首页|基于扎根理论的农村订单定向医学生职业认同的影响因素分析:一项质性研究

基于扎根理论的农村订单定向医学生职业认同的影响因素分析:一项质性研究

Root Cause Analysis of the Influencing Factors of Professional Identity in Rural Order-oriented Medical Students:a Qualitative Research

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背景 随着我国农村订单定向医学生(以下简称公费医学生)培养项目的持续开展,基层全科医学人才队伍不断充实,公费医学生职业认同现状及影响因素备受关注.目的 分析公费医学生职业认同的影响因素.方法 采用目的性抽样方法,以山东中医药大学2018-2022级中医学(五年制)惠民班的30名公费医学生为访谈对象,采用半结构化访谈方式于2022年12月—2023年3月进行访谈.遵循Anselm Strauss、Juliet Corbin程序化扎根理论方法,采用开放性编码、主轴编码、选择性编码对访谈资料进行编码和分析.结果 经开放性编码提取到初始概念 482 个,基本范畴 47 个;经主轴编码获得 9 个主范畴;经选择性编码形成典型关系结构,显示公费医学生职业认同的影响因素由职业认知、职业行为、职业选择、职业意志、职业情感、职业信念 6 大维度构成.结论 公费医学生职业认同的影响因素由职业认知、职业行为、职业选择、职业意志、职业情感、职业信念6大维度构成,其中职业认知、职业行为、职业选择属于外显因素,职业意志、职业信念、职业情感属于内隐因素.
Background With the continuous development of the training program of rural order-oriented medical students(referred to as publicly-funded medical students)in China,the talent team of general practice is constantly enriched,and the professional identity status and its influencing factors in rural order-oriented medical students have become the focus of current attention.Objective To analyze the influencing factors of professional identity in rural order-oriented medical students.Methods Purposive sampling method was used to interview the 30 rural order-oriented medical students from 2018 to 2022 grade of Traditional Chinese Medicine(five-year system)Beneficiary Class of Shandong University of Traditional Chinese Medicine by semi-structured interviews from December 2022 to March 2023.The interview data were coded and analyzed by using open coding,axial coding,and selective coding,following the Anselm Strauss and Juliet Corbin programmatic grounded theory approach.Results A total of 482 initial concepts and 47 basic categories were extracted by open coding,9 main categories obtained by axial coding.A typical relationship structure was formed by selective coding,and it showed that the influencing factors of professional identity in rural order-oriented medical students were consisted with six dimensions of career cognition,career behavior,career choice,career will,career emotion,and career belief.Conclusion The influencing factors of professional identity in rural order-oriented medical students are composed of six dimensions,including career cognition,career behavior,career choice,career will,career emotion,and career belief,of which career cognition,career behavior,and career choice belong to the exogenous factors,while career will,career belief,and career emotion belong to the implicit factors.

OccupationsSocial identificationRoot cause analysisProfessional identityRural order oriented medical studentsGrounded theoryQualitative research

乔雪、尹永田、罗文君、李颖慧、杨金光、李静蔚、陈宏志

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250014 山东省济南市,山东中医药大学第一临床医学院

250355 山东省济南市,山东中医药大学护理学院

250355 山东省济南市,山东中医药大学中医学院

250014 山东省济南市,山东中医药大学附属医院乳腺甲状腺外科

250355 山东省济南市,山东中医药大学康复医学院

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职业 社会认同 影响因素分析 职业认同 农村订单定向医学生 扎根理论 定性研究

山东省研究生教育教学改革研究项目山东省本科教学改革研究项目山东省本科教学改革研究项目山东省教育教学研究课题山东省中医药高层次人才培育项目齐鲁卫生与健康领军人才项目(鲁卫人字)

SDYJG21085Z2021263Z20222862021JXY064鲁卫函[2022]148号

2024

中国全科医学
中国医院协会

中国全科医学

CSTPCD北大核心
影响因子:2.04
ISSN:1007-9572
年,卷(期):2024.27(22)
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