Chief Medical Officer of Vocera Communications, Inc., San Jose, California, USA.
Healthc Manage Forum. 2021 Nov;34(6):307-310. doi: 10.1177/08404704211048806.
Throughout the COVID-19 pandemic, frontline healthcare workers around the globe provided exceptional patient care despite fears of infection, shortages of staff and supplies, and the frustrations of trying to treat a novel pathogen. At the same time, COVID-19 exposed deep and systemic risks to healthcare team members' physical, psychological, and emotional safety driving burnout to crisis levels. Burnout is arising not only from the emotional toll of caring for sick and dying patients, but COVID-19 also exposed flaws in our health system and infrastructure. Systemic inequities were amplified as COVID-19 disproportionately impacted people of colour and Indigenous community members. A renewed and expanded definition of safety is needed to restore trust, recruit, and retain individuals to the healing professions, enable care to be provided with the greatest skill and humanity, and ensure the well-being of every person working in healthcare. In collaboration with CEOs of a diverse group of health systems in the United States, the author drafted a Declaration of Principles that expands the definition of safety to include safeguarding psychological and emotional well-being of team members, promoting health justice by declaring equity and anti-racism as core components of safety, and ensuring physical safety, which includes a zero-harm program to eliminate workplace violence, both physical and verbal. We invite Canadian leaders to embrace these concepts and commit to supporting team member safety and well-being as an essential foundation for public health. We must humanize healthcare and the time to act is now.
在整个 COVID-19 大流行期间,全球的一线医护人员不顾感染的恐惧、人员和物资的短缺以及试图治疗新型病原体的挫败感,提供了卓越的患者护理。与此同时,COVID-19 暴露了医疗团队成员身体、心理和情绪安全的深层次系统性风险,导致倦怠达到危机水平。倦怠不仅源于照顾患病和垂死患者的情感压力,而且 COVID-19 还暴露了我们的医疗体系和基础设施的缺陷。由于 COVID-19 不成比例地影响有色人种和土著社区成员,系统性不平等现象加剧。需要重新定义和扩大安全范围,以恢复信任、招募和留住人员从事医疗保健行业,使护理能够以最大的技能和人道精神提供,并确保每个在医疗保健领域工作的人的福祉。作者与美国一组多元化医疗系统的首席执行官合作,起草了一项原则宣言,将安全的定义扩大到包括保护团队成员的心理和情绪健康,通过宣布公平和反种族主义是安全的核心组成部分来促进健康正义,以及确保身体安全,其中包括一个零伤害计划,以消除工作场所暴力,包括身体和言语暴力。我们邀请加拿大领导人接受这些概念,并承诺支持团队成员的安全和福祉,作为公共卫生的重要基础。我们必须赋予医疗保健人性化,现在是采取行动的时候了。