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探讨 COVID-19 大流行期间医学生对在重症监护病房志愿服务的挑战和益处的看法:一项定性研究。

Exploring medical students' perceptions of the challenges and benefits of volunteering in the intensive care unit during the COVID-19 pandemic: a qualitative study.

机构信息

Graduate Entry Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland.

Department of Surgery, RCSI, Dublin, Ireland.

出版信息

BMJ Open. 2021 Dec 24;11(12):e055001. doi: 10.1136/bmjopen-2021-055001.

DOI:10.1136/bmjopen-2021-055001
PMID:34952884
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9065764/
Abstract

OBJECTIVES

In March 2020, the WHO declared SARS-CoV-2 a pandemic. Hospitals across the world faced staff, bed and supply shortages, with some European hospitals calling on medical students to fill the staffing gaps. This study aimed to document the impact of volunteering during the COVID-19 pandemic on students' professional development, resilience and future perceived career choices.

DESIGN

This is a retrospective, qualitative study of student reflections, using purposive sampling.The Royal College of Surgeons in Ireland (RCSI) University of Medicine and Health Sciences recruited 26 medical student volunteers to assist in pronation and supination of ventilated patients affected by SARS-CoV-2. These students were invited to complete an anonymous survey based on their experiences as volunteers. Thematic analysis was performed on these written reflections.

RESULTS

The results showed that volunteering during the COVID-19 pandemic developed key skills from RCSI's medical curriculum, significantly fostered medical students' resilience and guided their career choices. Major areas of development included communication, teamwork, compassion and altruism, which are not easily developed through the formal curriculum. A further area that was highlighted was the importance of evidence-based health in a pandemic. Finally, our respondents were early stage medical students with limited clinical exposure. Some found the experience difficult to cope with and therefore supports should be established for students volunteering in such a crisis.

CONCLUSION

These results suggest that clinical exposure is an important driver in developing students' resilience and that volunteering during a pandemic has multiple benefits to students' professional development and professional identity formation.

摘要

目的

2020 年 3 月,世界卫生组织宣布 SARS-CoV-2 为大流行。世界各地的医院都面临着人员、床位和供应短缺的问题,一些欧洲医院呼吁医学生填补人员缺口。本研究旨在记录学生在 COVID-19 大流行期间志愿服务对其专业发展、适应力和未来职业选择的影响。

设计

这是一项对学生反思的回顾性、定性研究,采用目的抽样法。爱尔兰皇家外科医学院(RCSI)医学与健康科学大学招募了 26 名医学生志愿者,帮助 COVID-19 患者进行旋前和旋后运动。这些学生被邀请根据他们作为志愿者的经验完成一份匿名调查。对这些书面反思进行了主题分析。

结果

研究结果表明,COVID-19 大流行期间的志愿服务培养了 RCSI 医学课程中的关键技能,极大地促进了医学生的适应力,并指导了他们的职业选择。主要发展领域包括沟通、团队合作、同情心和利他主义,这些都不容易通过正规课程来培养。另一个被强调的领域是大流行中基于证据的健康的重要性。最后,我们的受访者是早期接触临床的医学生。一些人发现这种经历难以应对,因此应该为在这种危机中自愿服务的学生提供支持。

结论

这些结果表明,临床经验是培养学生适应力的重要驱动力,大流行期间的志愿服务对学生的专业发展和职业身份形成有多种益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1818/9065764/e72e8d2dedcd/bmjopen-2021-055001f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1818/9065764/e72e8d2dedcd/bmjopen-2021-055001f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1818/9065764/e72e8d2dedcd/bmjopen-2021-055001f01.jpg

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