Peter MacCallum Cancer Centre, 305 Grattan st Parkville, Melbourne, 3010, Australia.
Department of Medical Education, Melbourne Medical School, The University of Melbourne, Victoria, Australia.
Support Care Cancer. 2022 Feb;30(2):1003-1006. doi: 10.1007/s00520-021-06600-3. Epub 2021 Oct 9.
The wellbeing of clinicians delivering cancer care needs to be considered and included in recovery roadmaps from the COVID-19 pandemic. In this paper, we refer to a report undertaken by Cancer Australia to review and reflect on the impact of COVID-19 in the delivery of cancer care. The report focused on post COVID-19 recovery and asked 3 questions: What changed? What has been the impact of that change? And how can high-value changes be embedded or enhanced? We suggest the same three questions should also be asked of cancer care clinicians. Using the three Cancer Australia questions, we draw from clinicians' insights collected through the Victorian COVID-19 Cancer Network (VCCN) and from the wider health professional literature. We summarise key features of the COVID-19 experience for cancer care clinicians, highlighting moral distress, fatigue and disrupted practice. We then discuss how pandemic-related ethical values might guide health leaders and administrators to balance support for clinician wellbeing with ongoing delivery of cancer care for patients.
需要考虑并纳入癌症护理临床医生从 COVID-19 大流行中恢复的内容。在本文中,我们提到了澳大利亚癌症协会进行的一项报告,以审查和反思 COVID-19 对癌症护理的影响。该报告侧重于 COVID-19 后的恢复,并提出了三个问题:发生了什么变化?这种变化的影响是什么?如何嵌入或增强高价值的变化?我们建议对癌症护理临床医生也提出同样的三个问题。我们使用澳大利亚癌症协会的三个问题,从维多利亚 COVID-19 癌症网络(VCCN)收集的临床医生的见解以及更广泛的卫生专业文献中汲取了灵感。我们总结了 COVID-19 对癌症护理临床医生的经验的主要特征,重点是道德困境、疲劳和实践中断。然后,我们讨论了与大流行相关的伦理价值观如何指导卫生领导人和管理人员在支持临床医生的福祉与为患者提供癌症护理之间取得平衡。