倦怠的耻辱妨碍了正式的帮助:一项定性研究探讨了在培训期间居民的经历
Lemmese Alwatban1,2, Mai S Alageel3, Lina A Alshehri4
1Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Advances in medical education and practice
|April 22, 2024
概括
沙特阿拉伯的医疗人员经历了高的倦怠率,这种情况往往被耻辱和羞耻所加剧. 许多人避免专业的帮助,导致沉默的痛苦,影响他们的福祉和职业生涯.
科学领域:
- 职业健康 职业健康 职业健康
- 医学教育 医学教育
- 心理学 心理学 心理学
背景情况:
- 倦怠,其特点是情绪疲,非个性化和个人成就减少,是全球日益增长的职业压力综合征.
- 医疗保健专业人员,特别是正在接受培训的住院医生,面临着高燃烧率,沙特阿拉伯报告了超过70%的患病率.
- 居民倦怠与不良结果有关,包括学业表现不佳,生活质量下降,职业不满以及离开医学的意图.
研究的目的:
- 探索沙特阿拉伯医疗居民中燃烧导致的因素.
- 了解居民生活在倦怠的经历.
- 调查居民用来管理倦怠的应对机制.
主要方法:
- 在沙特阿拉伯的利雅得,采用了一种定性研究设计.
- 与来自手术和非手术项目的14名住院医生进行了深入采访.
- 解释性主题分析被用于编码和主题开发,涉及代审查和细化类别.
主要成果:
- 在经历燃烧的参与者中,人们发现了一个普遍的耻辱主题.
- 三个相互关联的主题出现了:倦怠的耻辱循环,倦怠的综合原因和自我应对策略.
- 一个重要的发现是,居民倾向于追求自我应对机制,避免得到正式的帮助,从而使沉默的痛苦循环延续下去.
结论:
- 这项研究证实了居民的高燃烧率,并将其与低于最佳的培训和工作条件联系起来.
- 这些发现强调了耻辱和耻辱在阻止居民寻求必要的专业支持方面发挥的关键作用.
- 解决倦怠需要解决系统性问题,并在医疗培训环境中消除寻求帮助的耻辱行为.
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