طراحی چارچوب شناخت هویت حرفهای دانشجویان پزشکی بر اساس برنامه درسی پنهان: رویکرد فراترکیب
الموضوعات : پژوهش در برنامه ریزی درسیمهدی محمدی 1 , رضا ناصری جهرمی 2 , فاطمه میرغفاری 3 , سولماز خادمی 4 , فروزان طاهری 5 , مریم صیدی 6
1 - عضو هیأت علمی، گروه مدیریت و برنامهریزی آموزشی، دانشکدۀ علوم تربیتی و روانشناسی، دانشگاه شیراز، شیراز، ایران
2 - دکتری برنامهریزی درسی، دانشگاه شیراز، شیراز، ایران.
3 - دانشجوی دکتری برنامهریزی درسی، دانشگاه شیراز، شیراز، ایران.
4 - دانشجوی دکتری برنامهریزی درسی، دانشگاه شیراز، شیراز، ایران.
5 - دانشجوی کارشناسی ارشد مدیریت آموزشی، دانشگاه شیراز، شیراز، ایران.
6 - عضو هیأت علمی، بخش مدیریت و برنامهریزی آموزشی، دانشگاه فرهنگیان اراک، اراک، ایران.
الکلمات المفتاحية: هویت حرفهای, برنامه درسی پنهان, دانشجویان پزشکی,
ملخص المقالة :
یکی از مضامین مهم و کلیدی در برنامه درسی پنهان دانشجویان پزشکی، القای هویت حرفهای به آنان میباشد. از این رو هدف پژوهش حاضر بررسی طراحی چارچوب شناخت هویت حرفهای دانشجویان پزشکی بر اساس برنامه درسی پنهان بود. این پژوهش کیفی با استفاده از روش شش مرحلهای ساندلوسکی و باروسو انجام شده است. تیم فراترکیب متشکل از چهار نفر متخصص برنامهریزی درسی و یک نفر متخصص در روش پژوهش فراترکیب بود. 18 منبع پژوهشی مرتبط، مبنای تحلیل قرار گرفت که نتیجه آن استخراج سه مقوله اصلی از جمله هویت مرتبط با فرایندهای حرفهای (رعایت اخلاق پزشکی، تعلق به حرفه پزشکی و انگیزه شغلی)، هویت مرتبط با پیامدهای حرفهای (توسعه یادگیری و بهسازی و تابآوری) و هویت مرتبط با شایستگیهای حرفهای (شایستگی حرفهای و شایستگی بالینی) میباشد. اعتبار دادهها با استفاده از تکنیکهای اعتبارپذیری، انتقالپذیری و همسوسازی دادهها و اعتمادپذیری به دادهها نیز با هدایت دقیق جریان جمعآوری اطلاعات و همسوسازی پژوهشگران تائید شد. بر اساس نتایج پژوهش، تجربیات مربوط به برنامه درسی پنهان و غیررسمی باید به طور رسمی توسط مربیان پزشکی مورد توجه قرار گیرد. همچنین اساتید با فراهم ساختن فرصتهای بیشتر برای تأمل در برنامه درسی پزشکی، شکلگیری اثربخش هویت حرفهای دانشجویان را تسریع مینمایند.
Abbaspour, H., Moonaghi, H. K., & Kareshki, H. (2020). The Hidden Curriculum and Its Role in Medical Sciences Education Under the Skin of the Curriculum. Journal of North Khorasan University of Medical Sciences, 12(3), 47-55.
Adame-Walker, J., Zarrinkhameh, L., & Brogan, A. (2020). Connecting the Classroom to the Community: The Effects of Service Learning on Affective Skills in Doctor of Physical Therapy Students. J Rehab Pract Res, 1(1), 105.
Baraz-Pordanjani, S., Memarian, R., & Vanaki, Z. (2014). Damaged professional identity as a barrier to Iranian nursing students’ clinical learning: a qualitative study. Journal of Clinic
Becker, B. A. (2013). The lived experience of professional identity in master nursing academics. University of Minnesota.
Borrott, N., Day, G. E., Sedgwick, M., & Levett-Jones, T. (2016). Nursing students' belongingness and workplace satisfaction: Quantitative findings of a mixed methods study. Nurse education today, 45, 29-34.
Branson, D. C. (2020). Student trauma, the hidden curriculum, and cultural humility: This trio needs a team approach. In Addressing Multicultural Needs in School Guidance and Counseling (pp. 82-105). IGI Global.
Brown, M. E., Hafferty, F. W., & Finn, G. M. (2020). The hidden curriculum and its marginalisation of Longitudinal Integrated Clerkships. Education for Primary Care, 31(6), 337-340.
