Kamar ƙasashe da yawa, Ostiraliya tana fuskantar rashin daidaito a fannin ma'aikatan lafiya na dogon lokaci, inda likitoci kaɗan ne ga kowace ƙasa a yankunan karkara da kuma yanayin ƙwarewa mai zurfi. Longitudinal Integrated Clerkship (LIC) wani tsari ne na ilimin likitanci wanda ya fi sauran tsarin ma'aikatan gwamnati damar samar da waɗanda suka kammala karatun digiri suna aiki a yankunan karkara, waɗanda ke da nisa da kuma a cikin kulawa ta farko. Duk da cewa wannan bayanai masu mahimmanci yana da matuƙar muhimmanci, bayanai na musamman don bayyana wannan lamari ba su da yawa.
Domin magance wannan gibin ilimi, an yi amfani da wata hanyar ginawa wadda aka gina bisa ka'idar inganci don tantance yadda LIC na Jami'ar Deakin ya yi tasiri ga shawarwarin aiki na waɗanda suka kammala karatun digiri (2011-2020) dangane da ƙwarewar likitanci da kuma wurin da ake zaune a ciki.
Tsoffin ɗalibai talatin da tara sun halarci hirarraki masu inganci. An ƙirƙiri tsarin yanke shawara kan aiki na LIC na karkara, wanda ke nuna cewa haɗakar abubuwan da suka shafi mutum da shirye-shirye a cikin babban ra'ayin "zaɓin shiga" na iya yin tasiri ga yanke shawara kan aikin da ɗaliban suka yanke a fannin ƙasa da na sana'a, duka a zahiri da kuma a zahiri. Da zarar an haɗa su cikin aiki, ra'ayoyin ƙwarewar ƙira na koyo da horo a wurin suna ƙara yawan hulɗa ta hanyar ba wa mahalarta damar ƙwarewa da kwatanta fannoni na kiwon lafiya ta hanyar da ta dace.
Tsarin da aka tsara yana wakiltar abubuwan da ke cikin shirin waɗanda ake ganin suna da tasiri a cikin shawarwarin aiki na gaba na waɗanda suka kammala karatun. Waɗannan abubuwan, tare da bayanin manufar shirin, suna ba da gudummawa ga cimma burin ma'aikatan karkara na shirin. Sauyin ya faru ko waɗanda suka kammala karatun suna son shiga cikin shirin ko a'a. Sauyi yana faruwa ta hanyar tunani, wanda ko dai yana ƙalubalantar ko kuma yana tabbatar da ra'ayoyin da waɗanda suka kammala karatun suka riga suka yi tunani game da yanke shawara kan aiki, wanda hakan ke tasiri ga samuwar asalin sana'a.
Kamar ƙasashe da yawa, Ostiraliya na fuskantar rashin daidaito na dogon lokaci a cikin rarraba ma'aikatan kiwon lafiya [1]. Wannan ya bayyana ta hanyar ƙarancin likitoci ga kowane mutum a yankunan karkara da kuma yanayin sauyawa daga kulawa ta farko zuwa kulawa ta musamman [2, 3]. Idan aka haɗa su, waɗannan abubuwan suna yin mummunan tasiri ga lafiya a yankunan karkara, musamman saboda kula da lafiya ta farko shine mabuɗin ma'aikatan kiwon lafiya na waɗannan al'ummomi, ba wai kawai suna ba da ayyukan kiwon lafiya na farko ba har ma da sashen gaggawa da kula da asibiti [4]. [5, 6]. An cimma wannan manufa ne saboda waɗanda suka kammala karatun digiri na farko a yankunan karkara sun fi waɗanda suka kammala karatun digiri na biyu a wasu ma'aikata (gami da masu ɗaukar nauyin aiki a yankunan karkara) damar yin aiki a yankunan karkara, da kuma a yankunan da ke da nisa da kuma a fannin kiwon lafiya na farko [7, 8, 9, 10]. Yadda waɗanda suka kammala karatun digiri na biyu a fannin likitanci ke yin zaɓin aiki an bayyana shi a matsayin tsari mai rikitarwa wanda ya ƙunshi abubuwa da yawa na ciki da waje, kamar zaɓin salon rayuwa da tsarin tsarin kiwon lafiya [11, 12, 13]. Ba a ba da kulawa sosai ga abubuwan da ke cikin horon likitanci na digiri na farko waɗanda ka iya yin tasiri ga wannan tsarin yanke shawara ba.
