根据隐蔽规范:关于居住文化在倦怠中所起的作用的定性研究
Mónica Armas-Neira1, Ithandehui Jaimes-Jiménez2, Bernardo Turnbull3
1Division of Graduate Studies, Universidad de la Salud (UNISA), Mexico City, Mexico. monica.armasn@unisa.cdmx.gob.mx.
Social psychiatry and psychiatric epidemiology
|April 9, 2025
概括
医疗住院文化培养有害的规范和权力动态,导致燃烧. 解决这些秘密公约对于一个更加人性化的医疗环境至关重要.
科学领域:
- 医学教育 医学教育
- 职业健康 职业健康 职业健康
- 医学社会学 医学社会学
背景情况:
- 倦怠是医疗保健中的一个重要问题,特别影响了医疗人员.
- 现有的研究强调了职业负担中的组织因素.
- 医疗文化作为组织燃烧的风险因素的作用是未被充分探索的.
研究的目的:
- 质量地探索医疗人员对文化规范的看法.
- 确定文化规范如何导致职业负担和职业倦怠.
- 为未来针对医学文化的干预奠定基础.
主要方法:
- 进行了87个半结构面试与医疗居民.
- 研究的重点是墨西哥城的居民.
- 在数据分析中采用了基于理论的方法.
主要成果:
- 在医疗住院文化中确定了有害的习惯性做法.
- 揭示了一个扭曲的等级制度,促进了滥用权力动态.
- 发现了一种"隐蔽规范",它取代了正式的法规,由糟糕的报道和有害行为的规范化所维持.
结论:
- 倦怠与不顾指导方针的秘密文化惯例有关.
- 需要进一步的研究来开发有效的组织干预措施.
- 干预措施的目的应该是拆除隐蔽的社会文化合规性,以培养更人道的医疗文化.
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