Suppr超能文献

探讨医者职业精神教学工作中的 yarigai 意义

Exploring yarigai: The meaning of working as a physician in teaching medical professionalism.

机构信息

Center for Medical Education, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Centre for Global Initiatives, Osaka University, Osaka, Japan.

出版信息

Med Teach. 2024 Nov;46(11):1486-1493. doi: 10.1080/0142159X.2024.2316227. Epub 2024 Feb 20.

Abstract

INTRODUCTION

The shift in medical professionalism now considers the well-being of physicians, given the prevalence of burnout and the importance of work-life balance. To reconsider the question 'Why do doctors work for the patient?' and explore the meaning of working as a physician, this study adopts the concept of ',' which represents fulfillment and motivation in meaningful work. The authors' research questions are: How do doctors recount experiences of in caring for patients? What kind of values are embodied in their stories about ?

METHOD

They adopted narrative inquiry as the methodology for this study. They interviewed 15 doctors who were recognized by their colleagues for their commitment to patient-centered care or had demonstrated in caring for patients. The semi-structured interviews were conducted face-to-face with each participant by the Japanese researchers, yielding 51 cases of patient-doctor interactions. After grouping the interview data, they translated the cases into English and identified four representative cases to present based on the set criteria.

RESULTS

From the 51 case studies, they constructed four representative narratives about the as a physician. Each of them spoke of (1) finding positive meaning in difficult situations, (2) receiving gifts embodying , (3) witnessing strength in a seemingly powerless human being, and (4) cultivating relationships that transcend temporal boundaries, as being rewarding in working as a physician. The main results of the study, which are the narratives, are described in the main body of the paper.

CONCLUSION

The stories on gave intrinsic meanings to their occupational lives, which can be informative for students, residents, and young physicians when contemplating the meaning of their work as doctors. Rather than demanding selfless dedication from physicians towards patients, they believe it more important to foster , derived from the contribution to the well-being of others through patient care.

摘要

简介

鉴于职业倦怠的普遍存在和工作与生活平衡的重要性,医学职业精神的转变现在将医生的福祉也考虑在内。为了重新考虑“医生为什么为患者工作?”这一问题,并探讨作为医生工作的意义,本研究采用了“职业投入”这一概念,它代表了在有意义的工作中获得的满足感和动力。作者的研究问题是:医生如何讲述照顾患者时的职业投入经历?他们讲述的关于职业投入的故事中体现了哪些价值观?

方法

他们采用叙事探究作为本研究的方法。他们采访了 15 位医生,这些医生因其对以患者为中心的护理的承诺而得到同事的认可,或者在照顾患者方面表现出职业投入。日本研究人员与每位参与者进行了面对面的半结构化访谈,共产生了 51 例医患互动案例。在对访谈数据进行分组后,他们将案例翻译成英文,并根据设定的标准确定了 4 个具有代表性的案例进行呈现。

结果

从 51 个案例研究中,他们构建了 4 个关于医生职业投入的代表性叙事。他们每个人都谈到了(1)在困难情况下找到积极的意义,(2)收到体现感激的礼物,(3)见证看似无力的人身上的力量,以及(4)培养超越时间界限的关系,这些在作为医生工作中都是有回报的。研究的主要结果,即叙事,在论文主体中进行了描述。

结论

这些关于职业投入的故事赋予了他们职业生活内在的意义,对于思考作为医生工作的意义的学生、住院医师和年轻医生来说,这些故事可能会有所启发。他们认为,培养职业投入比要求医生对患者无私奉献更为重要,这种职业投入源于通过患者护理为他人的福祉做出贡献。

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验