目的 结合新型冠状病毒肺炎疫情(简称疫情)防控期间医务人员的职业行为,分析医学生职业认知、职业情感、职业意志和职业素养现状,为进一步优化医学生医师职业精神的培育路径提供参考。方法 采取质性研究方法,于2021年3至5月,对北京市某高等医学院校2018~2020级临床医学、口腔医学、儿科学以及护理学4个专业的60名本科生进行半结构化的个人深入访谈,采用内容分析法进行定性资料分析。结果 共归纳提取出4个主题:疫情防控期间,在职业认知方面,大多数医学生的医师职业精神认知水平不高;在职业情感方面,多数医学生认为医生职业崇高且大多数医学生职业认同感较强;在职业意志方面,大多数医学生认为未来医生职业的发展前景较好且从医志向较为明确;在职业素养方面,大部分医学生医学理论知识与临床实践难以结合。结论 医学院校应重视医师职业精神教育,强化医学生的职业认知;应进一步传承时代榜样力量,丰富医学生的职业情感,引导医学生明确学医初衷,坚定职业意志;医学生应锻炼自身临床实践能力,努力提升职业素养,为日后的职业生涯奠定坚实基础。
Objective In light of the professional performance of healthcare personnel during the prevention and control of COVID-19 pandemic, this study aims to analyze current status of the professional cognition, professional emotion, professional volition and professional literacy, which would inform the cultivating of medical professionalism among medical students. Methods A qualitative research method was adopted. From March to May 2021, a semi-structured and personal in-depth interviews was conducted with 60 undergraduate medical students of clinical medicine, stomatology, pediatrics and nursing enrolled from 2018 to 2020 at a medical college in Beijing, and the qualitative data were analyzed using the content analysis method. Results Four major themes were extracted: during pandemic, in terms of professional cognition: the majority of medical students had a low level of perception of medical professionalism; in terms of professional emotion: most medical students thought that doctor's profession was noble and had a strong sense of professional identity; in terms of professional volition: most medical students thought that the prospect of doctor's profession was good and they had a clear desire to pursue medicine; in terms of professional literacy:the medical humanities literacy of most medical students was poor and they had difficulty combining theoretical knowledge with clinical practice. Conclusions During the COVID-19 pandemic, medical colleges and universities should focus on education of medical professionalism, strengthen medical students' professional cognition; medical education should promote the spirit of the era's role models to enrich medical students' professional emotions, encourage them to stay true to the mission of entering medical college and to forge their professional will; medical students should exercise their clinical practice abilities, strive to improve their professional quality and lay a solid foundation for their future career.
[1] 孙佳婷,吴熙,曲格平,等.医学生对医师职业精神认同现状的研究[J].中华医学教育杂志,2018,38(5):680-684. DOI:10.3760/cma.j.issn.1673-677X.2018.05.010.
[2] 崔雪梅,李鸿鹤,宋鑫智,等. 临床实习期医学生与患者互动对其职业精神培养的研究与启示[J].中华医学教育杂志,2021,41(7):622-626. DOI:10.3760/cma.j.cn115259-20210113-00063.
[3] 袁宇清,欧瑶,张咏欣,等. 医学生医师职业精神的现实审视及其培育路径研究[J].卫生职业教育,2021,39(24):70-71.
[4] 邓惠良. 基于抗击新冠肺炎疫情精神的医学生职业素养与情怀培育的研究[J].湖北开放职业学院学报,2021,34(3):37-39. DOI:10.3969/j.issn.2096-711X.2021.03.017.
[5] 毕晓婵,孙宏亮.医者家风对医学生职业精神的影响[J].中国医学人文,2022,8(4):20-23. DOI:10.3969/j.issn.2095-9753.2022.04.007.
[6] 周麟. 以"南山风格"形塑医学生职业精神[J].学校党建与思想教育,2022(2):40-42. DOI: 10.19865/j.cnki.xxdj.2022.02.013.
[7] 蒙玲.抗疫精神融入职业精神培育的路径探究[J].现代商贸工业,2022,43(12):69-70. DOI:10.19311/j.cnki.1672-3198.2022.12.030.
[8] 李锋清. 红医精神与医学生职业精神培育融合研究[J].中国医学伦理学,2022,35(2):149-152,158. DOI:10.12026/j.issn.1001-8565.2022.02.06.
[9] Marcellus L. The grounded theory method and maternal-infant research and practice[J].J Obstet Gynecol Neonatal Nurs,2005,34(3):349-357. DOI: 10.1177/0884217505276053.
[10] 韦莹莹, 左霞, 陈月莉,等. 急诊护理人员新型冠状病毒肺炎疫情防控工作体验的质性研究[J]. 中西医结合护理(中英文),2020,6(6):38-41. DOI:10.11997/nitcwm.202006007.
[11] 蒋子琪,沈勤. 医学院校教师混合式教学体验的质性研究[J]. 中华医学教育杂志,2022,42(5):439-443. DOI:10.3760/cma.j.cn115259-20211013-01265.
[12] 葛莉,黄萍萍,王冠东,等.质性内容分析方法与质量控制[J].护士进修杂志,2021,36(9):857-860.DOI:10.16821/j.cnki.hsjx.2021.09.022.
[13] 宋立峰. 追溯与探究:技术哲学视野下职业精神基本问题的再审视[J]. 职业技术教育,2022,43(1):31-37. DOI:10.3969/j.issn.1008-3219.2022.01.007.
[14] 尚勇. 试论职业情感的科学界定[J]. 理论观察,2007(1):153-154. DOI:10.3969/j.issn.1009-2234.2007.01.064.
[15] 方怡妮,牟映雪. 实习胜任力对学前教育师范生职业认同感的影响:实习满意度的中介作用[J]. 重庆师范大学学报(社会科学版),2022,42(5):56-64. DOI:10.19742/j.cnki.50-1164/C.220506.
[16] 姜泓伯,宋安琪,杨扬,等. 5+3一体化临床医学生职业素养培养体系的研究[J]. 中国中医药现代远程教育,2022,20(15):162-164. DOI:10.3969/j.issn.1672-2779.2022.15.060.
[17] 郭海秀.伟大抗疫精神融入新时代医学生责任担当意识培育的若干思考[J]. 教师,2022(33):6-8. DOI:10.3969/j.issn.1674-120X.2022.33.002.
[18] 卢丽,毛艳. 国内外医师职业精神研究进展[J].中国医学伦理学,2019,32(6):792-797. DOI:10.12026/j.issn.1001-8565.2019.06.24.
[19] Irby DM, Hamstra SJ. Parting the Clouds: Three Professionalism Frameworks in Medical Education[J]. Acad Med, 2016,91(12):1606-1611. DOI: 10.1097/ACM.0000000000001190.
[20] 连婕, 燕娟, 王洪奇. 哈佛医学院医学人文课程体系设置探析[J].医学与哲学,2013,34(15):26-29.
[21] 周如玉,陆晓庆,陈玥,等.疫情防控背景下口腔医学线上教学的实践探索[J].中华医学教育杂志,2021,41(10):865-868. DOI:10.3760/cma.j.cn115259-20201208-01683.