了解低收入学生的医学教育经验通过马斯洛的需求层次镜头:一个探索性的定性研究
Hyacinth R C Mason1, Alexis Webber2, Tasha R Wyatt3
1Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, MA, USA. hyacinth.mason@tufts.edu.
来自低收入背景的医学学生面临着满足基本需求的重大挑战,影响他们的福祉和学术潜力. 解决这些未满足的需求对于学生的成功和医生劳动力的多样性至关重要.
科学领域:
- 医学教育 医学教育
- 健康差异 在健康上的差异
- 定性研究是指质量研究.
背景情况:
- 医生劳动力的多样性对于高质量的患者护理至关重要.
- 低收入学生是医学院入学者的比例越来越高.
- 有限的研究存在于低收入医学生的经验.
研究的目的:
- 探索来自低收入背景的学生的医学院经验.
- 作为理论框架,利用了修改后的马斯洛需求层次结构.
主要方法:
- 使用深入的,半结构化的采访进行的探索性定性研究.
- 在美国机构采访了42名低收入的医学学生.
- 用演和归纳编码对成绩单的内容分析,包括成员检查.
主要成果:
- 学生报告了未满足的生理需求 (粮食不安全,睡眠不良,心理健康问题).
- 由于交通,住房和财务不安全 (债务) 的原因,安全需求没有得到满足.
- 归属和尊重的需求受到了社会排斥和偏见的影响;自我实现受到了金融斗争的限制.
结论:
- 满足基本人类需求的挑战可能会导致低收入学生的消耗和不利的学业成果.
- 需要整体的健康方法来支持学生的未满足需求.
- 为认证机构和医学院提供建议,以支持边缘化的学习者.
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