摘要
目的了解下基层医师随“120”跟车后的医疗工作和生活体验,寻找其压力来源,为制定干预措施提供依据。方法2023年1月至12月,运用现象学研究法,选取宜兴市急救中心随“120”跟车的下基层医师进行面对面深入访谈,现场录音,借助NVIVO软件,根据Colaizzi内容分析法进行资料整理与分析。结果随“120”跟车的下基层的压力源可归纳为5大主题:照顾家庭的时间不能平衡带来的压力、院前急救工作压力、自我价值未得到实现的压力、自身需求未得到满足带来的压力以及经济压力。结论随“120”跟车的下基层医师普遍存在压力,压力源来自各个方面,急救中心管理者应关注下基层医师这一群体,制定干预措施,帮助其完成角色的转变,积极调整心态,使其更快更好的融入院前急救工作,从而提升院前急救的质量,强化医疗质量安全的管理,促进急救中心人才队伍的建设。
Objective To understand the medical work and life experiences of basic level doctors accompanying ambulance services in basic level areas,to identify sources of their stress,and to provide a basis for developing intervention measures.Methods From January to December 2023,phenomenological research methods were employed to conduct face-to-face in-depth interviews with basic-level doctors accompanying the“120”emergency service at Yixing Emergency Center.The interviews were recorded onsite,and data was organized and analyzed using NVIVO software based on Colaizzis content analysis method.Results The sources of stress identified among basic-level doctors accompanying the“120”emergency service were categorized into five main themes:pressure from an imbalance between family care time;stress related to pre-hospital emergency work;pressure stemming from unfulfilled self-worth;unmet personal needs leading to stress;and financial pressures.Conclusion Basic-level doctors accompanying the“120”emergency service generally experience significant degree of stress originating from various aspects.It is essential for managers at emergency centers to pay attention to this group of physicians by formulating intervention measures that assist them in transitioning roles effectively.By fostering a positive mindset,these professionals can more quickly and successfully integrate into pre-hospital emergency work,thereby enhancing the quality of such services,strengthening management over medical quality safety,and promoting the development of talent within the emergency center workforce.
作者
王芳
王骊
盛雪立
方诗园
邵俊
章楠
Wang Fang;Wang Li;Sheng Xueli;Fang Shiyuan;Shao Jun;Zhang Nan(Yixing Emergency Center,Yixing 214200,China)
出处
《中华卫生应急电子杂志》
2025年第3期170-174,共5页
Chinese Journal of Hygiene Rescue(Electronic Edition)
基金
2023年宜兴市科技创新专项资金“陶都之光”科技攻关计划(社会发展类)(2023SF22)。
关键词
院前急救
基层
院内医师
压力源
Pre-hospital emergency care
Basic level
Doctors in the hospital
Pressure source
