Stoking the fires of professional resistance: Trainees' efforts across time.

IF 4.9 1区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Medical Education Pub Date : 2024-08-19 DOI:10.1111/medu.15489
Tasha R Wyatt, Emily Scarlett, Vinayak Jain, Ting Lan Ma
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Abstract

Introduction: Researchers who study acts of resistance largely focus on efforts when they are at their peak, giving the impression that those who resist are in a constant state of arousal. What is missing in such studies is the variable of time, which is theorised to be intimately connected to power and resistance. To explore this aspect, we followed a group of trainees engaged in professional resistance against social injustice over the period of 1 year to understand how their efforts shifted across time. This longitudinal approach was meant to capture the temporality of resistance, specifically how time affects resistance efforts.

Methods: Using a constructivist grounded theory approach for data collection and analysis, we conducted follow-up interviews with 13 trainees approximately 10 months apart. Interviews were analysed using holistic narrative analysis, in which we analysed contexts, subjectivities and interactions across the two time points. We then conducted a cross-case analysis and restoried the data to develop an understanding of how resistance shifts across time. Finally, we contextualised the data using the metaphor of open and zombie wildfires.

Results: The findings demonstrate that when trainees transition to new institutions or professional positions, their access to power and interactions with colleagues shift, thus making it challenging for them to resist in ways they had done so earlier. In transitions where trainees were given power, the flames of resistance continued to blaze visibly. In other cases, without an appreciable change in power, resistance resembled more of a 'zombie fire', smouldering quietly underfoot.

Discussion: Examining trainees' acts of resistance across time demonstrates that the work of advocacy and resistance is extremely taxing for trainees. Therefore, when they experience shifts in their context or subjectivity, they conserve energy and strategise their next move. This study provides new insight on the relationship between time and resistance.

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点燃职业反抗之火:学员在不同时期的努力。
导言:研究抵制行为的学者大多关注抵制行为达到顶峰时的努力,给人的印象是抵制者一直处于亢奋状态。这些研究中缺少的是时间变量,而理论上时间与权力和反抗密切相关。为了探究这一点,我们在一年的时间里跟踪了一组参与职业反抗社会不公的受训人员,以了解他们的努力是如何随着时间的推移而变化的。这种纵向方法旨在捕捉反抗的时间性,特别是时间如何影响反抗努力:我们采用建构主义基础理论方法进行数据收集和分析,对 13 名学员进行了后续访谈,访谈时间相隔约 10 个月。我们采用整体叙事分析法对访谈进行了分析,其中我们分析了两个时间点的背景、主体性和互动。然后,我们进行了跨案例分析,并对数据进行了还原,以了解阻力是如何随着时间的推移而变化的。最后,我们用 "明火 "和 "僵尸野火 "来比喻数据的来龙去脉:研究结果表明,当受训人员过渡到新的机构或专业职位时,他们获得权力的途径以及与同事的互动方式都会发生变化,从而使他们以先前的方式进行反抗面临挑战。在学员获得权力的过渡中,反抗的火焰继续明显燃烧。而在其他情况下,由于权力没有发生明显的变化,反抗更像是 "僵尸之火",在脚下静静地燃烧:对受训者不同时期的反抗行为的研究表明,宣传和反抗工作对受训者来说是一项极具挑战性的工作。因此,当他们的环境或主体性发生变化时,他们会保存体力,并制定下一步行动战略。这项研究就时间与反抗之间的关系提供了新的见解。
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来源期刊
Medical Education
Medical Education 医学-卫生保健
CiteScore
8.40
自引率
10.00%
发文量
279
审稿时长
4-8 weeks
期刊介绍: Medical Education seeks to be the pre-eminent journal in the field of education for health care professionals, and publishes material of the highest quality, reflecting world wide or provocative issues and perspectives. The journal welcomes high quality papers on all aspects of health professional education including; -undergraduate education -postgraduate training -continuing professional development -interprofessional education
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