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This work discusses the real and personal cost of the COVID-19 pandemic on the mind, body, and spirit of healthcare workers. It suggests a proactive and reactive response that participants can activate within themselves, their clinical teams, and their organizations. The pervasive losses, both death and non-death-related, have transformed how healthcare workers deliver care while grieving their personal and professional losses. This grief further complicates the mental health of healthcare workers. Evidence from previous outbreaks suggests that the psychological burden of the pandemic will have both short and long-term effects. Recovery involves healing the body with physical compassion, healing the mind by exploring difficult emotions, and healing the spirit by recognizing and reclaiming one’s purpose and meaning. Three strategies: Spark Joy, Ambiguity Bookmark, and Healing and Restoration: a Nautical Journey through Grief demonstrate how small and intentional changes provide momentum and set the course for long-term transformation.
The following case study describes what is known as the health care system’s open secret of allowing a patient or family to refuse care from a clinician of another race. This article explores the ethical tension between autonomy, nonmaleficence, justice, and duty to treat as it relates to racism and the potential harm to clinicians, health care teams, and organizations.
When racism is experienced within the clinical setting, clinician knowledge, organizational training, and moral character are essential for identifying and addressing it effectively. Racial discrimination and related mistreatment are not part of a responsive and proactive moral community. This article explores creative solutions that preserve patient-clinician relationships without sacrificing personal integrity when racism is encountered.
