Iwe unofarira basa mune unyanzvi hwepfungwa here? Dzidza zvakawanda pamusoro pezvaunotarisira mune unyanzvi hwehutano hwepfungwa, uye kana basa iri ringave rakakwanira iwe.
Mafungiro aMumwe Mupfungwa
"Ndiri kufara kwazvo kuti ndiri pano ... minyengetero yangu yakapindurwa ini ndichabva pano." Aya ndiwo manzwiro aNora Fabrigar, RN , anopa mukoti paWhite Memorial Hospital muSouth California, pamusoro pebasa rake mukurapa kwepfungwa, anozivikanwawo semishonga yekuzvibata.
Kubatsirwa uye Matambudziko
Kurapa kwepfungwa kunopa huwandu hwemigumisiro yemuviri asi haisi pasina matambudziko akaoma, kusanganisira kuora mwoyo kwechirwere chepfungwa nekushayikwa kwevanhu. Zvimwe zvinowanzotarisana nezvinetso ndezvisingateereri mune varwere vane mishonga yavo uye mamwe mazano, izvo dzimwe nguva zvingaguma kuita zvechisimba pakati pevarwere kana kunyange kune vashandi. Izvi hazvibvumi vanesi vanofarira zvepfungwa, zvakadaro. Kune vanamukoti vakazvipira, zvinobatsira zvekurapa kwepfungwa zvinodarika zvipingamupinyi zveizvi nguva inowanzooma yakaoma munda.
Mushure mekunge makore masere achishanda mune mushonga unokosha, Nora akafuridzirwa nhengo yemhuri iyo yakamhanya nemabhedha makumi matanhatu nematanhatu "bhokisi-uye-kutarisira" (kugara) nzvimbo yekuwanazve varwere vepfungwa. "Akabata vagari varo semhuri," Nora akatsanangura nezvemainini vake, avo vakagadzirisa nzvimbo iyi vasati vasara. Akawana ruremekedzo kubva kune varwere vake vanorwara kwazvo, achimuita kuti ave nehanya navo zvakanakisisa.
Zvinoshamisa kuti, Nora anotaura kuti haana kunyatsotarisira zvidzidzo zvepfungwa uye zvepfungwa paaiva kuchikoro, uye haana kumbofunga nezvekuyamwisa kwepfungwa semabasa pakutanga. Asi ruzivo rwake nevamwe varwere vezvepfungwa muimba yekukurumidzira, pamwe chete naAinini yekufuridzirwa, vakaisa chido chokushanda nevarwere ava vakaoma.
Dzidzo neHiring Process
Zvisinei, asina ruzivo rwakakosha rwehutano hwepfungwa, kubhadharwa mumunda kwaiva kwakaoma pakutanga. Mushure mekunge vakumbira zvipatara zvechirwere zvakasiyana-siyana uye kuchinjwa nekuda kwekushaiwa ruzivo mukurapa kwepfungwa, Nora akatanga kudzidza munda yacho zvakadzama uye achitsvakurudza unyanzvi uye ruzivo rwaaizofanira kubudirira. Akabva awana White Memorial uye akangosangana neboka iri ipapo.
Kunyange zvazvo Nora aive nemakore masere ekuyamwisa mukana wekurapa kwakakurumidza, aifanira kuendesa boka revatungamiri pa White White kuti aikwanisa kuita basa. "Ndakakumbira uye ndakakumbira uye vakabvunzurudza kwenguva refu." Nora akabvumawo kuwedzera kudzidziswa nekudzidza kuti awedzere kuzviwanira basa. Izvozvo zvakaitika makore mashanu apfuura. "Chirangaridzo Chitsva chine boka rakanaka kwazvo rekutungamirira, sangano rekutsigira, uye kudzidziswa," Nora anotsanangura, "Ndadzidza zvakawanda pano, uye iye zvino ndiri Mukoti Wokupawo."
Nora akakurudzirwa kutarisira mukoti akamupa mamwe maitiro mubasa rake. "Ini ndiri mutungamiri weboka, ndinobatsira nebasa rekushandira uye kuronga, uyewo tinoita zvirongwa zvekurapa uye nhepfenyuro pakutanga kwekuchinja." Sezvo ari mukoti mukuru, Nora anobvunzurudzawo mukoti wemishonga, chiremba chepfungwa nezvevashandi, uye vashandi vomunharaunda uye dzimwe nhengo dzeboka rekurapa.
