PDF(Pubmed)
Abstract：
UNASSIGNED: Understanding doctors\' health beliefs is essential for developing effective and competent healthcare practices that benefit doctors and their patients. This study aimed to qualitatively explore doctors\' perceptions of on-shift health-protective behaviours and their perceived effects on competence.
UNASSIGNED: The research applied theoretically driven Expanded Health Belief Model (EHBM) enquiry methods to explore beliefs and experiences through an occupational context survey, 14 individual depth interviews, and two focus groups. Semantic and deductive themes associated with EHBM domains were examined, and an inductive thematic analysis of the interviews was conducted.
UNASSIGNED: Doctors\' beliefs were strongly imbued by their perceived identity within the systemic context; they expressed impaired self-efficacy in reacting to their health needs on shift, and several disclosed harm to themselves and patients. Dominant themes included the psychosocial effects of the systemic culture and the influence of the situational occupational context in impacting health-protective behavioural action. The context and implications of experiences during the COVID-19 pandemic are discussed.
UNASSIGNED: This study presents key belief-oriented factors influencing doctors\' health-protective behaviour at work and its implications for competent practice. Further doctor-led guidance on focus points for evidence-based theoretically driven health improvement solutions is provided regarding operational practice, formulating policies, developing interventions and further research.
UNASSIGNED: The research applied theoretically driven Expanded Health Belief Model (EHBM) enquiry methods to explore beliefs and experiences through an occupational context survey, 14 individual depth interviews, and two focus groups. Semantic and deductive themes associated with EHBM domains were examined, and an inductive thematic analysis of the interviews was conducted.
UNASSIGNED: Doctors\' beliefs were strongly imbued by their perceived identity within the systemic context; they expressed impaired self-efficacy in reacting to their health needs on shift, and several disclosed harm to themselves and patients. Dominant themes included the psychosocial effects of the systemic culture and the influence of the situational occupational context in impacting health-protective behavioural action. The context and implications of experiences during the COVID-19 pandemic are discussed.
UNASSIGNED: This study presents key belief-oriented factors influencing doctors\' health-protective behaviour at work and its implications for competent practice. Further doctor-led guidance on focus points for evidence-based theoretically driven health improvement solutions is provided regarding operational practice, formulating policies, developing interventions and further research.
摘要：
了解医生的健康信念对于制定有效和有能力的医疗保健实践，使医生及其患者受益至关重要。这项研究旨在定性地探讨医生对轮班健康保护行为的看法及其对能力的感知影响。
■该研究应用了理论驱动的扩展健康信念模型（EHBM）探究方法，通过职业背景调查来探索信念和经验，14个人深度访谈，和两个焦点小组。研究了与EHBM领域相关的语义和演绎主题，并对访谈进行了归纳主题分析。
■医生的信念在系统背景下被他们的感知身份强烈灌输；他们在轮班时对健康需求做出反应时表现出受损的自我效能感，还有几个人披露了对自己和病人的伤害。主要主题包括系统文化的社会心理影响以及情境职业环境对影响健康保护行为的影响。讨论了COVID-19大流行期间经历的背景和意义。
本研究提出了影响医生工作中健康保护行为的关键信念导向因素及其对有能力的实践的影响。关于操作实践，提供了有关以证据为基础的理论驱动的健康改善解决方案的焦点的进一步医生主导的指导，制定政策,制定干预措施和进一步研究。
■该研究应用了理论驱动的扩展健康信念模型（EHBM）探究方法，通过职业背景调查来探索信念和经验，14个人深度访谈，和两个焦点小组。研究了与EHBM领域相关的语义和演绎主题，并对访谈进行了归纳主题分析。
■医生的信念在系统背景下被他们的感知身份强烈灌输；他们在轮班时对健康需求做出反应时表现出受损的自我效能感，还有几个人披露了对自己和病人的伤害。主要主题包括系统文化的社会心理影响以及情境职业环境对影响健康保护行为的影响。讨论了COVID-19大流行期间经历的背景和意义。
本研究提出了影响医生工作中健康保护行为的关键信念导向因素及其对有能力的实践的影响。关于操作实践，提供了有关以证据为基础的理论驱动的健康改善解决方案的焦点的进一步医生主导的指导，制定政策,制定干预措施和进一步研究。
