Bunkley Emma Nelson, Asante Comfort, Burack Sarah, Kaufman Lindsey, Miti Sam, Hunleth Jean
Department of Health and Behavioral Sciences, University of Colorado Denver, Denver, Colorado, USA.
Ndola Teaching Hospital, Ndola, Zambia.
Med Anthropol Q. 2024 Mar;38(1):54-66. doi: 10.1111/maq.12837. Epub 2023 Dec 19.
At the only standalone pediatric hospital in Zambia, patient wellbeing often rests in the hands of bedsiders. Bedsiders are caregivers, often family, who sit at the patient's bedside, feeding, cleaning them, and running medical errands. Bedsiders are critical human infrastructure for the hospital and its staff. In our research, we heard repeatedly that bedsiders must have a "heart" for caregiving, taking on unremunerated and exhausting informal labor. We draw on Wendland's "heart for the work," a phrase commonly used among healthcare workers in Malawi and Zambia describing the medical profession, to explore what this metaphor reveals about care.
在赞比亚唯一的一家独立儿科医院里,患者的健康状况常常掌握在床边护理人员手中。床边护理人员通常是患者家属,他们坐在患者床边,负责喂食、清洁,并跑腿处理医疗事务。床边护理人员是医院及其工作人员至关重要的人力基础设施。在我们的研究中,我们多次听到,床边护理人员必须有一颗从事护理工作的“心”,承担着无报酬且疲惫不堪的非正规劳动。我们借鉴温德兰(Wendland)提出的“工作之心”(这是马拉维和赞比亚医护人员中常用的一个描述医疗职业的短语),来探究这个隐喻揭示了关于护理工作的哪些内容。