在研究生初级保健监督中的定位,权力和代理:对实习生叙述的研究
Dawn Jackson1, Josephine Brady2, Donna Dawkins3
1College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK. d.jackson.2@bham.ac.uk.
BMC medical education
|November 18, 2023
概括
一般实践实习生经历了各种各样的监督关系,受到定位和权力动态的影响. 了解这些因素可以改善研究生培训和监督联盟.
科学领域:
- 医学教育 医学教育
- 定性研究是指质量研究.
- 社会科学 社会科学 社会科学
背景情况:
- 研究生监督发生在复杂的环境中,受社会文化背景和专业规范的影响.
- 博尔丁的模型强调了在监督中达成一致的目标,任务和情感纽带的重要性.
- 随着实习生和监督人员平衡临床护理需求与教育支持,对期望的分歧可能会出现.
研究的目的:
- 探索通用实践学员使用批判性镜头和定位理论对监督的经验.
- 了解实习生在监督关系中的位置以及影响这种关系的因素.
- 调查权力动态和代理在研究生GP培训中的作用.
主要方法:
- 在2017年至2019年期间,对13名英国全科医生实习生进行了一系列叙事采访.
- 参与者根据表现,人口统计和培训状况进行了有目的的抽样.
- 采访被分析使用适应的听力指南,结合定位,权力和代理.
主要成果:
- 实习生采取了各种立场,包括"内部人员"",外部人员"",同行"和"问题实习生",受监督者互动的影响.
- 监事在通过沟通和访问来定位学员方面发挥了作用.
- 实习生通过非正式的方式来应对困难,通常是通过掌握培训文物,正式的投诉产生了不满意的结果.
结论:
- 监管讨论应该涉及假设,环境影响,权力,定位和代理,以提高清晰度.
- 这项研究建立在Bordin的模型上,以促进更好的监管关系.
- 研究生GP培训监督联盟模型 (MSA-GP) 已开发,以促进实习生和监督者之间的讨论.
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