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人际关系对职业身份认同学习与发展的影响:一项关于住院医师认知的研究

Impact of interpersonal relations on learning and development of professional identity: A study of residents' perceptions.

作者信息

Blouin Danielle

机构信息

Department of Emergency Medicine, Queen's University, Kingston, Ontario, Canada.

出版信息

Emerg Med Australas. 2018 Jun;30(3):398-405. doi: 10.1111/1742-6723.12944. Epub 2018 Feb 26.

Abstract

OBJECTIVES

Informal learning includes all occurrences during one's life when learning is not deliberate. Prior research on informal learning in healthcare contexts examined learning happening outside of the formal curriculum, yet still in the workplace. This study explores residents' perceptions about extracurricular factors outside of the workplace that contribute to their learning and development of professional identity, whether interpersonal relations are recognised as such factors, and positive and negative impacts of interpersonal relations.

METHODS

In this qualitative study, all 21 residents in our Emergency Medicine programme were asked, in a web-based survey with open-ended questions, to identify extracurricular sources outside of the workplace perceived as contributing to their learning and professional identity development, and list positive and negative impacts of interpersonal relations outside of work on learning and identity development. Themes were extracted through content analysis of the narrative responses. Two reviewers coded all data.

RESULTS

Thirteen (62%) residents identified 37 factors grouped under five themes: learning activity, role modelling, support, non-clinical academic roles, and social interactions. Interpersonal relations were perceived as having positive and negative impacts, including creating support, positive role modelling and mentoring, increasing concrete learning, as well as lapses in teaching skills, deficits in professional role training, and loss of personal time.

CONCLUSIONS

Several extracurricular factors outside of the workplace contribute to resident learning and identity development, including interpersonal relations, which have positive and negative impacts. The most often noted negative impact of interpersonal relations outside of work between residents and faculty related to perceived lapses in teaching skills.

摘要

目的

非正式学习包括一个人一生中所有非刻意的学习情况。先前关于医疗保健环境中非正式学习的研究考察了在正式课程之外、但仍在工作场所发生的学习。本研究探讨住院医师对工作场所以外有助于其学习和职业身份发展的课外因素的看法,人际关系是否被视为这类因素,以及人际关系的积极和消极影响。

方法

在这项定性研究中,我们急诊医学项目的所有21名住院医师通过一项带有开放式问题的网络调查,被要求识别被认为有助于其学习和职业身份发展的工作场所以外的课外来源,并列出工作场所以外的人际关系对学习和身份发展的积极和消极影响。通过对叙述性回答的内容分析提取主题。两名评审员对所有数据进行编码。

结果

13名(62%)住院医师识别出37个因素,分为五个主题:学习活动、榜样作用、支持、非临床学术角色和社交互动。人际关系被认为有积极和消极影响,包括提供支持、积极的榜样作用和指导、增加具体学习,以及教学技能失误、专业角色培训不足和个人时间损失。

结论

工作场所以外的几个课外因素有助于住院医师的学习和身份发展,包括人际关系,其有积极和消极影响。住院医师与教员之间工作场所以外的人际关系最常被指出的负面影响与教学技能失误有关。

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