构建"倦怠":在研究生医学教育中对倦怠的批判性话语分析
Rabia Khan1, Brian David Hodges2, Maria Athina Martimianakis3
1R. Khan was a doctoral student, Institute of Medical Sciences, University of Toronto, Toronto, Ontario, Canada.
概括
倦怠在医疗培训中持续存在,因为它通过去政治化健康问题并专注于健康,使组织受益. 这项研究分析了话语,以了解为什么倦怠仍然普遍存在,尽管有努力减少它.
科学领域:
- 医学教育 医学教育
- 卫生社会学 卫生社会学
- 话语分析 话语分析
背景情况:
- 燃烧,一个在1974年创造的术语,已经从流行心理学演变为一个公认的医学现象,在2022年被采纳到ICD-11中.
- 尽管提高了意识和干预措施,但研究生医学教育 (PGME) 中的倦怠率继续上升.
- 了解PGME持续性倦怠的根本原因对于有效的干预至关重要.
研究的目的:
- 识别在研究生医学教育中合法化或动员倦怠的论述.
- 为了回答为什么尽管有改善努力,但PGME的倦怠仍然存在.
主要方法:
- 采用福库尔德式话语分析来研究PGME的社会化时期.
- 分析了包括学术文章,政策文件,自传,媒体和在线论坛在内的综合档案.
主要成果:
- 从1974年到2019年,我们确定了三种关于倦怠的论述:倦怠作为疾病,职业压力和存在主义.
- 每个话语都与特定的真相,角色和机构知名度有关.
- 倦怠对组织来说是一种生产性的构造.
结论:
- 倦怠持续存在,因为它是一种富有成效的组织结构.
- 目前关于倦怠的框架将健康问题去政治化,优先考虑健康.
- 它为临床医生提供了一个框架,使他们能够在他们的经历中找到意义.
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