Ilimin LIC ya bambanta da tsarin da aka saba amfani da shi a cikin tsari da kuma yanayin aiki [5, 14, 15, 16]. Cibiyoyin karkara masu ƙarancin kuɗi galibi suna cikin ƙananan al'ummomin karkara tare da alaƙar asibiti zuwa asibitoci da asibitoci [5]. Babban abin da LIC ke da shi shine manufar "ci gaba," wanda ke sauƙaƙe ta hanyar haɗin kai na dogon lokaci, yana ba ɗalibai damar haɓaka dangantaka ta dogon lokaci tare da masu kulawa, ƙungiyoyin kiwon lafiya, da marasa lafiya [5, 14, 15, 16]. Ɗaliban LIC suna nazarin darussa gaba ɗaya kuma a layi ɗaya, sabanin darussan jere-jere masu iyaka waɗanda ke siffanta juyawa na tubalan gargajiya [5, 17].
Duk da cewa bayanai masu yawa game da ma'aikatan LIC suna da matuƙar muhimmanci wajen tantance sakamakon shirin, akwai rashin takamaiman shaida da za ta bayyana dalilin da ya sa waɗanda suka kammala karatun LIC a yankunan karkara suka fi yin aiki a yankunan karkara da kuma wuraren kula da lafiya na farko idan aka kwatanta da waɗanda suka kammala karatun daga wasu nau'ikan ma'aikatan jinya [8, 18]. Brown et al (2021) sun gudanar da wani bita kan ƙirƙirar asalin sana'a a ƙasashe masu ƙarancin kuɗi (birane da karkara) kuma sun ba da shawarar cewa ana buƙatar ƙarin bayani kan abubuwan da ke sauƙaƙa aikin ƙananan kuɗi don samar da haske game da hanyoyin da ke tasiri ga shawarwarin waɗanda suka kammala karatun game da aiki [18]. Bugu da ƙari, akwai buƙatar fahimtar zaɓin aikin waɗanda suka kammala karatun LIC, tare da jan hankalin su bayan sun zama likitoci masu ƙwarewa suna yanke shawara kan ƙwararru, kamar yadda bincike da yawa suka mayar da hankali kan ra'ayoyi da manufofin ɗalibai da ƙananan likitoci [11, 18, 19].
Zai zama abin sha'awa a yi nazarin yadda shirye-shiryen karkara na LIC ke tasiri ga yanke shawara kan aikin da waɗanda suka kammala karatun suka yanke game da ƙwarewar likitanci da wurin da ake bi. An yi amfani da tsarin ka'idar gini don amsa tambayoyin bincike da kuma haɓaka tsarin tunani wanda ke bayyana abubuwan da ke cikin aikin ma'aikata waɗanda suka yi tasiri ga wannan tsari.
Wannan aikin ka'idar ginawa ce mai inganci. An gano wannan a matsayin hanyar ka'idar da ta fi dacewa saboda (i) ta fahimci dangantakar da ke tsakanin mai bincike da mahalarta wanda ya samar da tushen tattara bayanai, wanda ɓangarorin biyu suka gina tare (ii) an ɗauke shi a matsayin hanyoyin da suka dace don binciken adalci na zamantakewa. , misali, rarraba albarkatun lafiya daidai, kuma (iii) yana iya bayyana wani abu kamar "abin da ya faru" maimakon kawai bincika da bayyana shi [20].
