在家庭医疗住院项目中,关于静静戒烟的观点
Kathleen M Young1, Karen M Isaacs2, Kate L Jansen3
1Department of Family Medicine, Novant Health New Hanover Regional Medical Center, Wilmington, NC.
Family medicine
|August 19, 2025
概括
在实习教育中,静静地退出涉及脱离和专业性的担忧,可能会影响医生的能力和患者护理. 解决这个问题需要系统变化和对居民的明确期望.
科学领域:
- 医学教育 医学教育
- 工作场所心理学 工作场所心理学
- 医生福利 医生福利
背景情况:
- 安静辞职,定义为仅执行最低工作要求,在流行媒体中越来越多地讨论.
- 虽然在学术文献中提到,但在住院教育中,安静戒烟尚未得到正式审查.
- 这项研究探讨了从家庭医疗住院计划领导者的角度来看,安静地戒烟.
研究的目的:
- 在住院教育的背景下,研究静静戒烟现象.
- 收集和分析家庭医学实习课程领导者关于安静戒烟的观点.
- 识别与安静戒烟相关的行为,促成因素,后果和潜在干预措施.
主要方法:
- 在2024年美国家庭医生学院住院领导人峰会上进行了一场关于安静戒烟的研讨会.
- 从大约250名与会者那里收集了参与者的回应,这些回应是关于他们在住院计划中静地戒烟的经历.
- 研究人员使用专题分析独立编码收集的答案.
主要成果:
- 来自215名参与者的回答确定了安静的戒烟行为,包括脱离,专业性的担忧和战略性的时间使用.
- 引用的促成因素包括工作价值观的世代转变,系统问题,教师建模和缺乏经验.
- 发现的负面后果与医生能力和患者护理质量下降有关,建议的干预措施侧重于系统性变化,明确的期望和福祉支持.
结论:
- 这项研究从家庭医学的住院领导的角度提供了关于安静戒烟的见解.
- 沉默戒烟对医生的能力和患者护理的潜在负面影响强调了需要进一步调查的必要性.
- 在实习教育中建立对安静戒烟的共同理解对于解决其影响至关重要.
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