التفاصيل البيبلوغرافية
| العنوان: |
Unprofessional behaviour of GP residents and its remediation: a qualitative study among supervisors and faculty. |
| المؤلفون: |
Barnhoorn, Pieter C., Nierkens, Vera, Mak-van der Vossen, Marianne C., Numans, Mattijs E., van Mook, Walther N. K. A., Kramer, Anneke W. M. |
| المصدر: |
BMC Family Practice; 12/20/2021, Vol. 22 Issue 1, p1-11, 11p |
| مصطلحات موضوعية: |
CORRUPTION prevention, CORRUPTION, RESEARCH, PSYCHOLOGICAL burnout, HOSPITAL medical staff, FOCUS groups, TEACHING, FAMILY medicine, ATTITUDE (Psychology), RESEARCH methodology, ORGANIZATIONAL behavior, MEDICAL personnel, COLLEGE teacher attitudes, INTERVIEWING, INTERNSHIP programs, QUALITATIVE research, COMPARATIVE studies, INTERPERSONAL relations, PROFESSIONAL identity, SUPERVISION of employees, PROFESSIONALISM |
| مصطلحات جغرافية: |
DENMARK |
| مستخلص: |
Background: Lapses in professionalism have profound negative effects on patients, health professionals, and society. The connection between unprofessional behaviour during training and later practice requires timely identification and remediation. However, appropriate language to describe unprofessional behaviour and its remediation during residency is lacking. Therefore, this exploratory study aims to investigate which behaviours of GP residents are considered unprofessional according to supervisors and faculty, and how remediation is applied. Methods: We conducted eight semi-structured focus group interviews with 55 broadly selected supervisors from four Dutch GP training institutes. In addition, we conducted individual semi-structured interviews with eight designated professionalism faculty members. Interview recordings were transcribed verbatim. Data were coded in two consecutive steps: preliminary inductive coding was followed by secondary deductive coding using the descriptors from the recently developed 'Four I's' model for describing unprofessional behaviours as sensitising concepts. Results: Despite the differences in participants' professional positions, we identified a shared conceptualisation in pinpointing and assessing unprofessional behaviour. Both groups described multiple unprofessional behaviours, which could be successfully mapped to the descriptors and categories of the Four I's model. Behaviours in the categories 'Involvement' and 'Interaction' were assessed as mild and received informal, pedagogical feedback. Behaviours in the categories 'Introspection' and 'Integrity', were seen as very alarming and received strict remediation. We identified two new groups of behaviours; 'Nervous exhaustion complaints' and 'Nine-to-five mentality', needing to be added to the Four I's model. The diagnostic phase of unprofessional behaviour usually started with the supervisor getting a 'sense of alarm', which was described as either a 'gut feeling', 'a loss of enthusiasm for teaching' or 'fuss surrounding the resident'. This sense of alarm triggered the remediation phase. However, the diagnostic and remediation phases did not appear consecutive or distinct, but rather intertwined. Conclusions: The processes of identification and remediation of unprofessional behaviour in residents appeared to be intertwined. Identification of behaviours related to lack of introspection or integrity were perceived as the most important to remediate. The results of this research provide supervisors and faculty with an appropriate language to describe unprofessional behaviours among residents, which can facilitate timely identification and remediation. [ABSTRACT FROM AUTHOR] |
|
Copyright of BMC Family Practice is the property of BioMed Central and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
Full Text Finder