"练习不要忽视困难的事情":在服务不足的临床环境中工作的医学学生中,应对道德困境,倦怠症状和弹性
Emily K M Scott1,2, Chad Stickrath1, Marta A W Rowh1,3
1School of Medicine, University of Colorado, Aurora, CO, USA.
Medical teacher
|July 23, 2025
概括
面临道德困境的医学学生可以通过好奇和乐观地接近具有挑战性的患者接触来建立弹性. 报告和反思等工具有助于在临床培训期间减轻倦怠和促进幸福感.
科学领域:
- 医学教育 医学教育
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 医学学生在临床培训期间经常遇到道德困境,这会影响他们的福祉.
- 具有挑战性的患者接触,特别是与边缘化社区的接触,可能会加剧道德困境并导致倦怠症状.
研究的目的:
- 在经历道德困境的医学学生中描述弹性和倦怠的主题.
- 确定与对具有挑战性的临床遭遇有弹性反应相关的因素.
主要方法:
- 在服务不足的环境中,对第三年医学学生的书面反思进行了定性分析.
- 两位研究人员使用诱导和演编码进行代主题分析.
主要成果:
- 分析了来自21名学生的50个反思.
- 用好奇心和现实的乐观态度接近痛苦的遭遇,与同理心和性相关联.
- 摘要,"回滚"技能和书面反思成为弹性框架的关键工具.
结论:
- 研究结果提供了潜在的策略,以培养面临道德困境的医学学生的性.
- 这些策略对于临床环境至关重要,因为在临床环境中,道德困扰的可能性很高.
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