An exploration of the learning environment and career intentions: a mixed methods study of paediatric interns at KwaZulu-Natal.
Loading...
Date
2018
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
ABSTRACT
Background:
Globally, there is increased pressure on health professions education to be responsive to inequities in
health care. These imperatives are clearly evident in KwaZulu-Natal (KZN) with its high disease
burden. Poor doctor to patient ratios here are exacerbated by migration of medical practitioners to
urban areas, private practice and developed countries. South Africa’s two–year internship aims at
producing primary health care clinicians for the public health system. Gaps in knowledge of internship
and intern career intentions, in resource challenged contexts, have translated to the failure by both
higher education authorities and national health departments to include the internship period in
strategies, to ensure that the inequities in health care are addressed.
IQOQA
Isendlalelo:
Emhlabeni jikelele, kunengcindezi eyengeziwe emfundweni yobungcweti bezempilo ukuze iphendule
ukungalingani ekunakekelweni kwezempilo. Lezi zidingo zibonakala ngokusobala KwaZulu-Natal
(KZN) nomthwalo onzima wezifo. Izilinganiso zikadokotela nesiguli ezingezinhle lapha zenziwa zibe
zimbi nakakhulu ukuthuthela kodokotela ezindaweni zasemadolobheni, ezindaweni ezizimele kanye
namazwe athuthukile. I-internship yaseNingizimu Afrikha yeminyaka emibili ihlose ukukhiqiza
odokotela bokunakekelwa kwezempilo okuyisisekelo ohlelweni lwezempilo lukahulumeni. Ukushoda
olwazini lwe-internship kanye nezinhloso zemisebenzi yabafundi abasaqeqeshwa, ezimweni
ezinenselelo yezinsiza, kuguqule ukwehluleka kwazo zombili iziphathimandla zemfundo ephakeme
kanye neminyango yezempilo kazwelonke ukufaka isikhathi sokufundela umsebenzi amasu, ukuze
kuqinisekiswe ukuthi ukungalingani ekunakekelweni kwezempilo kuyaxazululwa.
Umgomo:
Lolu cwaningo lokuhlola lusebenzise indlela yokusebenza exubile ukuhlola izici ezithonya imibono
ngendawo yokufunda (LE) phakathi ne-internship kanye nomthelela wazo ezinjongweni zomsebenzi.
Izindlela:
Ucwaningo lusebenzise umdwebo wombono womhlaba we-social constructivist kumklamo wezindlela
ezixubile ezichazayo ezilandelanayo ukuze kuqondwe ukwakhiwa kwe-LE nomthelela wayo
ezinjongweni zomsebenzi. Zombili izindlela zobuningi nekhwalithi ezihlanganisa ukuhlola
kusetshenziswa inguqulo eqinisekisiwe yasendaweni ye-Postgraduate Hospital Educational
Environment Measure (PHEEM) kanye nokugxila izingxoxo zamaqembu zakhiwe. Lolu cwaningo
lwenziwa phakathi kwabafundela umsebenzi wokwelapha izingane ezikhungweni ezine zezibhedlela
KwaZulu-Natal ngo-2015. Ithiyori ye-Communities of Practice kanye ne-Social Cognitive Career
Theory yadwetshwa futhi yengezwa ngenjulalwazi ye-alienation kanye nokuzibandakanya ukuze
kwakhiwe uhlaka lomqondo olwazisa abantu. Ihlaziya ubudlelwano phakathi kwemibono ye-LE kanye
nezinhloso zomsebenzi.
Description
Doctoral Degree. University of KwaZulu-Natal, Durban.