Referring to provider burn-out as a foe to be conquered is a palatable representation that fits within a familiar medical narrative-combating disease, fighting illness, curing and vanquishing the cancer. Even the words we use to describe our daily work-"on the front lines" or "in the trenches" or "fighting the good fight"-places us on a metaphorical battlefield. Is provider burn-out inflicted by another entity, and if so by whom or by what? Is it, by contrast, a disease or a condition? Is burn-out something that just happens or is it created? The World Health Organization International Classification of Disease (World Health Organization, 2019) added burn-out in 2019, but also made a clear statement that this is an occupational phenomenon and not a medical condition. It defines burn-out as "a syndrome conceptualized as resulting from chronic workplace stress that has not been successfully managed. It is characterized by three dimensions: feelings of energy depletion or exhaustion; increased mental distance from one's job, or feelings of negativism or cynicism related to one's job; and reduced professional efficacy. Burn-out refers specifically to phenomena in the occupational context and should not be applied to describe experiences in other areas of life" (WHO, 2019). (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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医疗服务提供者精疲力尽：一场充满不确定性的战争。

将提供者的倦怠视为要克服的敌人，是一种可口的表示，适合于熟悉的医学叙事性疾病，与疾病作斗争，治愈和消灭癌症。甚至我们用来形容我们日常工作的词语-“在前线”或“在战es中”或“打架”都将我们置于隐喻的战场上。提供者精疲力竭是由另一个实体造成的吗？如果是，是由谁造成的，还是由什么造成的？相比之下，是疾病还是病症？精疲力竭是刚刚发生的还是被创造出来的？世界卫生组织《国际疾病分类》（世界卫生组织，2019年）在2019年增加了倦怠感，但也明确声明这是一种职业现象而非医疗状况。它把倦怠定义为“ 概念化的综合征，是由于长期的工作压力导致的，尚未得到成功处理。它具有三个方面的特征：能量消耗或耗尽的感觉；与工作的精神距离增加，或与工作相关的消极情绪或玩世不恭的感觉；并降低专业效能。职业倦怠专门指职业背景下的现象，不应用于描述其他生活领域的经历”（世卫组织，2019年。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。并降低专业效能。职业倦怠专门指职业背景下的现象，不应用于描述其他生活领域的经历”（世卫组织，2019年。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。并降低专业效能。职业倦怠专门指职业背景下的现象，不应用于描述其他生活领域的经历”（世卫组织，2019年。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。