Kushanda nevarwere vezvepfungwa havasi vose, Nora anopa zano. "Mwoyo wako unofanira kunge uri mukati maro, uye iwe unofanira kunge uchida kubatsira varwere ava." Imwe yezvinetso zvikuru kune vanamukoti vepfungwa, maererano naNora, ndeye apo murwere anoramba achiita zvechisimba. Izvo hazviitiki nguva zhinji, uye unodzidza kuongorora mazwi nemashoko asina kutaura uye zviratidzo zvekugadzirira kuputika, asi "Ndakatya pakutanga," Nora anobvuma. Anonzwa kuti uku ndiko kutya kwakawanda kunogona kuvhiringidza vamwe vanamukoti kubva pakutsvaga mabasa mukurapa kwepfungwa. Zvisinei, nekubatana pamwe uye kutungamirirwa kubva kune vakwegura vane simba uye vatungamiri, vanamukoti vanodzidza kugadzirira, uye nzira yekugadzirisa mamiriro ezvinhu angave ane ngozi kune chiitiko chakanaka.
Kune vanamukoti vakaita saNora, kuparara kwemurwere ndiwo mubayiro mukuru. Kana murwere asina kutaura kwegore, somuenzaniso, kamwe-kamwe anoti "Hi" uye anokurudzira bvudzi rako rutsva kana kukumbira kukumbundira, izvi ndezvenguva yekugutsikana kukuru, Nora anotsanangura. Mafungiro epfungwa anowanzoonekwa seasina hanya nevanhu, saka kuvabata nekuremekedza, sevanhu pamwe chete, vanofamba kwenguva refu.
Nora anorayira vanachiremba vanoona nezvepfungwa kuti vawane ruzivo mukurapa-kurapwa nemhaka yokuti varwere vazhinji vezvepfungwa vanovewo nehutano hwehutano hunoita kana kuti hunoita kuti vave nehutano hwepfungwa. Uyezve, Nora anokurudzira kuenda kumisangano nemagungano kuti arambe aripo uye kubatanidza nevamwe mumunda weukoti hwepfungwa. "Basa rinosarudzwa nevanamukoti vepfungwa rinosvinura," anodaro, ane basa rakasimba rekuona basa nekuda kwenhamba yakakura yevarwere vane chirwere chekuora mwoyo kana zvimwe zvirwere, uyewo kukura kwevanhu vane demoa. Misika yemukana yevashandi inosanganisira mabasa akasiyana-siyana anosarudzwa akadai semakiriniki ekurapa, zvivako zvekuchengetedza, zvido zvekuchengetedza / kugadziriswa, nekuchengetwa kwehutano kumusha .
Vanachiremba vepfungwa vanofanira kunge vachida uye vanogona kugamuchira zvinetso nekuvakunda pavanenge vachichengetedza tsika dzakadzikama. Kuramba wakadzikama pasi pekumanikidzika kunokosha, kuitira kuti usapedzisira wava nemafungiro evarwere. Kunzwira tsitsi chimwe chikonzero chinokosha - munhu anofanira kukwanisa kuzviisa muzvishongo zvevarwere uye kuvabata zvakakodzera.
Uyezve, bvunza mibvunzo yakawanda pahurukuro uye tsvaga zvakanaka zvakakodzera. Kumbira mubvunzurudzo nezvekudzidziswa uye kutsigirwa, kuti hutungamiri hunobata sei kukakavadzana nekukurumidza, nekudzidza pamusoro pemaonero ehupenyu nekusvika kwechivako. Chirangaridzo Chiyeuchidzo chechiKristu chiri chiitiko chakanaka chaNora. Minyengetero mangwanani ega ega uye mapoka emagetsi ezuva nezuva anopa rubatsiro rwakawedzerwa uye kufungisisa, izvo zvinomubatsira kuburikidza nezuva. Kubvuma kwaakagamuchira nokuda kwebasa rake rakanaka kwakamubatsira kuvakira chivimbo kwenguva uye kunomubatsira kuti arambe achikurudzira kubudirira.