An bayar da digirin Doctor of Medicine (MD) na Jami'ar Deakin (wanda a da yake digirin farko ne a fannin likitanci/bachelor of Surgery) a shekarar 2008. Digirin Doctor of Medicine shiri ne na shekaru huɗu na kammala karatun digiri na biyu wanda ake bayarwa a birane da karkara, musamman a yammacin Victoria, Ostiraliya. A cewar tsarin rarrabuwar nisa na yanki na Tsarin Monash na Australiya (MMM), wuraren karatun MD sun haɗa da MM1 (yankunan birni), MM2 (cibiyoyin yanki), MM3 (manyan garuruwan karkara), MM4 (matsakaicin garuruwan karkara) da MM5 (ƙananan garuruwan karkara) )[21].
An gudanar da shekaru biyu na farko na matakin farko na asibiti (bayanin likita) a Geelong (MM1). A cikin shekaru na uku da na huɗu, ɗalibai suna yin horo na asibiti (aikin ƙwararru a fannin likitanci) a ɗaya daga cikin makarantu biyar na asibiti a Geelong, Eastern Health (MM1), Ballarat (MM2), Warrnambool (MM3) ko shirin LIC – Makarantun Asibitin Al'umma na Karkara (RCCS); , wanda aka sani a hukumance da Shirin IMMERSE (MM3-5) har zuwa 2014 (Hoto na 1).
RCCS LIC tana ɗaukar kimanin ɗalibai 20 kowace shekara suna aiki a yankin Grampians da yankin Kudu maso Yammacin Victoria a lokacin shekararsu ta uku ta MD. Hanyar zaɓen ta kasance ta hanyar tsarin fifiko inda ɗalibai ke zaɓar makarantar asibiti a shekararsu ta biyu. Shirin yana karɓar ɗalibai masu fifiko iri-iri daga na farko zuwa na biyar. Sannan ana rarraba takamaiman birane bisa ga fifikon ɗalibai da kuma yin hira. Ana rarraba ɗalibai a birane galibi a cikin ƙungiyoyin mutane biyu zuwa huɗu.
Ɗalibai suna aiki tare da likitocin dabbobi da kuma hukumomin kiwon lafiya na karkara, tare da babban likitan dabbobi (GP) a matsayin babban mai kula da su.
Masu bincike guda huɗu da suka shiga cikin wannan binciken sun fito ne daga asali da ayyuka daban-daban, amma suna da sha'awa iri ɗaya a fannin ilimin likitanci da kuma rarraba ma'aikatan likitanci daidai gwargwado. Idan muka yi amfani da ka'idar ginawa, muna la'akari da tarihinmu, gogewarmu, iliminmu, imani da abubuwan da muke so don yin tasiri ga ci gaban tambayoyin bincike, tsarin yin hira, nazarin bayanai, da gina ka'ida. JB mai bincike ne kan lafiyar karkara tare da gogewa a fannin binciken inganci, yana aiki a LIC kuma yana zaune a yankin karkara na yankin horo na LIC. LF ƙwararren mai ilimin hanyoyin kwantar da hankali ne kuma darektan asibiti na shirin LIC a Jami'ar Deakin kuma yana da hannu wajen koyar da ɗaliban LIC. MB da HB masu bincike ne na karkara waɗanda ke da gogewa wajen aiwatar da ayyukan bincike masu inganci da zama a yankunan karkara a matsayin wani ɓangare na horon LIC ɗinsu.
An yi amfani da sassauci da ƙwarewar mai binciken don fassara da nemo ma'ana daga wannan tarin bayanai masu yawa. A duk tsawon tsarin tattara bayanai da nazarin bayanai, an yi tattaunawa akai-akai, musamman tsakanin JB da MB. HB da LF sun ba da tallafi a duk tsawon wannan tsari da kuma ta hanyar haɓaka ra'ayoyi da ka'idoji masu ci gaba.
Mahalarta taron sun kasance waɗanda suka kammala karatun likitanci na Jami'ar Deakin (2011–2020) waɗanda suka halarci LIC. Ma'aikatan ƙwararru na RCCS sun aika da gayyatar shiga cikin binciken ta hanyar saƙon tes na ɗaukar ma'aikata. An nemi mahalarta da ke sha'awar su danna hanyar haɗin rajista su kuma ba da cikakkun bayanai ta hanyar binciken Qualtrics [22], wanda ke nuna cewa (i) sun karanta wata sanarwa mai sauƙi wadda ke bayyana manufar binciken da buƙatun mahalarta, kuma (ii) suna son shiga cikin bincike. waɗanda masu binciken suka tuntube su don shirya lokacin da ya dace don yin tambayoyi. An kuma rubuta wurin da ayyukan mahalarta suka kasance.
