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机缘、灵活性、使命感与承诺:临床医生如何踏上临床教练之路。

Serendipity, Flexibility, Calling and Commitment: How Clinicians Navigate the Path to Clinician-Coach.

作者信息

Rixon Andrew, Lister Victoria, Wong Lee Yung, Elder Elizabeth, Wilson Samuel

机构信息

Department of Management, Griffith University, Gold Coast, Australia.

Centre for Work, Organisation and Wellbeing, Griffith University, Gold Coast, Australia.

出版信息

Emerg Med Australas. 2025 Aug;37(4):e70122. doi: 10.1111/1742-6723.70122.

DOI:10.1111/1742-6723.70122
PMID:40798879
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12344324/
Abstract

OBJECTIVE

To explore the practice-related changes that occur as emergency physicians contemplate and navigate the path from clinician to clinician-coach.

METHODS

Participants were interviewed about how they made sense of their coaching roles and coaching practice within the emergency department.

RESULTS

A combination of inductive and deductive qualitative analytic approaches explored the initiation and evolution of the coaching practices of emergency medicine (EM) physicians as they navigated the path from clinician to clinician-coach. Enablers of and barriers to the initiation and development of coaching practices were identified, along with four overarching experiential qualities-serendipity, calling, flexibility, and commitment-that attend and support the process of becoming and being a clinician.

CONCLUSIONS

The stages of practice evolution and the notions of serendipity, calling, flexibility, and commitment offer a framework for understanding how EM physicians successfully embark on and navigate the path from clinician to clinician-coach.

摘要

目的

探讨急诊医生在思考并经历从临床医生转变为临床教练这一过程中所发生的与实践相关的变化。

方法

就参与者如何理解他们在急诊科的教练角色和教练实践对其进行了访谈。

结果

采用归纳和演绎相结合的定性分析方法,探究了急诊医学(EM)医生在从临床医生转变为临床教练的过程中,其教练实践的起始与演变情况。确定了教练实践起始和发展的促进因素与障碍,以及伴随并支持成为和作为临床医生这一过程的四种总体体验特质——意外发现、使命感、灵活性和投入度。

结论

实践演变的阶段以及意外发现、使命感、灵活性和投入度的概念,为理解急诊医学医生如何成功踏上并经历从临床医生到临床教练的转变过程提供了一个框架。

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本文引用的文献

1
Learning Shifts of Clinicians Who Become Clinician-Coaches: An Exploratory Qualitative Study of Emergency Physicians.成为临床医生教练的临床医生的学习转变:一项针对急诊医生的探索性定性研究
Emerg Med Australas. 2025 Jun;37(3):e70076. doi: 10.1111/1742-6723.70076.
2
Review article: Coaching in emergency medicine: A systematic review and future research agenda.综述文章:急诊医学中的指导:系统综述与未来研究议程
Emerg Med Australas. 2025 Feb;37(1):e70001. doi: 10.1111/1742-6723.70001.
3
Exploring the value, enablers and barriers of being a clinician-coach: A qualitative pilot study of clinician-coaches in emergency medicine.探索成为临床医生教练的价值、促成因素和障碍:一项对急诊医学临床医生教练的定性试点研究。
Emerg Med Australas. 2024 Dec;36(6):983-986. doi: 10.1111/1742-6723.14501. Epub 2024 Sep 13.
4
Implementation of Coaching to Address Burnout in Emergency Clinicians.实施辅导以解决急诊临床医生的职业倦怠问题。
J Emerg Nurs. 2024 Sep;50(5):601-609. doi: 10.1016/j.jen.2024.06.007. Epub 2024 Jul 23.
5
Scaffolding the Transition to Residency: A Qualitative Study of Coach and Resident Perspectives.从住院医师到专科医师的过渡阶段:教练和住院医师观点的定性研究。
Acad Med. 2024 Jan 1;99(1):91-97. doi: 10.1097/ACM.0000000000005446. Epub 2023 Sep 12.
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Nurs Rep. 2023 Feb 1;13(1):179-193. doi: 10.3390/nursrep13010019.
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BMJ Open Qual. 2022 May;11(2). doi: 10.1136/bmjoq-2021-001730.
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Effects of Smart Advanced Life Support protocol implementation including CPR coaching during out-of-hospital cardiac arrest.智能高级生命支持方案实施效果,包括院外心脏骤停期间的心肺复苏术指导。
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