"我似乎更平静、更清晰、更能应对具有挑战性的情况":对在卫生专业教育中学习正念的现象学反思。

IF 3 2区 教育学 Q1 EDUCATION & EDUCATIONAL RESEARCH Advances in Health Sciences Education Pub Date : 2024-09-09 DOI:10.1007/s10459-024-10363-x
Elizabeth Anne Kinsella, Kirsten Sarah Smith, Allison Chrestensen
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引用次数: 0

摘要

人们普遍认为,医疗从业人员的福祉正受到威胁,因为许多因素,如过重的工作量、缺乏组织支持、新技术的快速引入、COVID-19 大流行病的影响以及其他因素已经改变了医疗工作场所。压力、焦虑和职业倦怠正在上升,尤其是对于卫生专业的学生来说,他们除了要承担个人责任外,还必须应对具有挑战性的学术和临床要求。虽然 "正念练习 "并不是解决系统性问题的灵丹妙药,但它在帮助学生驾驭压力环境方面显示出了一定的前景。然而,尽管人们呼吁开展更多的现象学研究,但对于健康专业学生在高等教育环境中学习和使用正念的生活体验却知之甚少。本诠释学现象学研究的目的是通过研究健康专业学生对在高等教育背景下学习和使用正念的书面反思,探究他们的第一手生活经验。研究报告分析了加拿大一所大学开设正念选修课程期间和之后学生所写的现象学反思。分析揭示了四个主要的主题:(a)重构认知,(b)"做 "的同时 "存在",(c)见证挣扎,以及(d)对自己和他人的同情。在医疗卫生专业人员面临越来越大的压力,需要进行系统性改革但改革进程缓慢的时候,本研究的结果揭示了正念在帮助学生应对他们所面临的无数挑战方面所具有的潜在能力。研究结果的独特之处在于深入探讨了学生对在高等教育背景下学习和参与 "正念实践 "的体验的反思。研究结果为正念教育研究领域的发展提供了第一手资料,并引发了关于健康专业课程中正念教育的新讨论。
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"I seemed calmer, clearer, and better able to react to challenging situations": phenomenological reflections on learning about mindfulness in health professions education.

It is widely acknowledged that healthcare practitioner well-being is under threat, as many factors like excessive workloads, perceived lack of organizational support, the rapid introduction of new technologies, repercussions of the COVID-19 pandemic, and other factors have transformed the health care workplace. Distress, anxiety and burnout are on the rise, and are particularly concerning for health professions' students who must navigate challenging academic and clinical demands, in addition to personal responsibilities. While not a panacea for the systemic issues at play, 'mindfulness practices' have shown some promise in supporting students to navigate stressful environments. Yet despite calls for more phenomenological studies, little is known about health professions students' lived experiences of learning about and using mindfulness in higher education contexts. The objective of this hermeneutic phenomenological study was to inquire into the first-hand lived experiences of health professions students by examining their written reflections on learning about and using mindfulness in a higher education context. The study reports on themes identified in an analysis of students' phenomenological reflections written during and following a mindfulness elective course offered at a Canadian University. The analysis revealed four predominant themes: (a) reframing perceptions, (b)'being' while 'doing', (c) witnessing the struggle, and (d) compassion for self and others. In a time when health professionals are increasingly under strain, and systemic reform is needed but slow to take shape, the findings of this study reveal potential affordances of mindfulness for helping students to navigate the myriad of challenges they face. The findings are unique in their in-depth exploration of students' reflections on the experience of learning about and engaging in 'mindfulness practices' in a higher education context. The findings contribute first-hand perspectives to the evolving field of mindfulness education research and generate new conversations about mindfulness education in the health professions curriculum.

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来源期刊
CiteScore
6.90
自引率
12.50%
发文量
86
审稿时长
>12 weeks
期刊介绍: Advances in Health Sciences Education is a forum for scholarly and state-of-the art research into all aspects of health sciences education. It will publish empirical studies as well as discussions of theoretical issues and practical implications. The primary focus of the Journal is linking theory to practice, thus priority will be given to papers that have a sound theoretical basis and strong methodology.
期刊最新文献
Social support and academic procrastination in health professions students: the serial mediating effect of intrinsic learning motivation and academic self-efficacy. To define or not to define: a commentary on 'The case for metacognitive reflection'. Team science in interdisciplinary health professions education research: a multi-institutional case study. Belonging in dual roles: exploring professional identity formation among disabled healthcare students and clinicians. Understanding simulation-based learning for health professions students from culturally and linguistically diverse backgrounds: a scoping review.
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