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

作　　者：乔雪 尹永田[2] 罗文君 李颖慧 杨金光 李静蔚[4] 陈宏志[5] QIAO Xue;YIN Yongtian;LUO Wenjun;LI Yinghui;YANG Jinguang;LI Jingwei;CHEN Hongzhi(The First Clinical Medical College,Shandong University of Traditional Chinese Medicine,Jinan 250014,China;College of Nursing,Shandong University of Traditional Chinese Medicine,Jinan 250355,China;College of Traditional Chinese Medicine,Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Department of Breast and Thyroid Surgery,the Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China;College of Rehabilitation Medicine,Shandong University of Traditional Chinese Medicine,Jinan 250355,China)

机构地区：[1]山东中医药大学第一临床医学院,山东省济南市250014 [2]山东中医药大学护理学院,山东省济南市250355 [3]山东中医药大学中医学院,山东省济南市250355 [4]山东中医药大学附属医院乳腺甲状腺外科,山东省济南市250014 [5]山东中医药大学康复医学院,山东省济南市250355

出　　处：《中国全科医学》2024年第22期2752-2758,2765,共8页Chinese General Practice

基　　金：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)。

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AnselmStrauss、JulietCorbin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.

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 

分 类 号：R192[医药卫生—卫生事业管理]