在外科实习期间对父母的经验进行定性评估
Darci C Foote1,2,3, Audrey Rosenblatt4,5, Lauren M Janczewski4,6
1Michigan Medicine, Department of Surgery, 1500 E. Medical Center Dr., Ann Arbor, MI 48109.
Annals of surgery
|July 29, 2025
概括
在外科住院期间的育儿在第四季度之后会带来挑战,缺乏系统支持会影响住院人员. 解决这些问题对于在外科工作人员中的公平至关重要.
科学领域:
- 医疗教育 医学教育
- 进行外科手术培训.
- 劳动力公平性 劳动力公平性
背景情况:
- 在外科住院期间生育越来越常见.
- 现有的怀孕和产后住宿设施是不够的.
- 在育儿假以后,居民的经历没有得到充分的描述.
研究的目的:
- 描述在外科实习期间长期经历的父母身份.
- 在父母的不同阶段确定挑战和计划支持.
- 为改善居民福祉和留住居民的战略提供信息.
主要方法:
- 与15个整体外科计划的住院医生,教师和工作人员进行半结构化采访.
- 诱导式代码书的开发,以确定与父母关系的主题.
- 分析挑战和计划支持在怀孕期间,第四个三个月,和长期的父母.
主要成果:
- 居民在怀孕期间面临着保持全职工作负载的压力,并且由于感知到负担,对分娩后住宿的使用有限.
- 支持性行为和政策改善了住宿利用率.
- 长期的育儿涉及到来自竞争优先事项的"道德伤害",儿童保育依赖配偶支持或财富.
- 方案支持缺乏基础设施解决方案,例如负担得起的儿童保育.
结论:
- 在第四季度的支持方面有进展,但在居住期间的其他阶段的父母身份仍然存在重大障碍.
- 缺乏系统层面的支持,使手术中的性别和社会经济不平等持续存在.
- 需要进一步的干预措施,以支持整个父母之旅的外科住院医生.
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