探索居民在荷兰一般实践住院期间对其专业身份的观点:一项定性研究
Miami Al-Sabiry1, Irene Slootweg2, Mattijs E Numans2
1Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, Netherlands m.al-sabiry@lumc.nl.
BMJ open
|December 28, 2024
概括
一般实践人员发现他们的职业具有挑战性,强调需要指导专业身份形成 (PIF). 解决工作与生活的平衡和培养归属感是居民福祉和工作满意度的关键.
科学领域:
- 医学教育 医学教育
- 职业身份的形成 职业身份的形成
- 一般实践 住院 住院 一般实践
背景情况:
- 住院教育计划可能与住户的学习目标不一致,也可能无法解决他们对工作的满意度.
- 专业身份形成 (PIF) 提供了一个框架,使教育与学习目标保持一致.
- 在实习中对PIF的实证研究很少,特别是从一般实践 (GP) 居民的角度来看.
研究的目的:
- 探索GP居民对其专业身份的观点.
- 在GP住院计划中为PIF学习目标的发展提供信息.
主要方法:
- 定性描述性研究设计.
- 以预先确定的问题为指导的焦点小组采访.
- 收集了来自荷兰四个培训机构92名医生最后一年的住院医生的数据.
主要成果:
- 居民的观点集中在导航该职业的"无穷无尽".
- 这种"无穷无尽"体现在四个关键领域:全科医生作为一个可访问的提供者的角色,中央护理协调员,提供个性化的护理,以及保持工作与生活平衡的挑战.
结论:
- 医生医生居民认为这是一项日益苛刻的职业,这凸显了指导PIF的重要性.
- 在指导谈判中使用"主体化"可能会增强监督者与居民的教育联盟.
- 解决工作与生活的平衡,归属和同事关系可以提高居民的幸福感和满足感.
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