Repairing with a warm heart: How medical practitioners cultivate affective relationships with clients

IF 4.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Social Science & Medicine Pub Date : 2024-10-30 DOI:10.1016/j.socscimed.2024.117449
Dan Liu, Xiaoli Tian
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Abstract

Healthcare providers are often advised to manage emotions to adhere to professional feeling rules and avoid deep affection for clients, but there are situations where this would not apply. We offer an atypical case of a cleft lip and palate (CLP) treatment program where affectionate medical provider-patient relationships are encouraged. Participant observation in a CLP department, in-depth interviews with the medical team, and public online content from the official WeChat account of the department showed that a meaningful bond was formed through a contextual concordance of moral consideration and professionalism across the organization. Medical practitioners have developed and justified such emotional work at the individual, professional, and organizational levels through three concordant micro-processes: developing the moral deservingness of the patient, instilling moral fulfillment into professionalism, and establishing moral consensus among medical professionals. This study enhances our current understanding of emotional work in healthcare by recognizing the moral consideration of patients and its influence on medical practices and by highlighting the complexities and dynamics of different feeling rules.
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用温暖的心进行修复:医疗从业者如何培养与客户的情感关系。
人们通常建议医疗服务提供者管理好情绪,遵守职业感情规则,避免与客户产生深厚感情,但在某些情况下,这并不适用。我们提供了一个唇腭裂(CLP)治疗项目的非典型案例,在该项目中,医疗服务提供者与患者之间的深厚感情受到了鼓励。对唇腭裂科室的参与观察、对医疗团队的深入访谈以及来自该科室官方微信账号的公开网络内容都表明,通过整个组织的道德考量和专业精神的背景协调,形成了一种有意义的纽带关系。医务工作者通过三个相互协调的微观过程,在个人、专业和组织层面发展并证明了这种情感工作的合理性,这三个微观过程是:发展患者的道德应得性、将道德成就灌输到专业精神中,以及在医务人员中建立道德共识。这项研究认识到了患者的道德考量及其对医疗实践的影响,并强调了不同情感规则的复杂性和动态性,从而加深了我们目前对医疗领域情感工作的理解。
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来源期刊
Social Science & Medicine
Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
9.10
自引率
5.60%
发文量
762
审稿时长
38 days
期刊介绍: Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.
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