关于塞拉利昂初级医生学术欺凌的定性研究
Fatima Jalloh1, Abdul Karim Bah2,3, Ahmed Tejan Bah4
1College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone. fatimajal28@gmail.com.
BMC public health
|September 24, 2025
概括
学术欺凌是塞拉利昂初级医生的系统性问题,造成痛苦和影响职业生涯. 解决根深蒂固的层次结构和实施反欺凌政策对于学员福祉和医疗保健至关重要.
科学领域:
- 医学教育 医学教育
- 医疗保健管理的管理
- 心理学 心理学 心理学
背景情况:
- 学术欺凌对初级医生的福祉和患者护理产生负面影响.
- 人们对塞拉利昂医疗培训背景中的学术欺凌知之甚少.
- 这项研究调查了塞拉利昂大学教学医院综合体 (USLTHC) 的初级医生的学术欺凌经历.
研究的目的:
- 探索初级医生面临学术欺凌的经历和看法.
- 确定初级医生使用的应对策略.
- 了解导致塞拉利昂教学医院学术欺凌的系统因素.
主要方法:
- 使用半结构面试对29名初级医生进行定性研究.
- 在2024年7月20日至8月31日期间收集的数据.
- 使用NVivo软件进行的主题分析,以社会构造主义范式为指导.
主要成果:
- 确定了八个主题:根深蒂固的层次结构,口头虐待,惩罚性的工作负载,缺乏保障,心理痛苦,职业磨损,同行支持和建议的补救措施.
- 由于恐惧和有限的举报道,欺凌被视为周期性的"通行仪式".
- 主要建议的补救措施包括老年人教师培训和强制执行的反欺凌政策.
结论:
- 在USLTHC的学术欺凌是系统性的,文化根深蒂固的,并且由于资源限制而恶化.
- 强制执行的反欺凌政策,教师发展和心理健康服务至关重要.
- 干预措施对于保护学员和支持塞拉利昂卫生工作人员发展至关重要.
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