Alexopoulos Evangelia A, Guinee Emily P, Stewart Kearsley A, Brown Candace S, Gold Deborah T, Engle Deborah, Talenti Francesca, Klevansky Rhonda, Barfield Raymond, Ross Elizabeth, Prose Neil S
Duke University, Durham, North Carolina, USA.
Global Health and Cultural Anthropology, Duke University, Durham, North Carolina, USA.
Clin Teach. 2022 Feb;19(1):36-41. doi: 10.1111/tct.13439. Epub 2021 Nov 21.
Our documentary, Keepers of the House, highlights ways that hospital housekeepers, typically unnoticed care team members, provide emotional support for patients and their families. This film addresses a gap in education by emphasizing the importance of valuing and reflecting on the unique lived experiences of others.
We created this documentary to expose students to the experiences and perceptions of hospital housekeepers. A focus group with six hospital housekeepers informed an interview script for the film's creation. Nine additional housekeepers were then interviewed, which developed into a 15-min documentary. Healthcare students and educators from five disciplines viewed the documentary during their institution's Medical Education Day.
To expose students and educators to housekeepers' experiences, we designed our post-viewing survey to address whether the housekeepers' stories impacted their understanding of the role and value of these workers. Viewers were surprised by the depth and breadth of patient-housekeeper interactions, the trauma housekeepers experienced from patient loss and the pride housekeepers take in their work. The stories that touched the viewers varied but centred on connections between housekeepers and patients. Lessons learned focused on recognizing the contributions of unseen team members.
This innovative documentary amplifies the perspectives of voices rarely heard in healthcare. We aim to use this film, alongside its associated learning session, in education and grand round settings to foster discussion around empathy, valuing underrecognised team members and applying these insights in practice. This work can be disseminated to other institutions, further amplifying underrepresented narratives in healthcare.
我们的纪录片《病房守护者》突出了医院保洁员（通常是被忽视的护理团队成员）为患者及其家属提供情感支持的方式。这部影片通过强调重视和反思他人独特生活经历的重要性，填补了教育方面的空白。
我们制作这部纪录片，让学生了解医院保洁员的经历和看法。与六名医院保洁员进行的焦点小组讨论为影片创作提供了访谈脚本。随后又采访了另外九名保洁员，最终制作成一部15分钟的纪录片。来自五个学科的医学生和教育工作者在所在院校的医学教育日观看了这部纪录片。
为了让学生和教育工作者了解保洁员的经历，我们设计了观影后调查问卷，以了解保洁员的故事是否影响了他们对这些工作人员角色和价值的理解。观众对患者与保洁员互动的深度和广度、保洁员因患者离世所经历的创伤以及保洁员对工作的自豪感感到惊讶。触动观众的故事各不相同，但都围绕着保洁员与患者之间的联系。吸取的经验教训集中在认识到幕后团队成员的贡献。
这部创新的纪录片放大了医疗保健领域中很少被听到的声音的观点。我们旨在在教育和学术讲座场合使用这部影片及其相关的学习课程，以促进围绕同理心、重视未得到充分认可的团队成员以及将这些见解应用于实践的讨论。这项工作可以推广到其他机构，进一步放大医疗保健领域中代表性不足的叙述。
