Department of Family Medicine and Chronic Care, Vrije Universiteit Brussel, Brussels, Belgium.
Department of Philosophy, Vrije Universiteit Brussel, Brussels, Belgium.
Front Public Health. 2022 May 25;10:756964. doi: 10.3389/fpubh.2022.756964. eCollection 2022.
In 2014, a group of undocumented migrants started a hunger strike in Brussels. The medical monitoring was mainly done by young, committed health professionals with no prior experience of medical monitoring of people on hunger strike. Following the hunger strike, two focus groups were organized to assess the experiences of the health professionals during the medical monitoring of the hunger strike. Their main motivation for assisting was wanting to help the people on hunger strike but they were also curious about the living conditions among undocumented migrants and the reasons behind starting the strike. They were puzzled by the paradox of hunger strikers putting their life at risk in order to get a better life and obtain a residence permit. They felt conflicted about their own role as a caregiver: they did not know how to deal with patients who did not comply with medical advice, they struggled to build a relationship of mutual trust and feared that they would end up being instrumentalized by the hunger strikers or their environment. Afterwards, some of the health professionals were deeply touched by the experience and there were reports of symptoms of secondary traumatic stress such as re-experiencing and avoidance. During the focus group's discussions, the respondents made suggestions on how to improve the medical monitoring in the event of any future hunger strikes.
2014 年,一群无证移民在布鲁塞尔发起了绝食抗议。医疗监测主要由年轻、有决心的卫生专业人员进行,他们没有监测绝食者的医疗经验。绝食抗议结束后,组织了两个焦点小组来评估卫生专业人员在医疗监测绝食抗议期间的经验。他们协助的主要动机是想帮助绝食者,但他们也对无证移民的生活条件和发起罢工的原因感到好奇。他们对绝食者为了获得更好的生活和获得居留许可而冒着生命危险的矛盾感到困惑。他们对自己作为照顾者的角色感到矛盾:他们不知道如何处理不遵守医疗建议的病人,他们努力建立相互信任的关系,并担心自己最终会被绝食者或他们的环境利用。之后,一些卫生专业人员对这次经历深感触动,出现了创伤后应激障碍的症状,如再体验和回避。在焦点小组的讨论中,受访者就如何改进未来任何绝食抗议的医疗监测提出了建议。