病时上班:医生和医疗学员之间的疾病现场主义的范围审查
Lorenzo Madrazo1, Jade Choo-Foo1, Wenhui Yu2
1Department of Medicine, University of Ottawa, Ottawa, Canada.
Medical education
|October 3, 2024
概括
疾病存在主义,在生病时工作,对于医生来说是常见的,尽管有负面影响. 由于COVID-19大流行并未改变其原因或行为,因此需要采取干预措施.
科学领域:
- 医学教育 医学教育
- 职业健康 职业健康 职业健康
- 医疗保健管理的管理
背景情况:
- 疾病现场主义 (IP),在生病时工作,在医生和学员中很常见.
- 医生和实习生的福祉问题增加了对知识产权的兴趣.
- 随着COVID-19的流行,人们开始对知识产权的看法和趋势进行审查.
研究的目的:
- 探索医生和实习生对疾病存在主义 (IP) 的看法.
- 确定用于研究IP的方法.
- 评估与COVID-19大流行相关的IP变化.
主要方法:
- 使用Arksey和O'Malley框架进行范围审查.
- 在四个主要数据库 (Medline,Embase,PsycInfo,Web of Science) 进行文献搜索.
- 包含的45篇文章的定量和主题分析.
主要成果:
- 疾病存在主义 (IP) 始终被视为医生,患者和医疗保健系统的问题.
- 关键的驱动因素包括患者/同事的义务和避免感知到的弱点.
- 工作量和缺少病假等结构性因素也会有所影响.
- 随着COVID-19的流行,知识产权的原因或行为并没有发生显著的变化.
- 提出的解决方案涉及教育和政策的变化.
结论:
- 疾病存在主义 (IP) 尽管存在负面看法,但在医生中仍然很普遍.
- 专业知识在医生的福祉和感知到的义务之间存在冲突.
- 需要使用不同的理论镜头进行进一步的研究,以解决知识产权的复杂性.
关键词:
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