Kuita Kusiyanisa, Mumwe Murwere Panguva
"Basa rangu kugutsikana kunowanzobva pakubata kwangu nevarwere vangu.Kana ini ndikakwanisa kuchinja mararamiro avo, ndinowana kugutsikana kubva ipapo.Ukurapa mupfungwa kunondibvumira kuziva munhu wose, kwete chiratidzo chete kana kurwara," anodaro Sunnie Dishman, Mukoti weMutungamiri I paRecnick Neuropsychiatric Hospital, muchengeti wemubhedha wemuviri 24 muUCLA. Anowedzera kuti, "Kuva mukoti wepfungwa anoda kuti munhu ave neukama nemurwere. Nhamo, chirwere chepfungwa chinokanganisa mararamiro ose ehupenyu: mapoka ose emakore, marudzi ose, zvitendwa, uye mavara." Saka, Sunnie anonzwa kuti basa rake rakashandura nzira yaanoona vanhu vose, kwete kungoshanda. "Ndinokwanisa kuona vanhu vasina kutonga ... Ndinonzwa sokuti ndiri mukoti wepfungwa anondiita munhu ari nani.Ndinodzidza kubva kune vandinoshanda navo nevarwere vangu."
Kufarira kwaSennie mukurapa kwepfungwa kwakatanga pakutanga kwebasa rake. "Ndainakidzwa nekushandura kwepfungwa dzangu kuchikoro." Pakutanga ndaida kuva mukoti weB OB / GYN, asi mushure mokunge ndapedza kushanduka kwepfungwa dzangu, ndakangonzwa ndakanyatsogadzikana mumunda iwoyo. "
Mukuwedzera kumudzidzisi wake weDhigirii muukoti uye muhutano hwehutano hwevanhu, Sunnie akapedzawo kushamwaridzana paUCLA apo akashandisa Evidence-Based Practice nokuda kwekuongororwa kwezvokuzvipira kunofadza (SIB). Ndiye mukoti mudzidzisi uye mukoti anopa mukoti paRunnick. "Chimwe chevhiki yebasa chine chikwata chedu chakakwana (24 varwere), kusanganiswa nevarwere vakakomba vane zvirwere zvakasiyana-siyana zvepfungwa."
Sunnie anoshandisa maawa masere anochinja, Muvhuro kusvika Chishanu, apo vashandi pamwe naye vashandi vanoshanda musanganiswa wechisere-uye gumi nemaviri-shizha, kusanganisira mamwe mavhiki. Anotarisa zuva rekuchinja uye anowedzera mapurogiramu eboka, anoenda kumishonga zuva nezuva, uye misangano yakasiyana-siyana uye matare ekukurukurirana maitiro ekuvandudza tsika. "Ini ndinopedza mabasa ezuva nezuva uye ndinoona kuti mapurogiramu epachikoro (mapoka nemabasa) ari kushanda uye kuti varwere vari kutarirwa uye vanorapwa.Ndinotungamirira boka remaawa makumi mashanu rinodzidzisa katatu pavhiki kuvarwere vangu."
Sunnie anogovera zvidimbu zvikamu zvezano kune vanamuko vachifunga basa mune zvepfungwa. "Sekoti mukoti, nguva dzose inokosha kuti urambe uripo mumunda wako. Tevera maitiro matsva emitambo, sezvo mazano matsva nemaitiro matsva ekurapa ari kuramba achigadzirwa kurapa varwere uye zvirwere zvavo." Anoramba achiratidza kuti vanamukoti vanoramba vachiitira tsitsi uye vanonzwira tsitsi pavanenge vachichengetedza humwe ruzivo rwomuganhu hunyanzvi kuitira kuti vakwanise kutarisira zvakanakisisa. Zvakakoshawo kuti vanamukoti vepfungwa havazvibvumi kuti vasave kana kutonga. "Varwere venyu vari kurwara-pasinei nechikonzero chekurwara kwavo.Avaitire nekuremekedza uye kuremekedza.Uchava nani, sezvinoita varwere vako," Sunnie anopedzisa.