An gudanar da daukar ma'aikata a matakai uku: mataki na farko ga wadanda suka kammala karatun digiri na 2017–2020, mataki na biyu ga wadanda suka kammala karatun digiri na 2014–2016, da kuma mataki na uku ga wadanda suka kammala karatun digiri na 2011–2013 (Hoto na 2). Da farko, an yi amfani da samfurin gwaji mai ma'ana don tuntuɓar waɗanda suka kammala karatun da ke da sha'awar da kuma tabbatar da bambancin aiki. Wasu daga cikin waɗanda suka kammala karatun da farko sun nuna sha'awar shiga cikin binciken ba a yi musu tambayoyi ba saboda ba su amsa buƙatar mai binciken na ɗan lokaci don a yi musu tambayoyi ba. Tsarin daukar ma'aikata mai tsari ya ba da damar yin amfani da tsarin tattara bayanai da nazari akai-akai, wanda ke tallafawa daukar samfurin nazari, ci gaban tunani da tsaftacewa, da kuma samar da ka'ida [20].
Tsarin ɗaukar ma'aikata. Waɗanda suka kammala karatun LIC sun kasance mahalarta a cikin Shirin Haɗakar Ma'aikatan Dogon Lokaci. Samfurin da aka yi amfani da shi wajen ɗaukar ma'aikata yana nufin ɗaukar ma'aikata daban-daban.
Masu bincike JB da MB ne suka gudanar da hirar. An sami amincewar baki daga mahalarta kuma an yi rikodin sauti kafin fara hirar. An fara samar da jagorar hira mai tsari da kuma binciken da ke da alaƙa don jagorantar tsarin hirar (Tebur 1). Daga baya an sake duba littafin kuma an gwada shi ta hanyar tattara bayanai da bincike don haɗa umarnin bincike tare da haɓaka ka'ida. An gudanar da hirar ta wayar tarho, an yi rikodin sauti, an rubuta shi da kalma, sannan aka ɓoye sunansa. Tsawon lokacin hirar ya kama daga mintuna 20 zuwa 53, tare da matsakaicin tsawon mintuna 33. Kafin nazarin bayanai, an aika wa mahalarta kwafin bayanan hirar don su iya ƙara ko gyara bayanai.
An ɗora kwafin hirar a cikin kunshin software na QSR NVivo sigar 12 (Lumivero) don Windows don ƙara wa nazarin bayanai [23]. Masu bincike JB da MB sun saurari, sun karanta, kuma sun rubuta kowace hira daban-daban. Sau da yawa ana amfani da rubuta bayanin kula don yin rikodin tunani na yau da kullun game da bayanai, lambobi, da nau'ikan ka'idoji [20].
Tattara bayanai da bincike suna faruwa a lokaci guda, inda kowane tsari ke sanar da ɗayan. An yi amfani da wannan hanyar kwatantawa akai-akai a duk matakan nazarin bayanai. Misali, kwatanta bayanai da bayanai, wargazawa da kuma gyara lambobin don haɓaka ƙarin jagororin bincike daidai da haɓaka ka'ida [20]. Masu bincike JB da MB suna haɗuwa akai-akai don tattauna lambar farko da kuma gano wuraren da aka fi mayar da hankali a kai yayin tsarin tattara bayanai na maimaitawa.
Lambar coding ta fara ne da lambar farko ta layi-layi inda aka "rushe" bayanan kuma aka sanya lambobin buɗewa waɗanda suka bayyana ayyukan da hanyoyin da ke da alaƙa da "abin da ke faruwa" a cikin bayanan. Mataki na gaba na lambar coding shine lambar tsaka-tsaki, inda ake sake duba lambobin layi-layi, kwatanta su, nazarin su, da kuma fahimtar su tare don tantance waɗanne lambobin ne suka fi ma'ana a fannin nazari don rarraba bayanan [20]. A ƙarshe, ana amfani da lambar ka'ida mai faɗi don gina ka'ida. Wannan ya ƙunshi tattaunawa da amincewa kan halayen nazarin ka'idar a duk faɗin ƙungiyar bincike, don tabbatar da cewa ta bayyana abin da ke faruwa a sarari.
