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cover of episode Why compassion isn't just nice, it's essential

Why compassion isn't just nice, it's essential

2025/2/21
logo of podcast Medicine and Science from The BMJ

Medicine and Science from The BMJ
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A
Alexander Ansah Manu
L
Lydia Okutoyi
P
Pedro Delgado
Topics
Lydia Okutoyi: 我在医疗保健领域工作了20多年，最近8年专注于医疗质量。我逐渐认识到，领导者需要关爱员工，才能更好地关爱病人。这需要仁慈和同情。这意味着好奇地倾听，站在员工一边，理解事情背后的系统和背景。这意味着创造安全的空间，让员工能够表达自己的想法，即使是关于现状的挑战。这意味着耐心、谦逊，并认识到一线员工比领导者更了解病人。这意味着支持创新，允许失败，并让团队成员拥有解决问题的归属感。 在面对人员流失和资源有限等压力时，领导者需要通过倾听和理解来展现同情，并采取欣赏性探究的方式来解决问题。基于价值观的领导力需要真诚和脆弱，通过榜样作用和与团队成员建立联系来影响他人，最终目标是改善患者护理。 Pedro Delgado: 医疗保健中最重要的资产是人，包括提供护理的人员、组织护理的人员以及接受护理的人员。领导者需要兼顾技术和人文关怀，培养信任和心理安全感。这需要从上到下和从下到上共同努力，转变领导方式，并使用一些工具，例如“好奇心领导的五个简单规则”，来培养信任和心理安全感。即使在压力最大的情况下，也能保持善良，因为人们天生就有善良和关爱的能力。通过努力营造更友善的医疗环境，从而提高绩效和减少痛苦。 Alexander Ansah Manu: 在资源有限的环境中，基于价值观的领导方式，即注重同情和同理心，对于可持续改善医疗质量至关重要。它与当地文化相符，并能带来更持久的积极影响，而不是仅仅追求短期目标。在追求医疗质量改进时，领导者经常面临来自政府和资助方的压力，需要在短期目标和长期可持续性之间取得平衡。单纯追求数字的下降，例如降低死亡率，并不可持续。基于价值观的领导方式更能激发员工的积极性和主动性，从而实现可持续的质量改进。

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Dr. Lydia Okutoyi, director of healthcare quality at Kenyatta National Hospital in Nairobi, Kenya, shares her experience of incorporating compassionate leadership into her work. She emphasizes the importance of creating a safe space for staff to voice concerns and innovate, highlighting the interconnectedness of systems and the role of kindness in empowering teams to provide better patient care. Her approach demonstrates how compassionate leadership can address challenges like staff turnover and burnout.
  • Compassionate leadership is crucial for improving healthcare in resource-constrained settings.
  • Creating safe spaces for staff to voice concerns and innovate is essential.
  • Kindness and compassion empower teams to provide better patient care.
  • Addressing staff turnover and burnout requires listening and understanding.

Shownotes Transcript

Providing quality healthcare is demanding, often stressful, and requires sustained effort. When resources are stretched and pressure mounts, compassion can slip - but compassion is an essential tool for leaders, who need to support their teams to continue delivering the best possible care.

 

In this final episode of The BMJ’s podcast series on quality of care, Rachael Hinton, BMJ Editor, speaks to three healthcare leaders. They discuss how fostering kind and compassionate leadership and care can improve morale, combat burnout, and contribute to better patient outcomes.

 

01:48 Lydia Okutoyi talks compassionate leadership in Kenya

08:39 Pedro Delgado talks refocusing on the human factor and tools for kind leadership

15:02 Alexander Ansah Manu talks reaping quality of care benefits in Ghana

 

This podcast was produced as part of the BMJ Collection on Quality of Care, developed in partnership with the World Health Organisation and the World Bank. Visit bmj.com/qualityofcare) to view the full Collection. The BMJ commissioned, edited, and published this podcast. This episode edited by Brian Kennedy.