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患者和家人的虐待对儿科住院专业身份形成的影响
Elisa M Phillips1, Jeffrey G Edwards2, Lauren Aiello3
1Division of Pediatric Hospital Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, California.
Academic pediatrics
|January 19, 2026
概括
患者和家人的虐待损害了儿科住院医生的专业身份形成 (PIF),特别是女性和医学 (UIM) 中代表性不足的医生. 机构必须支持学员,以减轻这些负面影响,促进福祉.
科学领域:
- 医学教育 医学教育
- 医生福利 医生福利
- 职业身份的形成 职业身份的形成
背景情况:
- 患者和家庭的虐待对患者的结果和医生倦怠有负面影响.
- 这种虐待不成比例地影响到妇女和来自医学代表不足 (UIM) 背景的医生.
- 虐待对学员职业身份 (PIF) 形成的影响仍未得到充分研究.
研究的目的:
- 探索患者和家人的虐待如何影响儿科住院医生的专业身份 (PIF) 形成.
- 了解女性和UIM居民在虐待方面面临的具体挑战.
- 为支持遭受虐待居民的机构策略提供信息.
主要方法:
- 多机构的定性研究,涉及与儿科住院医生进行半结构面试.
- 在2023年5月至10月期间收集的数据.
- 分析使用了常数比较方法与修改的接地理论,应用Cruess等. 这是PIF的模型.
主要成果:
- 从对32名居民的采访中,出现了四个主要主题,从而形成了一个概念模型.
- 居民认为以患者和家庭为中心的护理是他们身份的核心,但他们感到容易受到虐待.
- 虐待威胁PIF,因为它破坏了患者与医疗服务提供者的关系,对患者的护理产生了负面影响,并降低了心理安全.
- 频繁,未解决的虐待,特别是针对个人特征的虐待,是最具破坏性的;居民制定战略来加深他们的专业身份.
结论:
- 患者和家人的虐待严重损害了儿科住院医生的福祉,学习和PIF,对妇女和UIM住院医生的影响更大.
- 机构支持结构对于应对虐待至关重要.
- 优化实习生学习,PIF和患者护理需要解决虐待的影响.
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