An tattara bayanan alƙaluma ta hanyar yin bincike mai yawa a yanar gizo kafin kowace hira don tabbatar da cewa mahalarta sun sami damar shiga da kuma ƙara wa nazarin inganci. Bayanan da aka tattara sun haɗa da: jinsi, shekaru, shekarar kammala karatun, asalin ƙauye, wurin aiki a yanzu, ƙwararren likita, da kuma wurin da makarantar likitanci ta shekara ta huɗu take.
Binciken ya nuna ci gaban tsarin tunani wanda ke nuna yadda LIC na yankunan karkara ke tasiri ga yanke shawara kan yanayin aiki da kuma yanayin aiki na waɗanda suka kammala karatun.
Wadanda suka kammala karatun digiri na LIC guda talatin da tara sun shiga cikin binciken. A takaice, kashi 53.8% na mahalarta mata ne, kashi 43.6% daga yankunan karkara ne, kashi 38.5% sun yi aiki a yankunan karkara, kuma kashi 89.7% sun kammala wani kwas ko horo na likitanci (Tebur na 2).
Wannan tsarin yanke shawara kan aiki na LIC na karkara ya mayar da hankali kan abubuwan da ke cikin shirin LIC na karkara wanda ke tasiri ga yanke shawara kan aikin da masu digiri suka yi, yana nuna cewa haɗuwa da abubuwan da suka shafi mutum ɗaya da shirye-shirye a cikin babban manufar "zaɓin shiga" na iya yin tasiri ga yanayin wurin da masu digiri suka yi karatu. a matsayin shawarwarin aiki na ƙwararru, ko dai shi kaɗai ne ko kuma haɗin gwiwa (Hoto na 3). Abubuwan da aka gano na inganci masu zuwa sun bayyana abubuwan da ke cikin tsarin kuma sun haɗa da ambato daga mahalarta don nuna abubuwan da ke tattare da shi.
Ana kammala ayyukan makarantar asibiti ta hanyar tsarin fifiko, don haka mahalarta za su iya zaɓar shirye-shirye daban-daban. Daga cikin waɗanda suka zaɓi shiga bisa ga suna, akwai ƙungiyoyi biyu na waɗanda suka kammala karatun: waɗanda suka zaɓi shiga cikin shirin da gangan (wanda suka zaɓa da kansu), da waɗanda ba su zaɓa ba amma aka tura su zuwa RCCS. Wannan yana bayyana a cikin ra'ayoyin aiwatarwa (rukunin ƙarshe) da tabbatarwa (rukunin farko). Da zarar an haɗa su cikin aiki, ra'ayoyin ƙwarewar koyo da horarwa a wurin suna ƙara yawan hulɗa ta hanyar ba wa mahalarta damar ƙwarewa da kwatanta fannoni na kiwon lafiya ta hanyar da ta dace.
Ko da kuwa matakin zaɓen kansu ne, mahalarta taron sun kasance masu kyakkyawan fata game da gogewarsu kuma sun bayyana cewa LIC shekara ce ta koyo wadda ba wai kawai ta gabatar da su ga yanayin asibiti ba, har ma ta samar musu da ci gaba a karatunsu da kuma tushe mai ƙarfi ga ayyukansu. Ta hanyar haɗakar hanyar isar da shirin, sun koyi game da rayuwar karkara, likitancin karkara, ayyukan gabaɗaya da fannoni daban-daban na likitanci.
