Technical University of Munich, School of Medicine, TUM Medical Education Center, Munich, Germany.
Dagmara Srnová is now at Urological Clinic, Munich-Planegg, Germany. *Both the authors would like to share the role of first author as they contributed equally to the present work.
Omega (Westport). 2021 May;83(1):64-83. doi: 10.1177/0030222819843436. Epub 2019 Apr 16.
This study investigates medical trainees' experiences with dying and death, by means of semistructured interviews. Nine medical students and nine residents reported a total of 114 experiences. The great majority of these experiences took place during the final year of medical school. The authors identified the latent characteristics, which illustrate an in-depth understanding of the significance of the described experiences. Three main themes emerged: . The age of the dying person, the extent of suffering, time frame and setting, and the patients' behaviors were factors that influence the perceptions of the experiences. The interviewees reported powerful emotional consternation by the patients' deaths with whom they had developed a close relationship. Failure, helplessness, and guilt were negatively associated perceptions of one's own role. This study illustrates the tension between emotional concern and professional detachment. It highlights the continuing existence of a , in which control represents the key issue.
本研究通过半结构化访谈调查了医学实习生的临终和死亡体验。9 名医学生和 9 名住院医师共报告了 114 次经历。这些经历绝大多数发生在医学学习的最后一年。作者确定了潜在特征，这些特征说明了对所描述经历的深刻理解。出现了三个主题：（1）死亡者的年龄、痛苦程度、时间框架和环境以及患者的行为是影响对经历的看法的因素；（2）受访者报告了与他们建立了密切关系的患者死亡所带来的强烈情绪困扰；（3）失败、无助和内疚是对自身角色的负面看法。这项研究说明了情感关注和专业分离之间的紧张关系。它强调了控制代表关键问题的“医疗模式”的持续存在。
