医生生病的时候为什么要上班呢? 在不同职业生涯阶段的存在主义
O Urbano Gonzalo1, B Marco Gómez2, C Pérez Álvarez2
1Department of Anaesthesiology and Resuscitation "Miguel Servet" Hospital, Health Service of Aragón, Zaragoza, Spain; "University of Zaragoza", Spain; Feminisation and Ethics in the Health Professions (FEPS) Research Group, H36_23D, Institute of Health Research of Aragón (IIS Aragón), Spain.
Journal of healthcare quality research
|February 24, 2024
概括
在西班牙的医生中,由于担心负担同事和责任感,存在主义或在生病时工作是很常见的. 这种广泛的做法影响了患者的安全和医疗培训.
科学领域:
- 医学伦理 医学伦理
- 职业健康 职业健康 职业健康
- 医生行为 医生行为
背景情况:
- 医生们经常在生病时难以接受患者的角色,表现出像现场主义 (生病时工作) 这样的行为.
- 临床现场主义是医疗界的一个重要现象,它影响了个人从业者和患者护理.
- 了解存在主义的驱动因素对于解决其在医疗保健环境中的后果至关重要.
研究的目的:
- 分析西班牙医生存在主义的因素.
- 调查医生在生病时工作的流行情况和潜在原因.
- 探索存在主义及其对患者安全和医疗教育的影响之间的关系.
主要方法:
- 一种混合方法的方法,将国家在线医生调查与半结构面试和重点小组的定性数据相结合.
- 定量分析涉及两种测试 (p<0.05) 以确定与存在感相关的重要因素.
- 用常量比较方法分析了定性数据,以实现信息和.
主要成果:
- 89.4%的受访医生报告了存在主义的高患病率,女性的患病率更高.
- 发现的关键因素包括:担心过度负担同事 (主要原因),强烈的责任感,经济问题,难以接受生病的角色.
- 发现现场主义会影响患者的安全,并且受到医学培训中的"隐藏课程"的影响.
结论:
- 现场主义是医疗专业人员普遍和正常的行为,通常被视为支持同事的一种方式.
- 尽管它是正常化的,但存在主义对临床伦理学和患者安全有重大影响.
- 解决现实主义需要更深入地了解其在专业文化中的根源及其对医疗保健质量的影响.
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