Wasu mahalarta taron sun ba da rahoton cewa da ba su halarci shirin ba kuma suka kammala dukkan horon a wani yanki na babban birni, da ba su taɓa tunanin ko fahimtar yadda za su biya buƙatunsu na kashin kansu da na ƙwararru a yankunan karkara ba. Wannan a ƙarshe yana haifar da haɗuwar abubuwan da suka shafi kansu da na ƙwararru, kamar nau'in likitan da suke burin zama, al'ummar da suke son yin aiki a ciki, da kuma fannoni na rayuwa kamar samun damar shiga muhalli da kuma samun damar shiga rayuwar karkara.
A gare ni, da na zauna a X [ma'aikatar birni] ko wani abu makamancin haka, to da mun zauna a wuri ɗaya kawai, ban tsammanin mu (abokan hulɗa) za mu yi hakan ba, wannan tsalle (akan aiki a yankunan karkara) ba za a matsa masa lamba ba (mai rijistar aikin gabaɗaya, aikin karkara).
Shiga cikin shirin yana ba da dama don yin tunani da kuma tabbatar da niyyar waɗanda suka kammala karatun digiri na yin aiki a yankunan karkara. Wannan sau da yawa yana faruwa ne saboda kun girma a yankunan karkara kuma kuna da niyyar yin aikin horo a wuri ɗaya bayan kammala karatun. Ga waɗanda suka fara shirin shiga aikin gabaɗaya, ya kuma bayyana cewa ƙwarewarsu ta cika tsammaninsu kuma ta ƙarfafa jajircewarsu na bin wannan hanyar.
Kasancewar (a LIC) ya ƙarfafa abin da na yi tunanin shi ne abin da na fi so kuma hakan ya tabbatar da yarjejeniyar kuma ban ma yi tunanin neman aikin metro a shekarar aikina ba ko ma na yi tunani a kai. game da aiki a metro (likitan tabin hankali, asibitin karkara).
Ga wasu kuma, shiga cikin lamarin ya tabbatar da cewa rayuwar karkara/lafiya ba ta biya buƙatunsu na kashin kansu da na sana'a ba. Kalubalen da mutum ɗaya ke fuskanta yana haifar da nisanta daga dangi da abokai, da kuma samun damar yin ayyuka kamar ilimi da kula da lafiya. Sun ɗauki yawan aikin da likitocin karkara ke yi a matsayin abin da ke hana su yin aiki.
Manajan birnina koyaushe yana hulɗa da ni. Saboda haka, ina ganin wannan salon rayuwa bai dace da ni ba (likitan yara a wani asibiti na babban birnin).
Damar tsara karatu da tsarin ilmantarwa na ɗalibai suna tasiri ga yanke shawara kan aiki. Muhimman abubuwan da ke cikin ci gaba da haɗin kai na LIC suna ba wa mahalarta 'yancin kai da damammaki iri-iri don shiga cikin kulawa da marasa lafiya, haɓaka ƙwarewa, da kuma sauƙaƙe gano da kwatanta nau'ikan ayyukan likitanci a ainihin lokaci waɗanda suka dace da buƙatunsu na kansu da na ƙwararru.
Saboda ana koyar da darussan likitanci a cikin kwas ɗin sosai, mahalarta suna da babban matakin cin gashin kansu kuma suna iya jagorantar kansu da kuma samun damar koyo nasu. 'Yancin kai na mahalarta yana ƙaruwa a tsawon shekara yayin da suke samun fahimta da aminci a cikin tsarin shirin, suna samun damar shiga cikin zurfafa bincike kan kansu a wurare daban-daban na asibiti. Wannan ya ba mahalarta damar kwatanta fannoni na likitanci a ainihin lokaci, yana nuna sha'awarsu ga takamaiman fannoni na asibiti waɗanda galibi suke zaɓa a matsayin ƙwarewa.
A RCCS, za ka fuskanci waɗannan manyan fannoni da wuri, sannan ka sami ƙarin lokaci don mai da hankali kan batutuwan da kake sha'awarsu, don haka ba shakka ɗaliban metro da yawa ba su da sassaucin zaɓar lokacinsu da wurinsu. A gaskiya ma, ina zuwa asibiti kowace rana… wanda ke nufin zan iya ɓatar da ƙarin lokaci a ɗakin gaggawa, ƙarin lokaci a ɗakin tiyata, da kuma yin abin da na fi sha'awa (likitan maganin sa barci, aikin karkara).
