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“超级英雄?不,谢谢。”在医疗保健专业人员中接受脆弱性。

"Superheroes? No, thanks." Accepting vulnerability in healthcare professionals.

机构信息

Departamento de Psicología Cognitiva, Social y Organizacional, Facultad de Psicología y Logopedia, Universidad de La Laguna, Campus de Guajara, 38205, La Laguna, Tenerife (Canarias), Spain.

Departamento de Filosofía I, Facultad de Filosofía y Letras, Universidad de Granada, Campus Universitario de Cartuja, 18071, Granada (Granada), Spain.

出版信息

Hum Resour Health. 2024 Feb 20;22(1):16. doi: 10.1186/s12960-024-00899-9.

DOI:10.1186/s12960-024-00899-9
PMID:38378609
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10877781/
Abstract

In this commentary, we develop a conceptual proposal aimed to explain why a discourse of praise and admiration for healthcare professionals´ limitless dedication can trigger a general indifference to the burnout and suffering they experience. Ultimately, this can lead to the justification of the lack of resources dedicated to preventing these problems. We first start by pointing out the stigmatisation of healthcare professionals suffering from burnout and showing their vulnerability, highlighting the complex interactions that occur in the healthcare context and that increase the risk of perpetuating their suffering. Then, we appeal to the recognition of one's own vulnerability as a key element towards the creation of a culture more focused on the duty of care for those who care for others. We conclude with several proposals for action to cope with burnout-related stigma, trying to change the superhuman image of health personnel and incorporating the vulnerability inherent to human beings.

摘要

在这篇评论中,我们提出了一个概念性的建议,旨在解释为什么对医疗保健专业人员无私奉献的赞美和钦佩言论会导致人们普遍对他们所经历的倦怠和痛苦漠不关心。最终,这可能导致缺乏预防这些问题的资源的现象合理化。我们首先指出了对患有倦怠的医疗保健专业人员的污名化和脆弱性的表现,并强调了在医疗保健环境中发生的复杂相互作用,这些相互作用增加了使他们的痛苦持续存在的风险。然后,我们呼吁承认自己的脆弱性是建立更加关注关心他人的责任文化的关键要素。最后,我们提出了几项应对与倦怠相关的污名化的行动建议,试图改变医护人员超人的形象,并将人类固有的脆弱性纳入其中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5139/10877781/71c71e093158/12960_2024_899_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5139/10877781/71c71e093158/12960_2024_899_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5139/10877781/71c71e093158/12960_2024_899_Fig1_HTML.jpg

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本文引用的文献

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N Engl J Med. 2020 Dec 31;383(27):e142. doi: 10.1056/NEJMp2024834. Epub 2020 Oct 14.
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Burnout Stigma Inventory: Initial Development and Validation in Industry and Academia.
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Front Psychol. 2020 Mar 12;11:391. doi: 10.3389/fpsyg.2020.00391. eCollection 2020.
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Neuropsychol Rehabil. 2019 Aug;29(7):1129-1148. doi: 10.1080/09602011.2017.1375416. Epub 2017 Sep 18.
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Vulnerability in health care--reflections on encounters in every day practice.医疗保健中的脆弱性——日常实践中的思考
Nurs Philos. 2013 Apr;14(2):127-38. doi: 10.1111/j.1466-769X.2012.00558.x.
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Stigma and discrimination.污名与歧视。
Can J Psychiatry. 2011 Oct;56(10):1-9.
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A reply to 'Towards an understanding of nursing as a response to human vulnerability' by Derek Sellman: vulnerability and illness.对德里克·塞尔曼所著《迈向对护理作为对人类脆弱性之回应的理解》的回应:脆弱性与疾病
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