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兽医行业中的身份认同、环境与心理健康

Identity, environment and mental wellbeing in the veterinary profession.

作者信息

Armitage-Chan Elizabeth, May Stephen A

机构信息

LIVE Centre, Department of Clinical Science and Services, Royal Veterinary College, Hatfield, UK.

出版信息

Vet Rec. 2018 Jul 14;183(2):68. doi: 10.1136/vr.104724. Epub 2018 Jun 27.

DOI:10.1136/vr.104724
PMID:29950340
Abstract

Mental health and career dissatisfaction are of increasing concern to the veterinary profession. The influence of identity on the psychological wellbeing of veterinarians has not been widely explored. Twelve recent veterinary graduates were enrolled in a private social media discussion group, and their identities investigated through narrative inquiry: a methodology which enables identity priorities to be extrapolated from stories of experience. Two distinct variants of the veterinary identity were identified: an academic, 'diagnosis-focused' identity, which prioritised definitive diagnosis and best-evidence treatment; and a broader 'challenge-focused' identity, where priorities additionally included engaging with the client, challenging environment or veterinary business. Contextual challenges (such as a client with limited finances or difficult interpersonal interactions) were seen as a source of frustration for those with a diagnosis-focused identity, as they obstructed the realisation of identity goals. Overcoming these challenges provided satisfaction to those with a challenge-focused identity. The employment environment of the graduates (general veterinary practice) provided more opportunities for those with a challenge-focused identity to realise identity goals, and more markers of emotional wellbeing were apparent in their stories. Markers of poor emotional health were evident in the stories of those with a diagnosis-focused identity.

摘要

心理健康和职业不满日益受到兽医行业的关注。身份认同对兽医心理健康的影响尚未得到广泛探讨。十二位近期的兽医毕业生加入了一个私人社交媒体讨论组,并通过叙事探究法对他们的身份认同进行了调查:这种方法能够从经验故事中推断出身份认同的优先事项。研究确定了两种不同的兽医身份变体:一种是学术性的、“以诊断为重点”的身份认同,其优先事项是明确诊断和采用最佳证据治疗;另一种是更广泛的“以挑战为重点”的身份认同,其优先事项还包括与客户互动、应对具有挑战性的环境或兽医业务。对于那些具有以诊断为重点的身份认同的人来说,情境挑战(如经济拮据的客户或困难的人际互动)被视为挫折的来源,因为它们阻碍了身份认同目标的实现。克服这些挑战给那些具有以挑战为重点的身份认同的人带来了满足感。毕业生的就业环境(一般兽医诊所)为那些具有以挑战为重点的身份认同的人提供了更多实现身份认同目标的机会,并且在他们的故事中,更多的情绪健康指标也很明显。在那些具有以诊断为重点的身份认同的人的故事中,情绪健康不佳的指标很明显。

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