The goal of this paper is to propose a relational turn in healthcare professionalism, to improve the responsiveness of both healthcare professionals and organizations towards care of patients, but also professionals. To this end, it is important to stress the way in which difficult situations and vulnerability faced by professionals can have an impact on their performance of work. This article pursue two objectives. First, I focus on understanding and making visible shared vulnerability that arises in clinical settings from a triple perspective: patient and family, health professionals, and institutions. Second, to address this challenge for professionalism, in this paper I articulate the term "relational centered-patient professionalism", which has two main axes. The relational approach means taking into account how the relationships among professionals, patients and institutions determine the constitution and evolution of those professional values. The focus on patient centered care is indispensable, because it is the ultimate goal pursued by the development of these professional values, and must always be at the center.

本文的目标是提出医疗保健专业化的关系转变，以提高医疗保健专业人员和组织对患者护理以及专业人员的响应能力。为此，必须强调专业人员面临的困难情况和脆弱性对其工作绩效产生影响的方式。本文追求两个目标。首先，我专注于从患者和家人、卫生专业人员和机构这三个角度来理解和使临床环境中出现的可见的共同脆弱性。其次，为了应对专业化的这一挑战，我在本文中阐述了“以关系为中心的患者专业化”这一术语，它有两个主轴。关系方法意味着考虑专业人士、患者和机构之间的关系如何决定这些专业价值观的构成和演变。以患者为中心的护理是必不可少的，因为这是发展这些职业价值观所追求的最终目标，必须始终以患者为中心。