摘要
目的 探讨规培医师在规范化培训期间的压力来源及其对职业选择的影响,为制订针对性的职业引导与压力缓解策略提供参考。方法 于2024年10月至2025年4月,采用目的抽样法选取杭州市某三级甲等医院16名规培医师进行半结构式访谈,运用Colaizzi七步分析法对访谈资料进行整理与分析,提炼相关主题。结果 共归纳出2个主题和7个亚主题:压力来源(工作负荷压力、学习压力、人际关系压力、经济压力、社会压力),以及压力对职业选择的影响(职业倦怠与职业认同感水平下降、职业转换倾向)。结论 规培医师面临多方面压力源,这些压力显著影响其身心健康与职业选择,部分规培医师表示在持续高压下可能选择转行或转科以缓解压力。建议管理者采取相应措施,优化规培医师的培养环境,促进其职业发展和心理健康。
Objective To explore the sources of standardized training physicians'stress during their standardized training and the impact of these stresses on their career choices,so as to provide references for formulating targeted career guidance and stress relief strategies.Methods From October 2024 to April 2025,16 standardized training physicians from a Grade A tertiary hospital in Hangzhou were selected by purposive sampling for semi-structured interviews.The interview data were organized and analyzed by Colaizzi's seven-step analysis method,and relevant themes were extracted.Results A total of 2 themes and 7 sub-themes were summarized:sources of stress(workload stress,learning stress,interpersonal relationship stress,economic stress,social stress)and the impact of stress on career choices(occupational burnout and decreased professional identity,career change tendency).Conclusion Standardized training physicians face multiple sources of stress,which significantly affect their physical and mental health and career choices.Some standardized training physicians stated that they might choose to change occupations or departments to relieve stress under continuous high pressure.It is suggested that managers take corresponding measures to optimize the training environment for standardized training physicians and promote their career development and mental health.
作者
王虹
李琰华
WANG Hong;LI Yanhua(Zhejiang Chinese Medical University,The Second School of Clinical Medicine,Hangzhou City,Zhejiang Province,China 310005;The Second Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou City,Zhejiang Province,China 310053)
出处
《卫生职业教育》
2026年第4期114-117,共4页
HEALTH VOCATIONAL EDUCATION
基金
浙江中医药大学2022年度研究生教育教学改革项目“基于‘抗压能力’养成的全科医学研究生独立门诊实时带教系统应用的研究”(YJSZD2022002)。
关键词
规培医师
规范化培训
压力来源
职业选择
质性研究
Standardized training physicians
Standardized training
Stress sources
Career choices
Qualitative study
