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共感的起伏:英国外科实习生的定性研究
Pranathi Yannamani1, Nicola Kay Gale2
1University of Birmingham Medical School, Birmingham, UK. pxy724@alumni.bham.ac.uk.
BMC medical education
|February 9, 2024
概括
手术学员在整个职业生涯中经历了同情心的演变,区分了脱敏和实际下降. 他们认为,可以加强专业间的关系和培训机会.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 医疗保健 专业主义 医疗保健 专业主义
背景情况:
- 在医疗实践中,同理心对于患者的结果和团队合作至关重要.
- 有证据表明,随着时间的推移,医生们的同情心下降,特别是在手术中.
- 关于英国外科实习生的同理心下降的定性研究有限.
研究的目的:
- 探索英国外科实习生如何体验对患者和同事的同理心.
- 了解学员在职业生涯中对他人的同情心的看法.
- 在外科培训中调查影响同情演变的因素.
主要方法:
- 10个半结构面试与不同级别和专业的外科实习生.
- 2022年1月和2月进行的采访.
- 用于数据解释的框架分析.
主要成果:
- 培训人员感知到同情心的演变,受到个人和专业经验积累的影响.
- 在同理心下降和脱敏之间有区别,受训者更多地认同后者.
- 参与者强调了同理心在专业间关系中的重要性,并提出了改进建议.
- 由于COVID-19大流行影响了培训,包括减少了手术室时间.
结论:
- 关于培训准入和同事关系,可以改善外科培训.
- 与过去相比,许多学员认为同事之间的同情心有所改善.
- 未来的研究应该探索高级外科医生的同情心,并利用混合方法方法.
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