Perkins Bro Ignatius, Roberts Allen H
School of Nursing, Spalding University, Louisville, KY, USA.
Georgetown University Medical Center, Washington, DC, USA.
Linacre Q. 2022 Feb;89(1):101-110. doi: 10.1177/00243639211055556. Epub 2021 Oct 28.
Today, more than we are aware of in the history of health services in the United States, is the critical need to reclaim and apply the core values and principles that inspired physicians and nurses to respond to their original call become consolers and healers of the sick and those in distress, and to refocus our attention on the person of the healer. In clinical practice today, we are endowed with enormously effective interventions that were unimaginable only a few decades earlier. In light of the fund of knowledge, clinical competencies, and technological advancements that we bring to bear in our experience in caring for our patients, the learning curve is never flat, never complete, and never static. Newer, safer, and more effective interventions in the cure of illnesses, management to relieve stress, moderate fear of surgery, and to promote healing that often lead to early discharge and return to normal activities of daily living are readily available in clinical practice. Yet, there are looming threats that compromise the person of clinician, for example, dehumanization, consumerism, commodification, and fungeability of the human person. This article will describe the Trilogy of Health Care: Caring and Healing of the Clinician and its application to the care and healing of physicians and nurses as they accompany one another in caring for a world in need of healing and hope.
如今,在美国医疗服务历史上,我们比以往任何时候都更清楚地认识到,迫切需要重拾并应用那些激励医生和护士响应最初使命的核心价值观和原则,成为病患及受苦之人的慰藉者和治愈者,并将我们的注意力重新聚焦于医者本身。在当今的临床实践中,我们拥有了仅仅几十年前还无法想象的极为有效的干预措施。鉴于我们在照顾患者的过程中所具备的知识储备、临床能力和技术进步,学习曲线永远不会平坦,永远不会完整,也永远不会静止不变。在临床实践中,治疗疾病、缓解压力、减轻对手术的恐惧以及促进康复(这些往往能实现早期出院并恢复日常生活正常活动)的更新、更安全且更有效的干预措施随处可得。然而,存在一些潜在威胁,危及临床医生的人性,例如,人的非人化、消费主义、商品化以及可替代性。本文将描述《医疗三部曲:医者的关怀与治愈》及其在医生和护士相互陪伴照顾一个需要治愈和希望的世界时,对他们的关怀与治愈中的应用。