的伤害可能是我们的新重点。如果不直面这种情况,可能会导致经验丰富的专业人员流失,他们正在考虑自己的未来并选择其他职业道路,从而耗尽当前的机构知识,并可能阻止未来几代人从事医疗保健工作。医疗保健行业的领导者需要采取积极主动的立场来应对这种重新出现的情况。需要利用国家心理健康联盟、卫生与公众服务部药物滥用和心理健康服务管理局等专业组织的基于证据的弹性培训以及现有的国防部计划,开展综合性、前瞻性的计划。退伍军人事务部有能力制定和提供这些计划,并通过员工整体健康努力产生积极影响。有组织的、基于证据的计划,如第二受害者教育、正念和其他个人技能培养,可能是改善我们护理人员终身健康的关键。

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