探索苏格兰农村 GP 的移民决策:考虑倦怠的二次定性分析
Helen Ann Latham1, Andrew S Maclaren2, Johannes H De Kock3
1NHS Highland, Inverness, and clinical research fellow, University of Aberdeen, Academic Primary Care Group, Centre for Rural Health, Inverness, UK.
倦怠和工作参与度显著影响农村全科医生 (GP) 留下或离开的决定. 解决燃烧问题和促进参与可以改善农村GP的保留和招聘.
科学领域:
- 一般实践一般实践
- 农村卫生 农村卫生
- 职业心理学 职业心理学
背景情况:
- 招聘和留住农村的全科医生 (GP) 提出了重大挑战.
- 高水平的倦怠,以疏远,疲劳和愤世嫉俗为特征,与英国的GP周转率有关.
- 关于工作参与与农村GP招聘和保留之间的关系的证据有限.
研究的目的:
- 质量地探索影响全科医生 (GP) 转移或留在农村实践的决定的因素.
- 确定工作的各个方面,可以促进农村GPs的工作参与.
主要方法:
- 对44次半结构面试的二次分析与苏格兰各地的全科医生 (GP).
- 定性数据的专题分析,使用工作生活领域规模结构化.
主要成果:
- 燃烧因素,包括对紧急病例的恐惧,临床隔离和农村培训的担忧,成为农村实践的障碍.
- 个人因素,如伴侣的就业,对移民决策产生了重大影响.
- 参与因素,如专业网络,增加自主权和重视农村生活方式,促进了在农村地区的停留.
结论:
- 工作参与度和倦怠度是农村GPs移民决策的关键决定因素.
- 确定了四个领域,通过减少倦怠和促进参与来改善农村工作环境.
- 改善工作环境对于减轻倦怠和促进参与至关重要,从而有助于农村GP的保留.
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