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参与式行动研究应对年轻医学研究人员的困扰和倦怠:希腊金融危机前后的规范信念。

Participatory Action Research for Tackling Distress and Burnout in Young Medical Researchers: Normative Beliefs before and during the Greek Financial Crisis.

机构信息

Clinic of Social and Family Medicine, School of Medicine, University of Crete, 71003 Heraklion, Crete, Greece.

School of Health Sciences, Frederick University, Nicosia 3080, Cyprus.

出版信息

Int J Environ Res Public Health. 2022 Aug 23;19(17):10467. doi: 10.3390/ijerph191710467.

Abstract

(1) Background: We aimed to explore Young medical researchers (YMR) normative beliefs and perceived causes of distress and burnout, prior and during the financial crisis in Greece, and to assess their views on Participatory Action Research (PAR) interventions towards tackling these disorders. (2) Methods: A Participatory Learning and Action (PLA) methodology was performed in two time periods (prior crisis: December 2008; during crisis: February-March 2017). In both time periods, three different groups (Group 1: females, Group 2: males, Group 3: mixed) of 5-7 participants and two sessions (≈1 h/session) per group took place in each site. Overall, 204 sessions with 1036 YMR were include in the study. (3) Results: Several socio-demographic characteristics of YMR altered during the crisis (lower income, higher smoking/alcohol consumption, etc.). The majority of YMR conceived distress and burnout as serious syndromes requiring professional support. Feeling very susceptible and the necessity for establishing PAR interventions were frequently reported during the crisis. Numerous (a) barriers and (b) cues to action were mentioned: (a) lack of time, money and support from friends/family/colleagues (b) being extensively informed about the intervention, participation of their collaborators, and raising awareness events. (4) Conclusions: The changing pattern of Greek YMR's beliefs and needs during the crisis stresses the necessity of interventions to tackle distress and burnout. Effectiveness of these interventions could be enhanced by the suggested cues to action that emerged from this study.

摘要

(1) 背景:我们旨在探索青年医学研究人员(YMR)在希腊金融危机之前和期间的规范信念和感知到的困扰和倦怠的原因,并评估他们对参与式行动研究(PAR)干预措施的看法,以解决这些问题。

(2) 方法:在两个时期(危机前:2008 年 12 月;危机期间:2017 年 2 月至 3 月)进行了参与式学习和行动(PLA)方法。在这两个时期,三个不同的小组(第 1 组:女性,第 2 组:男性,第 3 组:混合)每组有 5-7 名参与者,每个地点进行 2 次会议(≈1 小时/次)。总体而言,该研究共包括 204 次会议和 1036 名 YMR。

(3) 结果:在危机期间,YMR 的一些社会人口特征发生了变化(收入较低,吸烟/饮酒消费较高等)。大多数 YMR 将困扰和倦怠视为需要专业支持的严重综合征。在危机期间,经常报告感到非常脆弱和需要建立 PAR 干预措施。提到了许多(a)障碍和(b)行动线索:(a)缺乏时间、金钱和来自朋友/家人/同事的支持(b)广泛了解干预措施、参与他们的合作者以及提高认识活动。

(4) 结论:希腊 YMR 的信念和需求在危机期间的变化模式强调了干预措施解决困扰和倦怠的必要性。本研究提出的行动线索可以提高这些干预措施的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce2d/9517749/d4c39f214fcb/ijerph-19-10467-g001.jpg

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