揭示医学生的医学职业精神、心理健康与应对方式之间的相互作用：一项质性现象学研究

Unveiling the interplay of medical professionalism, mental well-being and coping in medical students: a qualitative phenomenological study.

作者信息

Sattar Kamran, Yusoff Muhamad Saiful Bahri

机构信息

Department of Medical Education, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

Department of Medical Education, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia.

出版信息

BMC Med Educ. 2025 Jan 2;25(1):12. doi: 10.1186/s12909-024-06595-5.

DOI:10.1186/s12909-024-06595-5

PMID:39748416

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11697919/

Abstract

BACKGROUND

Medical students face significant stress and challenges that impact their professional development by affecting their levels of medical professionalism (MP), coping ability, and mental well-being (MWB). Given the high-stakes environment of medical education, understanding the interplay between these factors is crucial. This study aims to explore undergraduate medical students' lived experiences of MP, coping strategies (CSs), and MWB to inform the development of effective support systems.

METHODS

A qualitative phenomenological study was conducted using Focus Group Discussions (FGDs) to capture the lived experiences of 40 medical students from first, third, and fifth years of study. Participants, selected through purposive sampling, represented diverse backgrounds (with 27 females, 18 fifth-year students, and 30 Malays). Seven FGDs, each with 5-10 participants, were conducted via Zoom©, yielding comprehensive qualitative data. An inductive coding approach was applied through iterative transcript analysis to ensure robust findings.

RESULTS

Analysis revealed two themes related to MWB: 'mental well-being issues,' highlighting persistent mental health challenges, and 'happiness,' illustrating factors that sustain well-being. CSs were categorized into 'positive coping,' including seeking support, and 'negative coping,' such as denial. For MP, two themes emerged: 'inter-medical professionalism,' focusing on communication with others, and 'intra-medical professionalism,' emphasizing ethical self-conduct.

CONCLUSION

The interplay between CSs, MP, and MWB is complex and deeply intertwined. The findings highlight the importance of developing targeted interventions to support medical students in managing stress, maintaining professionalism, and enhancing their mental well-being throughout their training. Future research should further explore these themes to inform policy and curriculum development in medical education.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

医学生面临巨大压力和挑战，这些压力和挑战通过影响他们的医学职业素养（MP）水平、应对能力和心理健康（MWB）来影响其职业发展。鉴于医学教育的高风险环境，了解这些因素之间的相互作用至关重要。本研究旨在探索本科医学生在MP、应对策略（CSs）和MWB方面的生活经历，以为有效支持系统的开发提供信息。

方法

采用焦点小组讨论（FGD）进行定性现象学研究，以捕捉40名来自一年级、三年级和五年级的医学生的生活经历。通过目的抽样选择的参与者代表了不同背景（27名女性、18名五年级学生和30名马来人）。通过Zoom©进行了七次FGD，每次有5 - 10名参与者，产生了全面的定性数据。通过迭代转录分析应用归纳编码方法以确保得出可靠的结果。