Kuchengeta Varwere 'Hapana Mumwe Anoda Kutarisira'
Cathy W., mutungamiri wekuyamwisa nzvimbo yakasununguka yepfungwa yepfungwa yekumaodzanyemba kweCalifornia, anorondedzera unyanzvi hwepfungwa se "Kudanwa-iwe unogona kuchida kana kuvenga," uye zviri pachena kuti anoida. Akashanda mumhando dzakasiyana-siyana dzekuyamwisa, kusanganisira mashoma anoverengeka mune zvepfungwa. Anoswededzwa kune mabasa ekushanda nevarwere vakanyanya, vakanyanya, uye psychotic, izvo zvinogona kuve zviitiko zvakaoma zvikuru izvo "hapana mumwe munhu anoda kutarisira." Kufarira kwaCathy mundima yepfungwa dzepfungwa dzakagadzirwa panguva yekugadzirisa kliniki, uye akashanda mukurapa kwepfungwa kubva muna 1995.
"Zvose zvinoratidzika zvakasiyana uye hazvioni zviratidzo nezvimwe zviratidzo zvezviitiko zvose sezvaunoita mumishonga," Cathy anotsanangura, uye vanachiremba vazhinji vepfungwa vanobudirira pane zvimwe zvinetso. Kana iwe uchida kugutsikana nokukurumidza, zvisinei, unyoro hwepfungwa hunogona kunge husina kukodzera iwe. Kufambira mberi kunotora nguva yakareba kukura mumatambudziko epfungwa. Kusiyana nemukana wekugadzirisa mukamuri, apo munhu anouya nechepa rakaputsika kana kuputika appendix uye achienda kumba "zvose zviri nani" mushure mekuvhiyiwa kana zvimwe kurapwa, kuwedzerwa kwepfungwa kunowanzotora mazuva mashoma kusvika mashanu. Izvo zvakatarisana neizvi, Cathy anotsanangura, ndiko kuenderera mberi kwekutarisira, zvichiita kuti vanamukoti vaone varwere vachivandudza uye vanopindura mishonga uye kurapwa kwenguva.
Mukuwedzera kune chido chake kumunda weukoti hwepfungwa, Cathy anoratidza kubudirira kwake mumunda kune "ganda guru" uye rudo rwakasimba. Uyezve, saNora, Cathy anorayira kuwana ruzivo mukurapa kwepamusoro-soro, iyo inobatsira kunzwisisa nhau dzezvehutano mune varwere vepfungwa.
Kubudirira kubudirira muUpurazi hwepfungwa
Sezvo ari mutungamiriri weukoti ane makore gumi nemakore ane ruzivo rwehutano hwepfungwa, Cathy W. anogona kupa ruzivo rwakakura pakuwana nekusimudzira basa rakabudirira mundima iyi yakaoma. Iye ane mhosva yekubvunzurudza nekubhadhara vashandi vake, uye akanyora zvinotevera sezviito zvakatsvaga zvaanotsvaka mumapoka eboka rake:
- Unyanzvi hunoteerera hwokuteerera (pasina ruzivo - chengeta zvose zvinotanga kutongwa pamusuo)
- Kuzvidzivirira
- Kufunga kwakadzama
- Kufunga pfungwa
- Kushanda pamwe nekugadzirisa kukakavara
Vanachiremba vepfungwa vanogona kunge vachikwanisa kushanda zvakanaka seboka rakabatana, asiwo vanogona kushanda vakasununguka. Cathy anorayira kuverenga pamusoro pekufunga kwakanyanya, uye pamusoro pemitemo yepfungwa uye yepfungwa, kusanganisira nzira dzakasiyana-siyana uye mazano. Uyewo, kutsvakurudza nyaya dzepamutemo nemitemo yepfungwa dzemunharaunda yako uye munharaunda zvinobatsira. Nhengo imwe neimwe yakasiyana maererano nekurapwa kwechirwere chepfungwa nevashandi, kusanganisira kusiyanisa kwekuregererwa kwemvumo, vashandi vehurumende, 5150 vanobata, varwere vanogamuchirwa, nezvimwewo.