瑞士内科病房医生在 COVID-19 第一波期间的核心故事:定性探索。

IF 2.1 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Swiss medical weekly Pub Date : 2024-03-29 DOI:10.57187/s.3760
Vanessa Kraege, Amaelle Gavin, Julieta Norambuena, Friedrich Stiefel, Marie Méan, Céline Bourquin
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引用次数: 0

摘要

导言:COVID-19 的第一波(2020 年),即 W1,由于其新颖性和如何应对大流行的不确定性,仍将是非同寻常的。为了了解医生的经历,我们收集了 W1 期间在瑞士一所大学医院工作的一线医生的叙述:方法:我们邀请洛桑大学医院(CHUV)内科的医生在 2020 年 4 月 28 日至 6 月 30 日期间向在线平台发送匿名叙述。分析材料包括 13 篇书面文字和 1 份录音。我们采用基于整体内容法的叙事分析方法对这些文本进行了研究,试图找出文本中的叙事重点(称为焦点):结果:确定了五个主要焦点:危险和威胁、知识和实践的获得、适应不断变化的环境、对职业的承诺以及对医务人员的归属感。在医生的叙述中,"危险 "指的是各种相当负面的感觉和情绪,而 "威胁 "则指对他人和对自己的危险。获取知识和实践的重点指的是 W1 期间发生的不同类型的获取。以适应为重点的叙述反映了医生如何应对 W1 和私人或职业动荡。COVID-19 W1有助于揭示医生对职业和病人的自然承诺(或不承诺),以及为所有人提供尽可能好的护理的关切。最后,归属感指的是 W1 期间的团队及其重组:我们的研究加深了对医生在职业和个人环境中如何经历大流行病的理解。我们的研究加深了对医生在职业和个人环境中如何经历大流行病的了解,并为他们如何准备和应对大流行病提供了见解。无论在什么情况下,研究的重点都反映了医生职业所固有的主题。在大流行病期间,这些基本要素尤其面临挑战。令人震惊的是,医学院并没有学习这些内容,这就提出了一个普遍的问题,即学生们是如何为从事医疗职业做好准备的。
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Core stories of physicians on a Swiss internal medicine ward during the first COVID-19 wave: a qualitative exploration.

Introduction: The first COVID-19 wave (2020), W1, will remain extraordinary due to its novelty and the uncertainty on how to handle the pandemic. To understand what physicians went through, we collected narratives of frontline physicians working in a Swiss university hospital during W1.

Methods: Physicians in the Division of Internal Medicine of Lausanne University Hospital (CHUV) were invited to send anonymous narratives to an online platform, between 28 April and 30 June 2020. The analysed material consisted of 13 written texts and one audio record. They were examined by means of a narrative analysis based on a holistic content approach, attempting to identify narrative highlights, referred to as foci, in the texts.

Results: Five main foci were identified: danger and threats, acquisition of knowledge and practices, adaptation to a changing context, commitment to the profession, and sense of belonging to the medical staff. In physicians' narratives, danger designated a variety of rather negative feelings and emotions, whereas threats were experienced as being dangerous for others, but also for oneself. The acquisition of knowledge and practices focus referred to the different types of acquisition that took place during W1. The narratives that focused on adaptation reflected how physicians coped with W1 and private or professional upheavals. COVID-19 W1 contributed to revealing a natural commitment (or not) of physicians towards the profession and patients, accompanied by the concern of offering the best possible care to all. Lastly, sense of belonging referred to the team and its reconfiguration during W1.

Conclusions: Our study deepens the understanding of how physicians experienced the pandemic both in their professional and personal settings. It offers insights into how they prepared and reacted to a pandemic. The foci reflect topics that are inherent to a physician's profession, whatever the context. During a pandemic, these foundational elements are particularly challenged. Strikingly, these topics are not studied in medical school, thus raising the general question of how students are prepared for the medical profession.

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来源期刊
Swiss medical weekly
Swiss medical weekly 医学-医学:内科
CiteScore
5.00
自引率
0.00%
发文量
0
审稿时长
3-8 weeks
期刊介绍: The Swiss Medical Weekly accepts for consideration original and review articles from all fields of medicine. The quality of SMW publications is guaranteed by a consistent policy of rigorous single-blind peer review. All editorial decisions are made by research-active academics.
期刊最新文献
Supplementum 284: Abstracts of the 56th Annual meeting of the Swiss Society of Nephrology. Safety of oral immunotherapy for cashew nut and peanut allergy in children - a retrospective single-centre study. Cardiac amyloidosis. Blood pressure control and antihypertensive treatment in Swiss general practice: a cross-sectional study using routine data. Exploring the real-world management of catheter-associated urinary tract infections by Swiss general practitioners and urologists: insights from an online survey.
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