Buckner, J. C., Mezzacappa, E., & Beardslee, W. R. (2003). Characteristics of resilient youths living in poverty: The role of self-regulatory processes. Development and psychopathology, 15(1), 139-162.
Chenail, R. J. (2011). Learning to Appraise the Quality of Qualitative Research Articles: A Contextualized Learning Object for Constructing Knowledge. The Qualitative Report, 16(1), 236-248.
Curlewis, K., Thornhill, C., Leung, B., Hamilton, L., Ricketts, D., & Rogers, B. (2020). The effects of sex, race and the hidden curriculum on medical students' career choices: lessons for orthopaedics. The Bulletin of the Royal College of Surgeons of England, 102(6), e7-e11.
Davis, K, Newstrom J.Human behavior work:organizational behavior.8th ed. Nem York:McGrow Hill Co.1980.
Desilets, V., Graillon, A., Ouellet, K., Xhignesse, M., & Stonge, C. (2021). Reflecting on professional identity in undergraduate medical education: implementation of a novel longitudinal course. Perspectives on Medical Education, 1-5.
Eckert, T., Topping, D., Abrams, M., & Daly, K. (2020). Beyond academic learning: how can human cadaver dissection promote medical students’ professional identity development? The FASEB Journal, 34(S1), 1-1.
Edmond, E. C., Prakash, E., & Carroll, F. (2020). RoboDoc: Critical ethical issues to consider for the design and development of a robotic doctor experience. Journal of Future Robot Life, (Preprint), 1-5.
Fassett, K. T., Silberstein, S., & Dugan, B. (2020). For whom and from whom: Student career support and engagement.
Ghalje, M., Ghaljaee, F., Mazlum,A(2008). Correlation between nurses 'clinical competence and patients' satisfaction with nursing services. Journal of Shahid Beheshti School of Nursing and Midwifery. 18(63)
Gordon, L., Rees, C. E., & Jindal‐Snape, D. (2020). Doctors’ identity transitions: Choosing to occupy a state of ‘betwixt and between’. Medical Education.
Gritsenko, V., Konstantinov, V., Reznik, A., & Isralowitz, R. (2020). Russian Federation medical student knowledge, attitudes and beliefs toward medical cannabis. Complementary Therapies in Medicine, 48, 102274.
Gritsenko, V., Konstantinov, V., Reznik, A., & Isralowitz, R. (2020). Russian Federation medical student knowledge, attitudes and beliefs toward medical cannabis. Complementary Therapies in Medicine, 48, 102274.
Haidet, P., Kelly, P., & Chou, C. (2005). Characterising the patient-centeredness of hidden curricula in medical schools: development and validation of a new measure. Academic Medicine, 80, 44-50.
Han, H., & Suh, B. (2021). Current Status and Directions of Professional Identity Formation in Medical Education. Korean Medical Education Review, 23(2), 80-89.
Hawking, M., Kim, J., Jih, M., Hu, C., & Yoon, J. D. (2020). “Can virtue be taught?”: a content analysis of medical students’ opinions of the professional and ethical challenges to their professional identity formation. BMC medical education, 20(1), 1-9.
Jung, Y. M. (2020). Nursing students’ career identity, satisfaction with major, and career stress by career decision type. Japan Journal of Nursing Science, 17(1),e12281.
Kim, C. H., & Kim, J. Y. (2020). The effect of clinical practice belonging, satisfaction with major, and work values on career identity of nursing students. The Journal of Korean Academic Society of Nursing Education, 26(3), 259-268.
King, A. (2020). ‘Chick Crack’: Self-Esteem, Science and Women’s Dating Advice. Society, 1-11.
Klasen, J. M., Meienberg, A., & Bogie, B. J. (2021). Medical student engagement during COVID‐19: Lessons learned and areas for improvement. Medical Education, 55(1), 115-118.
Ladiwala, Z. F. R., Dhillon, R. A., Zahid, I., Irfan, O., Khan, M. S., Awan, S., & Khan, J. A. (2021). Knowledge, attitude and perception of Pakistanis towards COVID-19; a large cross-sectional survey. BMC public health, 21(1), 1-10.
Lee, H. J., & Ahn, M. (2021). Consensual qualitative research on the internship experience and development of career identity of Korean doctors. BMC Medical Education, 21(1), 1-8.
Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Beverly Hills, CA: Sage.
Mabillard, V., Demartines, N., & Joliat, G. R. (2021). How Can Reasoned Transparency Enhance Co-Creation in Health Care and Remedy the Pitfalls of Digitization in Doctor-Patient Relationships?. International Journal of Health Policy and Management.
