Steven A, Oxley J, Fleming W G
School of Medical Education Development, Newcastle University, London.
J R Soc Med. 2008 Nov;101(11):552-7. doi: 10.1258/jrsm.2008.080153.
To investigate NHS doctors' perceived benefits of being involved in mentoring schemes and to explore the overlaps and relationships between areas of benefit.
Extended qualitative analysis of a multi-site interview study following an interpretivist approach.
Six NHS mentoring schemes across England.
Perceived benefits.
While primary analysis resulted in lists of perceived benefits, the extended analysis revealed three overarching areas: professional practice, personal well-being and development. Benefits appear to go beyond a doctor's professional role to cross the personal-professional interface. Problem solving and change management seem to be key processes underpinning the raft of personal and professional benefits reported. A conceptual map was developed to depict these areas and relationships. In addition secondary analysis suggests that in benefitting one area mentoring may lead to consequential benefits in others.
Prior research into mentoring has mainly taken place in a single health care sector. This multi-site study suggests that the perceived benefits of involvement in mentoring may cross the personal/professional interface and may override organizational differences. Furthermore the map developed highlights the complex relationships which exist between the three areas of professional practice, personal wellbeing and personal and professional development. Given the consistency of findings across several studies it seems probable that organizations would be strengthened by doctors who feel more satisfied and confident in their professional roles as a result of participation in mentoring. Mentoring may have the potential to take us beyond individual limits to greater benefits and the conceptual map may offer a starting point for the development of outcome criteria and evaluation tools for mentoring schemes.
调查英国国家医疗服务体系(NHS)医生参与指导计划所感知到的益处,并探究这些益处领域之间的重叠与关系。
采用解释主义方法,对一项多地点访谈研究进行扩展定性分析。
英格兰的六个NHS指导计划。
感知到的益处。
初步分析得出了感知到的益处清单,而扩展分析揭示了三个总体领域:专业实践、个人幸福感和发展。益处似乎超越了医生的专业角色,跨越了个人与专业的界限。解决问题和变革管理似乎是所报告的一系列个人和专业益处背后的关键过程。绘制了一个概念图来描述这些领域和关系。此外,二次分析表明,在一个领域受益的指导可能会在其他领域带来相应的益处。
先前对指导的研究主要在单一医疗保健部门进行。这项多地点研究表明,参与指导所感知到的益处可能跨越个人/专业界限,并且可能超越组织差异。此外,所绘制的地图突出了专业实践、个人幸福感以及个人和专业发展这三个领域之间存在的复杂关系。鉴于多项研究结果的一致性,那些因参与指导而在专业角色中感到更满意和自信的医生可能会加强组织建设。指导可能有潜力使我们超越个人局限,获得更大的益处,并且该概念图可能为制定指导计划的成果标准和评估工具提供一个起点。