本文借鉴扎根理论研究范式,通过三级编码对80篇援鄂抗疫日记展开文本分析,从医务人员切身经历与感知的视角,归纳了援鄂医务人员职业精神的核心内涵,主要包括:精益求精的科学态度,将救死扶伤视为崇高的职责使命,对患者抱有悲悯共情与感恩之心,强烈的集体主义意识。因此,重视医患双向的共情与感恩,紧扣医疗卫生实践和医务人员感知的职业精神理论,对职业精神培育、和谐医患关系构建具有重要的现实意义。
Based on the research paradigm of grounded theory, this paper analyzed 80 diaries recording fighting against COVID-19 pandemic in Hubei. From the perspective of personal experience and perception of healthcare workers, this paper summarizes the core connotation of medical professionalism mainly including the scientific attitude for perfection, treating patients as a lofty responsibility and mission, compassion and gratitude to patients, and team spirit. According to the study, the theory of medical professionalism is found to be closely related to medical practice and healthcare workers' cognition and feelings, and the mutual empathy and gratitude between doctors and patients are of special significance to the cultivation of professionalism and the construction of harmonious doctor-patient relationship.
[1] 习近平. 在全国抗击新冠肺炎疫情表彰大会上的讲话[N]. 人民日报, 2020-09-09(2).
[2]孙杨. 社会认知理论视角下医生职业行为研究的制约和突破[J].中国医院管理,2015,35(12):100-102.
[3]李曌懿, 王志杰. 当代我国医学职业精神的基本特征[J].医学与哲学,2010,31(11):54-55.
[4]李本富. 试论医生的职业精神[J].中国医学伦理学,2006,19(6):3-4. DOI: 10.3969/j.issn.1001-8565.2006.06.001
[5]卜丽娟. 医生职业精神研究[D]. 济南:山东大学, 2015.
[6]陈向明.扎根理论在中国教育研究中的运用探索[J].北京大学教育评论,2015,13(1):1-15. DOI:10.3969/j.issn.1671-9468.2015.01.001.
[7]凯西·卡麦兹. 建构扎根理论:质性研究实践指南[M].重庆: 重庆大学出版社, 2009:63-85.
[8]冯生尧, 谢瑶妮. 扎根理论:一种新颖的质化研究方法[J].现代教育论丛,2001(6):51-53.
[9]陈向明.扎根理论的思路和方法[J].教育研究与实验,1999(4):58-63,73.
[10]刘虹. 论医学人文精神的历史走向[J].医学与哲学,2002,23(12):20-22. DOI: 10.3969/j.issn.1002-0772.2002.12.007.
