Leung Kelvin, Awani Tuoyo, Chima Chidi, Udo Itoro
South Tees NHS Foundation Trust, Middlesbrough, UK,
Acad Psychiatry. 2015 Jun;39(3):286-92. doi: 10.1007/s40596-015-0290-4. Epub 2015 Mar 24.
Studies examining recruitment problems in psychiatry have been mostly quantitative and limited in their ability to elucidate perceptions and day-to-day influences that may affect recruitment. This review aimed to identify factors on recruitment into psychiatry by appraising available qualitative studies.
The authors searched MEDLINE, PsycINFO, and Embase using Health Database Advanced Search tool on NHS Evidence. Inclusion criteria were qualitative studies and English-language published papers. The authors appraised 10 qualitative studies and identified common themes.
The ten qualitative studies used thematic analysis, phenomenology, and narrative study methods. Populations studied were medical students, foundation doctors, residents/trainees, psychiatrists, and undergraduate psychiatry teachers from the USA, UK, Australia, Canada, and Ghana. The studies highlighted importance of role models, mentorship, and supervision in improving recruitment. Additional factors included stigmatization in mental illness, satisfaction rates, interactive nature, and academic interest within psychiatry.
The appraised studies were limited in their number and methodology. More qualitative studies are needed to inform policy on recruitment into psychiatry.
研究精神病学领域招募问题的研究大多是定量研究,在阐明可能影响招募的认知和日常影响方面能力有限。本综述旨在通过评估现有定性研究来确定影响精神病学专业招募的因素。
作者使用NHS证据上的健康数据库高级搜索工具检索了MEDLINE、PsycINFO和Embase。纳入标准为定性研究和英文发表的论文。作者评估了10项定性研究并确定了共同主题。
这10项定性研究采用了主题分析、现象学和叙事研究方法。研究对象包括来自美国、英国、澳大利亚、加拿大和加纳的医学生、住院医师、专科住院医生/实习生、精神科医生以及本科精神科教师。这些研究强调了榜样、指导和监督在改善招募方面的重要性。其他因素包括精神疾病的污名化、满意度、互动性质以及对精神病学的学术兴趣。
所评估的研究在数量和方法上存在局限性。需要更多的定性研究为精神病学专业招募政策提供信息。