McCrae, N., Askey‐Jones, S., & Laker, C. (2014). Merely a stepping stone? Professional identity and career prospects following postgraduate mental health nurse training. Journal of Psychiatric and Mental Health Nursing, 21(9), 767-773.al Nursing and Midwifery, 3.
McGee, J. B., & Kanter, S. L. (2011). How we develop and sustain innovation in medical education technology: Keys to success. Medical teacher, 33(4), 279-285.
McKenna, L. (2020). Hidden, Informal, and Formal Curricula in Health Professions Education. Clinical Education for the Health Professions: Theory and Practice, 1-13.
McQuoid-Mason, D. J. (2020). COVID-19 and patient-doctor confidentiality. SAMJ: South African Medical Journal, 110(6), 1-2.
Navarro, K., Williams, J., Pittelkow, L., Schulenberg, C., Morris, M., & Salm, M. J. (2020). Global studies: Impact on student-athlete engagement and identity development in higher education. Journal of Global Sport Management, 5(1)
Ohlen, J., & Segesten, K. (1998). The professional identity of the nurse: concept analysis and development. Journal of advanced nursing, 28(4), 720-727.
Opiri, J. A., & Otundo, J. O. (2020). Career Identity Development Process: Experiences of African Immigrant Women in the USA. In Examining the Career Development Practices and Experiences of Immigrants (pp. 124-140). IGI Global.
Reied, D. (2020). Medical confidentiality and domestic abuse (Doctoral dissertation, University of Glasgow).
Samuriwo, R., Laws, E., Webb, K., & Bullock, A. (2020). “I didn’t realise they had such a key role.” Impact of medical education curriculum change on medical student interactions with nurses: a qualitative exploratory study of student perceptions. Advances in Health Sciences Education, 25(1), 75-93.
Sandelowski, M., & Barroso. J. (2007). Handbook for synthesizing qualitative research, New York, NY: Springer. 1-311.
Sarikhani, Y., Shojaei, P., Rafiee, M., & Delavari, S. (2020). Analyzing the interaction of main components of hidden curriculum in medical education using interpretive structural modeling method. BMC Medical Education, 20, 1-9.
Scheide, L., Teufel, D., Wijnen-Meijer, M., & Berberat, P. O. (2020). (Self-) Reflexion and training of professional skills in the context of “being a doctor” in the future–a qualitative analysis of medical students' experience in LET ME... keep you real!. GMS journal for medical education, 37(5).
Shokri A, Yazdan Panah A, Vahdat Sh(2013 The Professional Relationship between the Nurses and Physicians from their Own Point of View. Journal of Health and Care. Vol. 15, No.1&2, Spring & Summer 2013: 69-76
Silveira, D., & Thomas, C. (2020). Characteristics of Medical Representatives Which Can Influence a Doctor to Prescribe a Brand: A Study. Journal of Management (JOM), 7(1).
Slay, H. S., & Smith, D. A. (2011). Professional identity construction: Using narrative to understand the negotiation of professional and stigmatized cultural identities. Human relations, 64(1), 85-107.
Small, D. (2020, January). The Hidden Curriculum in Public Schools and its Disadvantage to Minority Students. In International Forum of Teaching and Studies (Vol. 16, No. 1, pp. 16-58). American Scholars Press, Inc..
Tagawa, M. (2020). Scales to evaluate developmental stage and professional identity formation in medical students, residents, and experienced doctors. BMC Medical Education, 20(1), 40.
Torralba, K. D., Jose, D., & Byrne, J. (2020). Psychological safety, the hidden curriculum, and ambiguity in medicine. Clinical rheumatology, 1-5.
University of Minnesota; 2013. (Dissertation).
Vorona, І. І., & Prokop, I. A. (2020). PROFESSIONAL CULTURE IN THE CONTEXT OF FUTURE DOCTOR TRAINING. Медична освіта, (1), 117-121.
Wald, H. S., Anthony, D., Hutchinson, T. A., Liben, S., Smilovitch, M., & Donato, A. A. (2015). Professional identity formation in medical education for humanistic, resilient physicians: pedagogic strategies for bridging theory to practice. Academic Medicine, 90(6), 753-760.
Won, J. Y. (2020). A Convergent Study Assessing the Effects of Youth's Social Relationships on Career Development and College Life Satisfaction. Journal of the Korea Convergence Society, 11(8), 257-268.
Yardley, S., Kinston, R., Lefroy, J., Gay, S., & McKinley, R. K. (2020). ‘What do we do, doctor?’Transitions of identity and responsibility: a narrative analysis. Advances in Health Sciences Education, 1-19.
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