Abstract：
A distinction can be drawn between healthcare, where compassion is evident, and the functional delivery of health services. Measures to curb the spread of COVID-19, such as personal protective equipment, telehealth, and visiting restrictions created barriers to service delivery and put pressure on healthcare. Through 37 qualitative interviews with NHS senior managers (n = 11), health professionals (n = 26), and 5 focus group discussions with members of the public (n = 26), we explored experiences of the everyday ethical tensions created as services were being re-established following the acute phase of the COVID-19 pandemic in England. Our analysis enriches an understanding of compassionate care as outlined in NHS operational documents - covering the emotional, moral, and relational components of healthcare beyond the functionalities of treatment. From this analysis, we consider the normative standards underpinning NHS healthcare, concluding that, wherever possible, offering compassionate healthcare to patients and their families should be facilitated, and health professionals should themselves be compassionately supported in the workplace. Our findings foreground the need to consider the consequences of the short-term adoption of a functional treatment approach, including strategies that support health professionals and inform the public, to avoid the long-term damage caused by the fracturing of compassionate healthcare.
摘要：
可以区分医疗保健，同情是显而易见的，以及健康服务的功能性提供。遏制COVID-19传播的措施，如个人防护设备，远程医疗,访问限制给服务提供带来障碍，并给医疗保健带来压力。通过对NHS高级管理人员的37次定性采访(n=11)，卫生专业人员（n=26），与公众进行5次焦点小组讨论(n=26)，我们探索了在英国COVID-19大流行急性期后，随着服务重建而产生的日常道德紧张关系的经验。我们的分析丰富了对NHS操作文件中概述的同情心护理的理解-涵盖了情感，道德,以及超出治疗功能的医疗保健的关系组成部分。从这个分析,我们认为支撑NHS医疗保健的规范标准，结论是，只要有可能,应促进为患者及其家人提供富有同情心的医疗保健，和卫生专业人员自己应该在工作场所得到同情的支持。我们的发现前景需要考虑短期采用功能性治疗方法的后果，包括支持卫生专业人员和告知公众的战略，以避免因同情医疗保健的破裂而造成的长期损害。
