摆脱大流行并反思变革：爱尔兰的公共卫生医生

IF 3.9 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health Pub Date : 2025-05-21 DOI:10.1016/j.puhe.2025.105770

Niamh Humphries , Mehmet Ali Icbay , Marie Casey

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引用次数: 0

摘要

本研究旨在深入了解公共卫生医生的工作生活，因为他们在COVID-19大流行和随之而来的（期待已久的）公共卫生改革中所扮演的角色经历了一段巨大的变化。研究设计本研究采用定性研究设计。方法采用一种创新的远程民族志方法（移动即时通讯民族志），介绍13名爱尔兰公共卫生医生的工作相关思考。参与研究的医生是通过社交媒体、项目网站和专业网络上的广告招募的。该方法包括在线深度定性访谈；通过WhatsApp与研究人员进行为期六周的对话，并与参与者进行最后的在线定性访谈。数据收集于2023年6月至8月进行，数据使用MaxQDA进行分析。结果所提供的数据说明了爱尔兰公共卫生医生（N = 13）所经历的重大工作变化。这些变化与引入公共卫生医生顾问地位和公共卫生改革有关。它们还与COVID-19大流行以及爱尔兰卫生系统中公共卫生医生所经历的工作量和工作强度的相关增加有关。结论虽然大多数变化是积极的，例如与大流行有关的对公共卫生医生作用的认识以及随后引入顾问身份，但在相对较短的时间内发生的变化水平仍然显著。正如我们的论文所阐述的，雇佣组织有责任认识到这些变化对公共卫生医生的影响，并确保他们的员工在任何时候都感到受到重视和倾听，特别是在重大变化时期。为了实现这一目标，雇主应该投资于研究知情的干预措施，以改善新的组织结构中公共卫生医生的心理安全和团队文化。

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Emerging from the pandemic and reflecting on change: public health doctors in Ireland

Objectives

This study aimed to generate insights into the working lives of Public Health doctors as they worked through a period of immense change relating to their roles within the COVID-19 pandemic and the (long-anticipated) public health reforms that followed.

Study design

This study used a qualitative study design.

Methods

Using an innovative method of remote ethnography (Mobile Instant Messaging Ethnography), this paper presents the work related reflections of 13 Public Health doctors in Ireland. Participant doctors were recruited to the study via advertising on social media, on the project website and via professional networks. The method involved an online in-depth qualitative interview; a six week conversation with the researcher via WhatsApp and a final online qualitative interview with participants. Data collection was conducted June to August 2023 and the data was analysed using MaxQDA.

Results

The data presented illustrates the significant work-related changes experienced by Public Health doctors (N = 13) in Ireland. These changes related to the introduction of consultant status for Public Health doctors and public health reforms. They also related to the COVID-19 pandemic and the associated increase in workloads and work intensity experienced by public health doctors in the Irish health system.

Conclusion

While most of the changes were positive, for instance the pandemic-related recognition of the role of Public Health doctors and the subsequent introduction of consultant status, the level of change in a relatively short space of time, was nevertheless significant. As our paper illustrates, the onus is on the employing organizations to recognize the impact of these changes on Public Health doctors and to ensure that their employees feel valued and heard at all times, particularly during times of significant change. To achieve this, employers should invest in research-informed interventions to improve psychological safety and team culture for public health doctors within the new organisational structures.

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来源期刊

Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.60

自引率

0.00%

发文量

280

审稿时长

37 days

期刊介绍： Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.