دیدگاه کارورزان، دستیاران و اعضای هیأت علمی بخش زنان در خصوص عوامل مؤثر بر شکل‌گیری اخلاق حرفه‌ای در بالین

نوع مقاله: اصیل پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد آموزش پزشکی، دانشکده آموزش پزشکی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

2 دانشیار گروه پرستاری، مرکز مطالعات و آموزش پزشکی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی گلستان، گرگان، ایران.

3 دانشیار گروه پرستاری، مرکز تحقیقات پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی گلستان، گرگان، ایران.

4 دانشیار گروه زنان و مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی گلستان، گرگان، ایران.

چکیده

مقدمه: آموزش اخلاق حرفه­ای بخش مهمی از برنامه­های فراگیران پزشکی است و حرفه ای‌گری (پروفیشنالیسم) از شایستگی­های محوری دوره پزشکی محسوب می­شود. شناسایی عوامل مؤثر بر فراگیری حرفه ای‌گری در بخش زنان و زایمان که از چالش­های اخلاقی خاص خود برخوردار است، می­تواند به کارآمدی برنامه­های آموزشی کمک کند. مطالعه حاضر با هدف تبیین دیدگاه و تجربیات اساتید و فراگیران پزشکی در بخش زنان و زایمان در خصوص عوامل مؤثر بر شکل‌گیری اخلاق حرفه­ای در بالین انجام شد.
روش‌کار: در این مطالعه کیفی (1392)، 10 نفر از اساتید زنان و زایمان و 30 نفر از دستیاران تخصصی و کارورزان بخش زنان و زایمان مرکز آموزشی درمانی شهید صیاد شیرازی مشارکت نمودند. برای جمع‌آوری داده‌ها از روش مصاحبه­های انفرادی نیمه‌ساختار تا رسیدن به اشباع داده­ها استفاده شد. مصاحبه­ها خط به خط، دست‌نویس و مطابق رویکرد "تحلیل محتوای مرسوم" کدگذاری و طبقه‌بندی شدند.
یافته‌ها: از تحلیل داده­ها چهار مضمون اصلی"ماهیت انسانی کار، شخصیت و منش فردی، داشتن الگو و مدل و عوامل آموزشی اجتماعی" استخراج شد که تبیین کننده عوامل مؤثر بر شکل‌گیری اخلاق حرفه­ای در بخش زنان و زایمان از دیدگاه اساتید و دانشجویان و دستیاران پزشکی بود.
نتیجه‌گیری: الگو بودن اساتید و برنامه­های آموزشی بالینی در بخش زنان و زایمان، از مهم‌ترین عوامل مؤثر بر شکل‌گیری اخلاق حرفه­ای است، لذا به نظر می­رسد با مداخلات آموزشی مناسب روی این دو مؤلفه مهم بتوان به ارتقاء آموزش اخلاق حرفه­ای در بالین کمک کرد.

کلیدواژه‌ها


عنوان مقاله [English]

The Perspectives of the Faculty Members, Medical Interns and Residents of Obstetrics and Gynecology Ward about Influencing Factors of Professional Ethics Development in Practice

نویسندگان [English]

  • Leila Padash 1
  • Akram Sanagoo 2
  • Leila Jouybari 3
  • Elham i Mobasher 4
1 M.Sc. student in Medical Education, School of Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2 Associate Professor, Department of Nursing, Nursing Research Center, School of Nursing & Midwifery, Golestan University of Medical Sciences, Gorgan, Iran
3 Associate Professor, Department of Nursing, Nursing Research Center, School of Nursing & Midwifery, Golestan University of Medical Sciences, Gorgan, Iran
4 Associate Professor, Department of Obstetrics & Gynecology, School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran.
چکیده [English]

Introduction: Education of professional ethics is an important part of medical students program and professionalism is considered as one of the core competencies in medicine. Identifying the factors affecting learning professionalism in the obstetrics and gynecology ward with its own ethical challenges can help to the efficacy of training programs. This study was performed with aim to determine the views and experiences of clinical faculty members and medical learners of obstetrics and gynecology ward about the factors affecting the professional ethics development in practice.
Methods: In this qualitative study in 2013, 10 faculty members and 30 residents and medical interns of obstetrics and gynecology wards in Shahid Sayyad Shirazi educational center were participated. To collect data, semi-structured individual interviews were used and stopped when theoretical saturation occurred. The interviews were transcribed line by line in accordance with a "conventional content analysis" and were coded and categorized.
Results: The data analysis revealed four main themes including "humanistic profession, personality and character, role model, and educational and social factors" that explained the factors affecting the professional ethics development in the obstetrics and gynecology ward from the perspective of the faculty members, medical students and residents.
Conclusion: The professors' role model and clinical training programs in the obstetrics and gynecology ward were the most important factors affecting the professional ethics development. Therefore, it seems that with appropriate educational interventions on these two important components, we could promote professional ethics education in clinical practice.

کلیدواژه‌ها [English]

  • ethics education
  • medical interns
  • Obstetrics & gynecology
  • Professional Ethics
  • Professionalism
  • residency programs
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