Sunnybrook Research Institute, Toronto, Canada.
University of Toronto, Toronto, Canada.
Disabil Rehabil. 2023 Sep;45(18):2896-2905. doi: 10.1080/09638288.2022.2113564. Epub 2022 Nov 10.
This study explored the experiences of patients, caregivers, healthcare providers, and health service leaders of compassion in the care of people hospitalized with COVID-19.
This study is a secondary analysis of qualitative data deriving from primary research data on recommendations for healthcare organizations providing care to people hospitalized with COVID-19. Participants comprised patients with COVID-19 ( = 10), family caregivers ( = 5) and HCPs in COVID-19 units ( = 12). Primary research data were analyzed deductively under the "lens" of compassion, as defined by Goetz.
Four interacting themes were found: (1) COVID-19 - to care or not to care? The importance of feeling safe, (2) A lonely illness - suffering in isolation with COVID-19, (3) Compassionate care for people with COVID-19 across the hospital continuum, and (4) Sustaining compassionate care for people hospitalized with COVID-19 - healthcare provider compassion fatigue and burnout.
Compassionate care is not a given for people hospitalized with COVID-19. Healthcare providers must feel safe to provide care before responding compassionately. People hospitalized with COVID-19 experience additional suffering through isolation. Compassionate care for people hospitalized with COVID-19 is more readily identifiable in the rehabilitation setting. However, compassion fatigue and burnout in this context threaten healthcare sustainability.IMPLICATIONS FOR REHABILITATIONHealthcare providers need to feel physically and psychologically safe to provide compassionate care for people hospitalized with COVID-19.People hospitalized with COVID-19 infection experience added suffering through the socially isolating effects of physical distancing.Compassion and virtuous behaviours displayed by healthcare providers are expected and valued by patients and caregivers, including during the COVID-19 pandemic.High levels of compassion fatigue and burnout threaten the sustainability of hospital-based care for people with COVID-19.
本研究探讨了 COVID-19 住院患者、护理人员、医疗保健提供者和卫生服务领导者在关怀护理中的同情心体验。
本研究是对 COVID-19 住院患者护理医疗机构建议的主要研究数据进行的二次分析。参与者包括 COVID-19 患者（ = 10）、家庭护理人员（ = 5）和 COVID-19 病房的医疗保健提供者（ = 12）。主要研究数据是在 Goetz 定义的同情心“视角”下进行演绎分析的。
发现了四个相互作用的主题：（1）COVID-19-照顾还是不照顾？感到安全的重要性，（2）孤独的疾病-与 COVID-19 隔离时的痛苦，（3）贯穿医院的 COVID-19 患者的关怀护理，（4）维持 COVID-19 住院患者的关怀护理-医疗保健提供者的同情心疲劳和倦怠。
COVID-19 住院患者不一定能得到关怀护理。医疗保健提供者在做出同情反应之前必须感到安全才能提供护理。COVID-19 住院患者因社交隔离而遭受额外的痛苦。在康复环境中更容易识别 COVID-19 住院患者的关怀护理。但是，这种情况下的同情心疲劳和倦怠会威胁医疗保健的可持续性。
医疗保健提供者需要感到身心安全，才能为 COVID-19 住院患者提供关怀护理。COVID-19 感染住院患者因身体距离产生的社交隔离影响而遭受额外的痛苦。同情心和医疗保健提供者表现出的美德行为受到患者和护理人员的期望和重视，包括在 COVID-19 大流行期间。高水平的同情心疲劳和倦怠会威胁到 COVID-19 患者的医院基础护理的可持续性。
