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医学生对提高医生满意度和患者护理的看法:一种文本网络分析方法。

Medical students' perceptions of improving physician satisfaction and patient care: a text network analysis approach.

作者信息

Kwon Young Gyu, Namgung Myeong, Park Song Hee, Kim Mi Kyung, Yoo Hyo Hyun, Kim Chan Woong

机构信息

Center for Chung-Ang Medical Education Resource Allocation (CAMERA), College of Medicine, Chung-Ang University, Dongjak-gu, Seoul, Republic of Korea.

Department of Emergency Medicine, College of Medicine, Chung-Ang University, Dongjak-gu, Seoul, Republic of Korea.

出版信息

BMC Med Educ. 2024 Dec 30;24(1):1549. doi: 10.1186/s12909-024-06406-x.

Abstract

BACKGROUND

Physicians' job satisfaction and their relationships with patients are critical factors in modern healthcare. Understanding medical students' perceptions of these aspects is crucial for enhancing the quality of healthcare. Hence, this study examined medical students' perspectives on improving physician job satisfaction and the essential patient-oriented attitudes required for developing into skilled physicians.

METHODS

The participants were 87 medical students who provided descriptive essay responses to two open-ended questions: (1) "What do you think could improve physicians' job satisfaction?" and (2) "What attitudes toward patients do you believe are necessary to become a skilled physician?" Specifically, this study analyzed medical students' perceptions and attitudes toward physician satisfaction and patient relationships by applying text network analysis to their essay responses and identifying key themes and keywords.

RESULTS

The major topics were extracted using latent dirichlet allocation topic modeling. Key terms included "physician," "satisfaction," "patient," "medical practice," and "experience." Topics identified for the first question included "work-life balance," "job satisfaction and social impact," and "satisfaction of physicians in the medical environment." Topics for the second question included "attitude toward patient care as a physician," "mistakes in patient care and efforts to correct them," and "patient care experience and physician skill development."

CONCLUSIONS

This study aligned educational strategies with self-determination theory (SDT) to underscore the importance of promoting autonomy, relatedness, and competence. This approach could elevate the quality of medical education, support students' professional growth, and enhance their job satisfaction through meaningful patient interactions.

摘要

背景

医生的工作满意度及其与患者的关系是现代医疗保健中的关键因素。了解医学生对这些方面的看法对于提高医疗保健质量至关重要。因此,本研究调查了医学生对提高医生工作满意度的看法以及成为熟练医生所需的以患者为导向的基本态度。

方法

参与者为87名医学生,他们针对两个开放式问题提供了描述性短文回答:(1)“你认为什么可以提高医生的工作满意度?”以及(2)“你认为成为一名熟练的医生需要对患者持什么态度?”具体而言,本研究通过对他们的短文回答应用文本网络分析并确定关键主题和关键词,分析了医学生对医生满意度和患者关系的看法和态度。

结果

使用潜在狄利克雷分配主题模型提取主要主题。关键术语包括“医生”、“满意度”、“患者”、“医疗实践”和“经验”。第一个问题确定的主题包括“工作与生活平衡”、“工作满意度和社会影响”以及“医疗环境中医护人员的满意度”。第二个问题的主题包括“作为医生对患者护理的态度”、“患者护理中的错误及纠正错误的努力”以及“患者护理经验和医生技能发展”。

结论

本研究将教育策略与自我决定理论(SDT)相结合,以强调促进自主性、关联性和能力的重要性。这种方法可以提高医学教育质量,支持学生的职业成长,并通过有意义的患者互动提高他们的工作满意度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bfe/11684288/885c201002c4/12909_2024_6406_Fig1_HTML.jpg

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