Purpose

Critical care medicine is facing an epidemic of burnout and consequent attrition. Interventions are needed to re-establish the medical field as a place of professional growth, resilience, and personal well-being. Humanities facilitate creation, reflection, and meaning-making, holding the promise of personal and community transformation. This study aimed to explore how clinicians engage with a humanities program, and what role and impact do the humanities play in their individual and collective journey.

Methods

This is a qualitative study employing a phenomenological approach. Participants were faculty and trainees who participated in the program. Data consisted of (a) 60-h observations of humanities evenings, (b) more than 200 humanities artifacts brought by participants, and (c) 15 in-depth participant interviews. Data were analyzed inductively and reflectively by a team of researchers.

Results

Participants were motivated to engage with the humanities curriculum because of past experiences with art, identifying a desire to re-explore their creativity to make meaning from their clinical experiences and a wish to socialize with and understand their colleagues through a different lens. The evenings facilitated self-expression, and inspired and empowered participants to create art pieces and re-engage with art in their daily lives. More importantly, they found a community where they could be vulnerable and supported, where shared experiences were discussed, emotions were validated, and relationships were deepened between colleagues.

Conclusions

Humanities may impact resilience and personal and community well-being by facilitating reflection and meaning-making of challenging clinical work and building bonds between colleagues.

中文翻译：

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透过镜子：重症监护临床医生从事人文学科的定性研究

目的

重症监护医学正面临着普遍的倦怠和随之而来的人员流失。需要采取干预措施，将医疗领域重新打造为专业发展、适应力和个人福祉的场所。人文学科促进创造、反思和意义创造，并有望实现个人和社区的转变。本研究旨在探讨临床医生如何参与人文学科项目，以及人文学科在他们的个人和集体旅程中发挥什么作用和影响。

方法

这是一项采用现象学方法的定性研究。参与者是参与该计划的教师和学员。数据包括（a）对人文晚会的 60 小时观察，（b）参与者带来的 200 多件人文文物，以及（c）15 次深度参与者访谈。一组研究人员对数据进行归纳和反思分析。

结果

由于过去的艺术经历，参与者有动力参与人文学科课程，他们渴望重新探索自己的创造力，从临床经验中获得意义，并希望通过不同的视角与同事交往和理解他们的同事。这些晚会促进了自我表达，激发并赋予了参与者创作艺术作品的能力，并在日常生活中重新融入艺术。更重要的是，他们找到了一个可以脆弱并得到支持的社区，在这里可以讨论共同的经历，验证情感，加深同事之间的关系。

结论

人文学科可以通过促进具有挑战性的临床工作的反思和意义以及在同事之间建立联系来影响复原力以及个人和社区的福祉。