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新冠疫情期间运用应对资源模型对卫生专业学生的韧性和倦怠的体验进行定性探索

A Qualitative Exploration of Health Profession Students' Experiences of Resilience and Burnout Using the Coping Reservoir Model during the COVID-19 Pandemic.

机构信息

Department of Clincial Pharmacy and Practice, College of Pharmacy, QU Health, Qatar University, Doha, Qatar.

Department of Population Medicine, College of Medicine, QU Health, Qatar University, Doha, Qatar.

出版信息

Teach Learn Med. 2024 Jun-Jul;36(3):256-268. doi: 10.1080/10401334.2023.2209073. Epub 2023 May 9.

DOI:10.1080/10401334.2023.2209073
PMID:37159074
Abstract

: The Coping Reservoir Model is a useful theoretical and analytical framework through which to examine student resilience and burnout. This model conceptualizes wellbeing as a reservoir which is filled or drained through students' adaptive and maladaptive coping mechanisms. This dynamic process has the capacity to foster resilience and reduce burnout or the inverse. This study aimed to explore health profession students' coping mechanisms and their experiences of resilience and burnout during the unprecedented COVID-19 pandemic. : Employing the Coping Reservoir Model, qualitative focus groups involving health profession students enrolled at Qatar University were conducted, in October 2020, to solicit their lived experiences of stress and burnout during the pandemic. The Coping Reservoir Model was used to structure the topic guide for the focus group discussion and the Framework Analysis Approach was used in the data analysis. : A total of 43 participants comprised eight focus groups. Health profession students encountered myriad personal, social, and academic challenges during the pandemic which adversely impacted their wellbeing and their capacity for coping. In particular, students reported high levels of stress, internal conflict, and heavy demands on their time and energy. The shift to online learning and uncertainty associated with adapting to online learning and new modes of assessment were exacerbating factors. Students sought to replenish their coping reservoir through engagement in a range of intellectual, social, and health-promoting activities and seeking psychosocial support in their efforts to mitigate these stressors. : Students in this region have traditionally been left to their own devices to deal with stress and burnout during their academic training, wherein the institutions focus exclusively on the delivery of information. This study underscores student needs and potential avenues that health profession educators might implement to better support their students, for instance the development and inclusion of longitudinal wellbeing and mentorship curricula geared to build resilience and reduce burnout. The invaluable contributions of health professionals during the pandemic warrant emphasis, as does an examination of the stress associated with these roles to normalize and justify inclusion of wellbeing and resilience modules within the curriculum. Actively engaging health profession students in university-led volunteer activities during public health crises and campaigns would provide opportunities to replenish their coping reservoirs through social engagement, intellectual stimulation, and consolidating their future professional identities.

摘要

应对资源模型是一个有用的理论和分析框架,可以用来研究学生的适应力和倦怠。该模型将幸福感视为一个蓄水池,通过学生的适应性和不适应性应对机制来填充或排空。这个动态过程有能力培养适应力,减少倦怠或相反。本研究旨在探讨卫生专业学生在前所未有的 COVID-19 大流行期间的应对机制以及他们的适应力和倦怠体验。采用应对资源模型,于 2020 年 10 月在卡塔尔大学开展了卫生专业学生的焦点小组,以了解他们在大流行期间的压力和倦怠经历。应对资源模型被用来构建焦点小组讨论的主题指南,框架分析方法被用于数据分析。共有 43 名参与者组成了 8 个焦点小组。卫生专业学生在大流行期间遇到了许多个人、社会和学术方面的挑战,这对他们的幸福感和应对能力产生了不利影响。特别是,学生报告了高水平的压力、内心冲突以及对时间和精力的沉重需求。向在线学习的转变以及适应在线学习和新评估模式的不确定性是加剧因素。学生试图通过参与一系列智力、社会和促进健康的活动以及在努力减轻这些压力源时寻求心理社会支持来补充应对资源。该地区的学生在学术培训期间一直被放任自流,处理压力和倦怠,而机构只专注于信息的传递。本研究强调了学生的需求和健康专业教育者可能实施的潜在途径,以更好地支持他们的学生,例如制定和纳入旨在培养适应力和减少倦怠的纵向幸福感和指导课程。在大流行期间卫生专业人员的宝贵贡献值得强调,同时还需要审查与这些角色相关的压力,以将幸福感和适应力模块纳入课程作为正常化和合理化。在公共卫生危机和运动期间,让卫生专业学生积极参与大学领导的志愿者活动,通过社会参与、智力刺激和巩固他们未来的专业身份,为他们补充应对资源提供机会。

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