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资源受限环境下的指导:尼日利亚东南部研究生医学院学员和成员中指导的患病率、益处、障碍及预测因素的单机构横断面研究

Mentoring in a resource-constrained context: A single-institutional cross-sectional study of the prevalence, benefits, barriers and predictors among post-graduate medical college fellows and members in South-Eastern Nigeria.

作者信息

Iloh Gabriel Uche Pascal, Chukwuonye Miracle Erinma, Onya Obianma Nneka, Godswill-Uko Ezinne Uchamma

机构信息

Department of Family Medicine, Federal Medical Centre, Umuahia, Abia State, Nigeria.

Department of Family Medicine, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.

出版信息

Niger Postgrad Med J. 2019 Jan-Mar;26(1):38-44. doi: 10.4103/npmj.npmj_173_18.

DOI:10.4103/npmj.npmj_173_18
PMID:30860198
Abstract

BACKGROUND

Globally, the post-graduate medical education has undergone tremendous changes with emphasis on training, services and research to equip trainees with competence for independent professional development. However, not all the fellows and members of the West African Post-graduate Medical College and the National Post-graduate Medical College of Nigeria recognise the values of mentoring in achieving the career success.

AIM

The study was aimed at describing the prevalence, benefits, barriers and predictors of mentoring in a cross-section of the Post-graduate Medical College fellows and members in a tertiary health institution in South-Eastern Nigeria.

PARTICIPANTS AND METHODS

A cross-sectional study was carried out among 168 study participants who were sampled from the Post-graduate Medical College fellows and members in the Federal Medical Centre, Umuahia, Nigeria. Data collection was done using a pre-tested, self-administered questionnaire that elicited information on awareness, prevalence, barriers and benefits of mentoring.

RESULTS

The age of participants ranged from 26 to 59 (41 ± 9.4) years. All the respondents were aware of the mentorship. The prevalence of mentoring was 33.3%. The most common benefit was personal and professional growth and development (100.0%). The most common barrier was the pressure of professional duties and personal exigencies (100.0%). The most significant predictor of mentoring had departmental mentoring programme participants who had departmental mentoring programmes were two times more likely to have mentoring relationships when compared to their counterparts who had none (adjusted odds ratio = 2.32; 95% confidence interval: 1.20-3.10; P = 0.002).

CONCLUSION

The level of awareness of mentoring was very high but did not translate to appropriate involvement in mentoring. The most common benefit was personal and professional growth and development. The most common barrier was the pressure of professional duties and personal exigencies. The most significant predictor of mentoring relationship had departmental mentoring programme.

摘要

背景

在全球范围内,研究生医学教育经历了巨大变革,重点在于培训、服务和研究,以使学员具备独立职业发展的能力。然而,并非所有西非研究生医学院和尼日利亚国家研究生医学院的学员及成员都认识到指导对于实现职业成功的价值。

目的

本研究旨在描述尼日利亚东南部一家三级医疗机构中,研究生医学院学员和成员群体中指导的普遍性、益处、障碍及预测因素。

参与者与方法

对168名研究参与者进行了横断面研究,这些参与者是从尼日利亚乌穆阿希亚联邦医疗中心的研究生医学院学员和成员中抽样选取的。数据收集使用了一份经过预测试的自填式问卷,该问卷获取了有关指导的知晓情况、普遍性、障碍和益处的信息。

结果

参与者年龄在26至59岁之间(41±9.4岁)。所有受访者都知晓指导。指导的普遍性为33.3%。最常见的益处是个人和职业成长与发展(100.0%)。最常见的障碍是专业职责压力和个人紧急事务(100.0%)。指导的最显著预测因素是有部门指导计划,有部门指导计划的参与者建立指导关系的可能性是没有该计划的同行的两倍(调整后的优势比=2.32;95%置信区间:1.20 - 3.10;P = 0.002)。

结论

指导的知晓水平很高,但并未转化为对指导的适当参与。最常见的益处是个人和职业成长与发展。最常见的障碍是专业职责压力和个人紧急事务。指导关系的最显著预测因素是有部门指导计划。

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