通过损失工作:对医生悲伤的批判性话语分析
Sarah Burm1, Tanya Bierer2, Victoria Luong3
1Office of Continuing Professional Development and Medical Education, Dalhousie University, Halifax, NS, Canada.
Qualitative health research
|October 31, 2025
概括
由于专业规范,医生通常会尽量减少工作场所的悲伤. 这项研究发现,悲伤可以被视为干扰或邀请创造意义,经验因医生经验和层次结构而异.
科学领域:
- 医学人文学科 医学人文学科
- 定性研究是指质量研究.
- 卫生社会学 卫生社会学
背景情况:
- 悲伤是一种普遍的人类体验,但在专业环境中,尤其是医疗保健领域,悲伤往往是不言而喻的.
- 医生经常淡化他们的悲伤,认为它与患者的痛苦相比微不足道,受到专业规范的影响.
- 社会话语可以帮助尽量减少医疗保健专业人员所经历的悲伤.
研究的目的:
- 检查医生如何在临床实践中叙述他们的悲伤经历.
- 识别医生代表,演出和抵制的围绕悲伤的论述.
- 了解专业规范和层次对医生悲伤表达的影响.
主要方法:
- 在大西洋加拿大的医生 (n=12) 和居民 (n=5) 参与的定性研究.
- 两轮采访间隔6个月进行.
- 批判性话语分析应用于采访成绩单,以分析用于描述悲伤的语言.
主要成果:
- 悲伤出现了两个主要的话语框架:"悲伤作为干扰"和"悲伤作为一个意义创造的邀请".
- 医生在平衡悲伤与职业职责时经历了紧张和丧,而有些人发现了意义和价值的转变.
- 居民在悲伤表达边界方面面临更多挑战,而经验丰富的医生则更舒服,将悲伤视为智慧.
结论:
- 医生的悲伤框架随着他们的职业发展而发展,受到地位和等级制度的影响.
- 参与悲伤积极话语的授权与专业成熟和制度因素有关.
- 通过正规教育和机构支持,发展"悲伤素养"的临床环境对于医生福祉至关重要.
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