Tsarin shirin yana bawa ɗalibai damar haɗuwa da marasa lafiya marasa bambanci yayin da suke samar da matakin 'yancin kai mai aminci don samun tarihin asibiti, haɓaka ƙwarewar tunani na asibiti, da kuma gabatar da tsarin ganewar asali da magani ga likitan. Wannan ikon cin gashin kai ya bambanta da juyawar komawa zuwa toshe a shekara ta huɗu, lokacin da ake jin cewa akwai ƙarancin damar yin tasiri ga marasa lafiya marasa bambanci kuma akwai komawa ga aikin kulawa. Misali, wani ɗalibi ya lura cewa da ace ƙwarewarsu ta asibiti kawai a aikace ta kasance juyawa ta shekara ta huɗu mai iyaka, wanda ya bayyana a matsayin mai lura, da bai fahimci faɗin aikin gabaɗaya ba kuma ya ba da shawarar neman horo a wani fanni.
Kuma ban sami wata kyakkyawar gogewa ba kwata-kwata (na juya tubalan GP). Don haka, ina jin cewa da ace wannan shine kawai gogewata a aikin gabaɗaya, wataƙila zaɓin aikina da ya bambanta… Ina jin kamar ɓata lokaci ne kawai yayin da nake lura da (GP, aikin karkara) yadda wannan wurin aiki yake.
Haɗin kai na tsawon lokaci yana bawa mahalarta damar haɓaka dangantaka mai ɗorewa da likitoci waɗanda ke aiki a matsayin masu ba da shawara da kuma abin koyi. Mahalarta suna neman likitoci sosai kuma suna ɓatar da lokaci mai tsawo tare da su saboda dalilai daban-daban, kamar lokaci da goyon bayan da suka bayar, horo kan ƙwarewa, samuwa, sha'awar tsarin aikinsu, da halayensu da dabi'unsu. Dacewa da kai ko wasu. Sha'awar haɓaka. Masu koyi/jagorori ba wai kawai an sanya mahalarta a ƙarƙashin kulawar babban likita ba, har ma da wakilai daga fannoni daban-daban na likitanci, gami da likitoci, likitocin fiɗa da masu ba da maganin sa barci.
Akwai abubuwa da yawa. Ina wurin X (wurin LIC). Akwai wani likitan maganin sa barci wanda ke kula da ICU a kaikaice, ina tsammanin ya kula da ICU a asibitin X (ƙarami) kuma yana da halin nutsuwa, yawancin likitocin maganin sa barci da na haɗu da su suna da halin natsuwa game da yawancin abubuwa. Wannan halin da ba za a iya jurewa ba ne ya burge ni sosai. (likitan maganin sa barci, likitan birni)
An bayyana fahimtar juna tsakanin rayuwar likitoci ta ƙwararru da ta mutum a matsayin abin da ke ba su haske mai mahimmanci game da salon rayuwarsu kuma an yi imanin cewa yana ƙarfafa mahalarta su bi irin wannan hanyoyin. Akwai kuma fahimtar rayuwar likita, wanda aka samo daga ayyukan zamantakewa na gida.
A duk tsawon shekara, mahalarta suna haɓaka ƙwarewar asibiti, ta mutum da ta ƙwararru ta hanyar damar koyo ta hannu da aka bayar ta hanyar dangantaka da likitoci, marasa lafiya da ma'aikatan kiwon lafiya. Ci gaban waɗannan ƙwarewar asibiti da sadarwa sau da yawa ya ƙunshi wani yanki na musamman na asibiti, kamar maganin gabaɗaya ko maganin sa barci. Misali, a lokuta da yawa, ƙwararrun likitocin sa barci da likitocin sa barci na gabaɗaya sun bayyana ci gaban ƙwarewarsu ta asali a fannin tun daga shekarar LIC ɗinsu, da kuma ingancin kansu da suka haɓaka lokacin da aka gane ƙwarewarsu ta ci gaba kuma aka ba su lada. Wannan jin daɗin zai ƙarfafa tare da horo na gaba. kuma za a sami damar ci gaba da ci gaba.
