轮班的另一个缺口:对从中等护理专业培训中流失的范围审查
Hannah Gillespie1, Megan E L Brown2, Nicola Brennan3
1School of Medicine, Newcastle University, Newcastle Upon Tyne, UK hannah.gillespie@newcastle.ac.uk.
BMJ open
|April 3, 2025
概括
医生离开专业培训 (ST) 是因为他们觉得没有支持,个人成本高,职业前景差. 解决这些问题可以改善培训,减少医疗保健工作人员的消耗.
科学领域:
- 医学教育研究 医学教育研究
- 医疗保健劳动力研究 劳动力研究
- 博士培训分析 博士培训分析
背景情况:
- 医疗保健系统面临危机,原因是专业培训 (ST) 计划的显著消耗.
- 医生过早离开ST计划会增加成本,加剧劳动力短缺,并影响患者护理质量和安全.
- 了解ST消耗的原因对于维持顾问管道至关重要.
研究的目的:
- 系统地审查和综合现有关于医生离开中等护理专业培训 (ST) 计划的原因的研究.
- 识别知识差距,并建议未来的研究方向,以解决ST attrition.
主要方法:
- 在主要数据库 (Ovid Medline, Web of Science, SCOPUS, EMBASE) 进行了全面的文献搜索,截至2024年1月.
- 包括调查医生离开中等护理中ST课程的原因的研究.
- 使用定性内容分析来综合23项纳入研究中提取的数据.
主要成果:
- 对23项研究的分析,涉及1896名前学员和454名项目主管,揭示了磨损的关键原因.
- 医生指出缺乏支持和赞赏,无法接受与培训相关的个人成本,以及不吸引人的职业前景.
- 实习生期望与ST课程的现实之间存在重大不匹配.
结论:
- 解决已识别的消耗驱动因素对于改善医生专业培训经验至关重要.
- 开发基于证据的干预措施可以降低退学率,提高医学教育的整体质量.
- 提高在ST计划中的保留率对于医疗保健劳动力的可持续性至关重要.
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