Effects of practicing in remote Japanese islands on physicians' control of negative emotions: A qualitative study.
Effects of practicing in remote Japanese islands on physicians' control of negative emotions: A qualitative study.
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DOI：
10.2185/jrm.2934
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发表时间：
2017-11-01
期刊：
影响因子：
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通讯作者：
Kaneko, Makoto
中科院分区：
文献类型：
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作者：
Ohta, Ryuichi;Kaneko, Makoto
目的：探讨在日本冲绳偏远岛屿执业的乡村医生如何体验和管理他们的负面情绪。材料和方法：我们对在冲绳县偏远岛屿上的一家诊所工作了2年的医生进行了半结构化访谈。采访是使用互联网视频会议系统进行的，并被录制和转录。然后以步骤编码和理论化方法为框架对转录后的数据进行分析。结果：四名受试者均为男性。平均面谈时间为61分钟。在负性情绪诱发类别中，我们提取了五个主题：乡村医生与患者之间的认知差异、职业精神的入侵、乡村医生角色的压抑、与多个职业的不和谐、与不熟悉的医院医生的关系。在控制负面情绪的类别中，我们还提取了五个主题：时间流动、反思、对岛民特征的接受和通过他们的角色成长。结论：冲绳偏远岛屿的乡村医生经历了与患者、其他岛民和医务人员有关的负面情绪。随着时间的推移，通过与其他医疗专业人员的讨论和思考，他们加深了对岛上居民的了解，包括文化背景。通过这种方式，他们意识到了自己的成长潜力以及如何控制负面情绪。因此，乡村医生可能能够通过认识到人际关系的时间变化和他们自己对偏远岛屿生活的适应来有效地控制他们的负面情绪。
Objective: To explore how rural physicians practicing in the remote islands of Okinawa, Japan experience and manage their negative emotions. Materials and Methods: We conducted semi-structured interviews with doctors who had worked in a clinic on a remote island in Okinawa prefecture for 2 years. The interviews were conducted using an Internet video conferencing system, and were recorded and transcribed. The transcribed data were then analyzed using the Steps Coding and Theorization method as a framework. Results: All four participants were male. The mean interview time was 61 minutes. In the category of induction of negative emotions, we extracted five themes: differences in recognition between rural physicians and patients, invasion of professionalism, suppression by one's role as a rural physician, discordance with multiple occupations, and relationships with unfamiliar hospital physicians. In the category of controlling negative emotions, we also extracted five themes: time flow, reflection, acceptance of islanders' characteristics, and growth through their role. Conclusion: Rural physicians in the remote islands of Okinawa experienced negative emotions in relation to patients, other islanders, and medical staff. They deepened their understanding of the islanders, including the cultural background, over time and through discussion and reflection with other medical professionals. In this way, they realized their potential for growth and how to control negative emotions. Thus, rural physicians may be able to effectively control their negative emotions through recognizing temporal changes in human relations and their own adaptation to the remote island life.