从领导者到同行——专科医生对其在跨专业医疗团队中多重角色的理解。
From leader to peer - specializing physicians' understanding of their multiple positions in interprofessional health care teams.
作者信息
Sallinen Emma, Mikkola Leena, Fox Stephanie, Parviainen Heli
机构信息
Faculty of Information Technology and Communication Sciences, Tampere University, Tampere, Finland.
Department of Communication, University of Montreal, Montreal, Canada.
出版信息
Med Educ Online. 2025 Dec;30(1):2534058. doi: 10.1080/10872981.2025.2534058. Epub 2025 Jul 18.
INTRODUCTION
This exploratory qualitative study aims to uncover the identity work in interprofessional (IP) team interaction to understand specializing physicians' (SP) professional identities by analyzing how they position themselves in relation to others through the lens of positioning theory.
METHOD
The data for this study consist of 65 self-reflexive essays written by SPs during their mandatory leadership studies.
RESULTS
Altogether, five distinct physician positions (peer, coordinator, leader, medical expert, and decision-maker) and two distinct storylines (teamwork as communication vs. teamwork as an organizational tool) were identified during the positioning analysis.
DISCUSSION
The wide range of physician positions reveals how diversely and dynamically SPs adapt leadership as part of their professional identity and reframes future studies to explore SPs construct the dimensions of their professional identity rather than whether they do so.
引言
这项探索性定性研究旨在通过定位理论的视角，分析专科医生（SP）如何在跨专业（IP）团队互动中与他人建立关系，从而揭示身份认同工作，以理解专科医生的职业身份。
方法
本研究的数据包括专科医生在其必修领导力课程期间撰写的65篇自我反思文章。
结果
在定位分析中，共识别出五个不同的医生角色（同行、协调者、领导者、医学专家和决策者）以及两条不同的故事线（作为沟通的团队合作与作为组织工具的团队合作）。
讨论
广泛的医生角色揭示了专科医生如何以多样且动态的方式将领导力作为其职业身份的一部分进行适应，并为未来研究重新定位，以探索专科医生如何构建其职业身份的维度，而非他们是否这样做。
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