摘要
运用Nvivo.11质性分析工具,扎根200例“医护日记”数据进行三级编码并展开理论抽象,可以揭示出医学人文精神的内部结构。研究显示,医学人文精神的内部结构体现在“认知-情感-行为”三个层面,即认知层面包括生命意识、专业态度、情境感知;情感层面包括医患共情、成就和使命感及角色联想;行为层面包括专注、担当、奉献及情绪管理等行为。因此,培养医护人员的医学人文精神,应围绕“以人为本”的专业认知,强化医护人员的情境适应性,并重视培养“具身认知”能力;通过强化医患共情能力、医护职业的成就和使命感,激发积极角色联想,以实现职业认同;突出专注、勇于担当、甘于奉献的行为,特别在临床实践中,鼓励医护人员主动与患者进行“具身属性”的社会交往。
This paper used the qualitative analysis tool of Nvivo.11,conducted three-level coding and theoretical abstraction on 200 cases of“medical diary”,so as to reveal the internal structure of medical humanistic spirit.Research showed that the internal components of medical humanistic spirit is embodied in three levels of“cognition-emotion-behavior”:first,life awareness,professional attitude,situational perception(cognitive level);second,doctor-patient empathy,sense of accomplishment and mission,and positive role association(emotional level);third,focus behavior,responsibility behavior,dedication behavior,and positive emotional management behavior(behavioral level).Therefore,medical staff should focus on“people-oriented”,enhance the group’s cognition of their own occupation,strengthen their situational adaptability,and attach importance to cultivating their“embodied cognition”ability;medical staff should strengthen doctor-patient empathy ability,sense of accomplishment and sense of mission in medical profession,stimulate active role associations to achieve professional identity;highlight the behaviors of focus,responsibility and dedication.Especially in clinical practice,medical staff are encouraged to actively carry out“personal”social communication with patients.
作者
陈天
赵旭
CHEN Tian;ZHAO Xu(School of Economics and Management,Shanxi Normal University,Linfen 041004,China)
出处
《中国医学伦理学》
2021年第10期1261-1268,共8页
Chinese Medical Ethics
基金
2020年度山西省高等学校哲学社会科学一般项目“突发性公共卫生事件中医务人员心理弹性及社会支持研究”(2020W054)
2019年山西省哲学社会科学一般项目“社会学视域下医患矛盾问题研究”(2019B206)
2019年山西省高校哲学社会科学研究一般项目“基于身体理论对我国医患关系问题探究”(2019W063)
2018年山西省高校哲学社会科学研究一般项目“身体理论转向下的公共部门伦理胜任力研究”(201805031)。
关键词
医护人员
新冠肺炎
医学人文精神
扎根理论
Medical Staff
COVID-19
Humanistic Spirit of Medicine
Grounded Theory
