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“我似乎更平静、思路更清晰,也更有能力应对具有挑战性的情况”:关于在健康职业教育中学习正念的现象学思考

"I seemed calmer, clearer, and better able to react to challenging situations": phenomenological reflections on learning about mindfulness in health professions education.

作者信息

Kinsella Elizabeth Anne, Smith Kirsten Sarah, Chrestensen Allison

机构信息

Institute of Health Sciences Education, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.

Azireli Adult Neurodevelopmental Centre, Centre for Addiction and Mental Health, Toronto, ON, Canada.

出版信息

Adv Health Sci Educ Theory Pract. 2025 Apr;30(2):533-555. doi: 10.1007/s10459-024-10363-x. Epub 2024 Sep 9.

Abstract

It is widely acknowledged that healthcare practitioner well-being is under threat, as many factors like excessive workloads, perceived lack of organizational support, the rapid introduction of new technologies, repercussions of the COVID-19 pandemic, and other factors have transformed the health care workplace. Distress, anxiety and burnout are on the rise, and are particularly concerning for health professions' students who must navigate challenging academic and clinical demands, in addition to personal responsibilities. While not a panacea for the systemic issues at play, 'mindfulness practices' have shown some promise in supporting students to navigate stressful environments. Yet despite calls for more phenomenological studies, little is known about health professions students' lived experiences of learning about and using mindfulness in higher education contexts. The objective of this hermeneutic phenomenological study was to inquire into the first-hand lived experiences of health professions students by examining their written reflections on learning about and using mindfulness in a higher education context. The study reports on themes identified in an analysis of students' phenomenological reflections written during and following a mindfulness elective course offered at a Canadian University. The analysis revealed four predominant themes: (a) reframing perceptions, (b)'being' while 'doing', (c) witnessing the struggle, and (d) compassion for self and others. In a time when health professionals are increasingly under strain, and systemic reform is needed but slow to take shape, the findings of this study reveal potential affordances of mindfulness for helping students to navigate the myriad of challenges they face. The findings are unique in their in-depth exploration of students' reflections on the experience of learning about and engaging in 'mindfulness practices' in a higher education context. The findings contribute first-hand perspectives to the evolving field of mindfulness education research and generate new conversations about mindfulness education in the health professions curriculum.

摘要

人们普遍认为,医疗从业者的福祉正受到威胁,因为诸如工作量过大、感觉缺乏组织支持、新技术的迅速引入、新冠疫情的影响以及其他因素已经改变了医疗工作场所。痛苦、焦虑和职业倦怠正在增加,对于健康专业的学生来说尤其令人担忧,他们除了个人责任外,还必须应对具有挑战性的学术和临床要求。虽然“正念练习”并非解决当前系统性问题的万灵药,但已显示出在支持学生应对压力环境方面具有一定前景。然而,尽管呼吁进行更多现象学研究,但对于健康专业学生在高等教育背景下学习和使用正念的实际经历却知之甚少。这项诠释现象学研究的目的是通过审视健康专业学生在高等教育背景下学习和使用正念的书面反思,探究他们的第一手实际经历。该研究报告了对加拿大一所大学提供的正念选修课程期间及之后学生所写的现象学反思进行分析时确定的主题。分析揭示了四个主要主题:(a) 重新构建认知,(b) 在“做”的同时“存在”,(c) 见证挣扎,以及 (d) 对自己和他人的同情。在医疗专业人员压力日益增大、需要进行系统性改革但进展缓慢的时代,本研究结果揭示了正念在帮助学生应对他们面临的众多挑战方面的潜在作用。这些发现的独特之处在于深入探索了学生对在高等教育背景下学习和参与“正念练习”经历的反思。这些发现为正念教育研究这一不断发展的领域提供了第一手观点,并引发了关于健康专业课程中正念教育的新讨论。

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