中国全科医学 ›› 2024, Vol. 27 ›› Issue (22): 2752-2758.DOI: 10.12114/j.issn.1007-9572.2023.0344

• 论著·全科医学教育研究 • 上一篇    下一篇

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

乔雪1, 尹永田2, 罗文君3, 李颖慧1, 杨金光1, 李静蔚4, 陈宏志5,*()   

  1. 1.250014 山东省济南市,山东中医药大学第一临床医学院
    2.250355 山东省济南市,山东中医药大学护理学院
    3.250355 山东省济南市,山东中医药大学中医学院
    4.250014 山东省济南市,山东中医药大学附属医院乳腺甲状腺外科
    5.250355 山东省济南市,山东中医药大学康复医学院
  • 收稿日期:2023-11-13 修回日期:2024-01-22 出版日期:2024-08-05 发布日期:2024-05-28
  • 通讯作者: 陈宏志

  • 作者贡献:

    乔雪负责信息收集与分析,撰写与修订文章;尹永田负责研究的构思、设计并指导研究的实施,参与文章的修订;罗文君负责研究的实施与执行;李颖慧、杨金光负责信息收集与整理;李静蔚负责文章的质量控制及审校;陈宏志负责总体研究目标的制定,对文章进行监督与管理,提供资金支持,对文章整体负责。

  • 基金资助:
    山东省研究生教育教学改革研究项目(SDYJG21085); 山东省本科教学改革研究项目(Z2021263,Z2022286); 山东省教育教学研究课题(2021JXY064); 山东省中医药高层次人才培育项目(鲁卫函〔2022〕148号); 齐鲁卫生与健康领军人才项目(鲁卫人字〔2020〕3号)

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

QIAO Xue1, YIN Yongtian2, LUO Wenjun3, LI Yinghui1, YANG Jinguang1, LI Jingwei4, CHEN Hongzhi5,*()   

  1. 1. The First Clinical Medical College, Shandong University of Traditional Chinese Medicine, Jinan 250014, China
    2. College of Nursing, Shandong University of Traditional Chinese Medicine, Jinan 250355, China
    3. College of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, Jinan 250355, China
    4. Department of Breast and Thyroid Surgery, the Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250014, China
    5. College of Rehabilitation Medicine, Shandong University of Traditional Chinese Medicine, Jinan 250355, China
  • Received:2023-11-13 Revised:2024-01-22 Published:2024-08-05 Online:2024-05-28
  • Contact: CHEN Hongzhi

摘要: 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。

关键词: 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

Abstract:

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.

Key words: Occupations, Social identification, Root cause analysis, Professional identity, Rural order oriented medical students, Grounded theory, Qualitative research

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