Abin sha'awa ne kwarai da gaske. Dole ne in yi amfani da intubation, maganin sa barci na kashin baya, da sauransu, kuma bayan shekara mai zuwa zan kammala gyaran jiki… horar da maganin sa barci. Zan zama likitan sa barci na gaba ɗaya kuma ina tsammanin wannan shine mafi kyawun ɓangaren gogewata na aiki a can (tsarin LIC) (mai rijistar maganin sa barci na gaba ɗaya, aiki a yankin karkara).
An bayyana horo ko yanayin aiki a wurin a matsayin wanda ke da tasiri ga shawarwarin aikin mahalarta. An bayyana wurare a matsayin haɗuwa da wuraren karkara, asibitoci na gabaɗaya, asibitoci na karkara da takamaiman wuraren asibiti (misali gidajen motsa jiki) ko wurare. Ra'ayoyi da suka shafi wuri, gami da jin daɗin al'umma, jin daɗin muhalli, da nau'in fallasa ga asibiti, sun rinjayi shawarar mahalarta na yin aiki a yankunan karkara da/ko kuma a fannin aikin gabaɗaya.
Jin daɗin al'umma ya rinjayi shawarar mahalarta na ci gaba da yin aiki a gabaɗaya. Abin da ke jan hankalin aikin gabaɗaya a matsayin sana'a shi ne cewa yana ƙirƙirar yanayi mai kyau tare da ƙaramin matsayi inda mahalarta za su iya mu'amala da kuma lura da masu aikin da likitocin da ke jin daɗin aikinsu da kuma samun gamsuwa daga aikinsu.
Mahalarta taron sun kuma fahimci muhimmancin gina dangantaka da al'ummar marasa lafiya. Ana samun gamsuwa ta mutum da ta sana'a ta hanyar sanin marasa lafiya da kuma haɓaka dangantaka mai ci gaba a tsawon lokaci yayin da suke bin hanyarsu, wani lokacin kawai a aikace, amma sau da yawa a wurare daban-daban na asibiti. Wannan ya bambanta da fifikon da ba su da kyau ga kulawa ta lokaci-lokaci, kamar a sassan gaggawa, inda ƙila ba za a sami madaidaitan sakamakon bin diddigin marasa lafiya ba.
Don haka, hakika za ka san marasa lafiyarka, kuma ina tsammanin a zahiri, wataƙila abin da na fi so game da zama likitan mata shi ne dangantakar da ke ci gaba da kasancewa da marasa lafiyarka… da kuma gina wannan alaƙar da su, kuma ba wani lokacin a asibitoci da sauran fannoni ba, za ka iya… ka gan su sau ɗaya ko biyu, kuma sau da yawa ba za ka sake ganin su ba (likitan mata, asibitin birni).
Bayyanar da aka yi wa aikin tiyata da kuma shiga cikin shawarwari iri ɗaya ya ba mahalarta fahimtar faɗin maganin gargajiya na ƙasar Sin a fannin aikin tiyata gabaɗaya, musamman a fannin aikin tiyata na karkara. Kafin su zama masu horo, wasu mahalarta sun yi tunanin za su iya shiga aikin tiyata gabaɗaya, amma mahalarta da yawa waɗanda daga ƙarshe suka zama likitocin gaggawa sun ce da farko ba su da tabbas ko wannan aikin tiyatar ita ce zaɓin da ya dace a gare su, suna jin cewa yanayin aikin tiyatar bai yi ƙasa sosai ba don haka ba za su iya ci gaba da sha'awarsu ta aiki a nan gaba ba.
Bayan na yi aikin likitan mata a matsayin ɗalibi mai zurfi, ina tsammanin wannan shine karo na farko da na fara ganin likitocin mata daban-daban kuma na yi tunanin yadda wasu marasa lafiya ke da ƙalubale, nau'ikan marasa lafiya da kuma yadda likitocin mata (GP) ke da ban sha'awa, aikin jari-hujja).
Lokacin Saƙo: Yuli-31-2024