Medical students' perception towards mental health recovery: a descriptive qualitative study.
Medical students' perception towards mental health recovery: a descriptive qualitative study.
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DOI：
10.1080/10872981.2022.2106610
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发表时间：
2022-12
影响因子：
4.6
通讯作者：
Goh, Yong Shian
中科院分区：
文献类型：
--
作者：
Kuek, Jonathan Han Loong;Koh, Ghee Kian;Ho, Cyrus Su Hui;Goh, Yong Shian
精神卫生保健康复的概念，有两个定义(临床和个人)，仍然没有定论。在大多数医学教育课程中，本科生被教授的是直截了当的临床康复概念，这导致了他们对临床康复的敷衍了事和基本的理解。采用定性描述的方法，探讨医科本科生对有心理健康问题者的康复观。参与者是通过便利抽样从新加坡的一所大学招募的；所需的样本量由数据饱和度确定。个人面对面的采访是通过Zoom进行的，这是一个使用半结构化问题的在线会议平台，从2021年3月到7月。采访录音被逐字转录，并进行了主题分析。报告定性研究的综合标准(COREQ)核对表指导了本研究的报告。17名医学生参加了这项研究，其中大多数(15人)在他们的医学本科教育的第四年。确定了四个主题：精神疾病和幸福之间的关系；对精神幸福的看法；对精神疾病的理解；以及对精神疾病康复的看法。这项研究中的医学本科生主要是根据功能对康复进行概念化，尽管许多人也同意在定义康复时尊重患者的观点。这与当代的方法是一致的，这些方法强调更多共享决策机会，并赋予有精神健康问题的人权力。因此，我们的发现强调了基础医学教育需要将这些概念纳入他们的课程，并制定战略，提供关于它们的更有意义的讨论。
The conceptualisation of recovery in mental healthcare, for which two definitions (‘clinical’ and ‘personal’) prevail, remains inconclusive. In most curricula of medical education, undergraduates are taught straightforward concepts of clinical recovery, which result in their perfunctory and rudimentary understanding. A qualitative descriptive approach was adopted to explore medical undergraduates’ perceptions of recovery for people with mental health conditions. Participants were recruited from a Singapore-based university through convenience sampling; the required sample size was determined by data saturation. Individual face-to-face interviews were conducted through Zoom, an online conferencing platform using semi-structured questions from March to July 2021. Recordings of the interviews were transcribed verbatim and thematically analysed. The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist guided the reporting of this study. Seventeen medical students with the majority (fifteen) of them in their fourth year of medical undergraduate education participated in this study. Four themes were identified: the relationship between mental illnesses and well-being; opinions on mental well-being; understanding of mental illnesses; and perceptions of recovery from mental illnesses. The medical undergraduates in this study predominantly conceptualised recovery based on functions, although many also agreed on respecting patients’ perspectives in defining it. This aligns with contemporary approaches that emphasise more shared decision-making opportunities and empowering people with mental health conditions. Accordingly, our findings highlighted the need for foundational medical education to incorporate these constructs in their curricula and strategise to provide more meaningful discussions about them.
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