PSYCHO-EMOTIONAL STATE, CHOICE, AND IMAGE PERCEPTION OF THE PROFESSION AMONG STUDENTS OF HIGHER MEDICAL EDUCATION IN THE 1ST YEAR OF STUDY UNDER THE CONDITIONS OF SOCIAL AND POLITICAL CHANGES
DOI:
https://doi.org/10.37406/2521-6449/2024-2-9Keywords:
higher education, higher medical education, students of higher medical education, doctor's profession, choice of doctor's profession, image of a doctor, psycho-emotional stateAbstract
The article presents the results of the study of the psycho-emotional state, circumstances, and awareness of the choice of profession by students of higher medical education in the 1st year of study at the Odesa National Medical University. The relevance of the work is determined by the living conditions of the population of Ukraine, which affected the physical and mental health of people and the quality of life. The purpose of the study is to find out the psycho-emotional state of first-year students (year of entry: 2022) who made their professional choice in the conditions of socio-political changes and to analyze the influence of the latter on the choice of profession, its image, and the desire to continue studying. In order to achieve the goal, a survey of students of the "Medicine" specialty was conducted using the author's questionnaire and questionnaires PSS-10 (Cohen S. et al., 1983) and PHQ-4 (Kroenke K. et al., 2009). The author's questionnaire about the choice and image of the doctor's profession allowed to obtain information about the awareness of the choice of profession; changes in the perception of the image of the profession, in the desire to become a doctor, and in motivation; factors that prompted the choice of a medical specialty; satisfaction with the profession; difficulties faced by students during the first year of study. Results of the PSS-10 and PHQ-4 questionnaires revealed a predominance of medium stress levels and the presence of moderate and high levels of depression and anxiety. It was established that, despite negative changes in the psychoemotional state, students of higher medical education in the 1st year of study generally remain satisfied with the chosen specialty and the image of the profession. A high percentage of conscious choice of profession was noticed, and also that, despite various problems in education, the desire to become doctors has increased in the vast majority of respondents. The identification of a group of students who have lost motivation to study and are disappointed in their decision is a reason for higher education institution to intensify the work of psychological services and popularization activities on the topic of the doctor's image. It was concluded that the monitoring of the professional orientations of the students is important in the establishment of the pedagogical process in the institution of higher medical education.
References
Боднар П. Я., Беденюк А. Д., Боднар Т. В., Боднар Л. П. Парадигма вищої медичної освіти в умовах війни та глобальних викликів XXІ століття. Академічні візії. 2022. Вип. 14. С. 1–8. DOI: 10.5281/zenodo.7508256
«Вища освіта в умовах війни очима студентів». Опитування на замовлення Школи політичної аналітики НаУКМА. 9 вересня 2022 р. URL: https://bit.ly/3L4LraE
Гусакова І. В., Коновалов С. В., Хмель Л. Л. Депресія, тривога та стрес (за результатами тесту DASS-21) у студентів Вінницького національного медичного університету ім. М. І. Пирогова. Вісник Вінницького національного медичного університету. 2023. Т. 27. № 1. С. 17–21. DOI: 10.31393/reports-vnmedical-2023-27(1)-03
Захаров С. В., Русакова О. О., Смольянова О. В. Мотиваційно-емоційні аспекти вибору професії лікаря вступниками медичного закладу вищої освіти. Медична освіта. 2023. № 1. С. 35–41. DOI: 10.11603/m.2414-5998.2023.1.13564
Левченко М., Феденько С., Форостян Ф. Особливості соціальної адаптації здобувачів вищої освіти до освітнього процесу в умовах воєнного стану. Актуальні питання гуманітарних наук. 2022. Вип. 52. Т. 2. С. 185–192. DOI: 10.24919/2308-4863/52-2-28
Скрипник І. М., Приходько Н. П., Шапошник О. А. Медична освіта в умовах війни: досвід Полтавського державного медичного університету. Медична освіта. 2022. № 3. С. 60–64. DOI: 10.11603/m.2414-5998.2022.3.13191
Alotiby A. The Correlation between Stress Levels among Undergraduate Medical Students and Their Motivation for Studying Medicine. Education Research International. 2022. Article ID 1605435. Р. 1–5. DOI: 10.12669/pjms.39.5.7211.
The Prevalence and Associated Factors of Academic Stress among Medical Students of King Khalid University: An Analytical Cross-Sectional Study / Al-Shahrani M. M., Alasmri B. S., Al-Shahrani R. M. et al. Healthcare. 2023. № 11. Р. 1–16. DOI: 10.3390/healthcare11142029.
Cohen S., Kamarck T., Mermelstein R. A global measure of perceived stress. Journal of Health and Social Behavior. 1983. Vol. 24. № 4. Р. 385–396. DOI: 10.2307/2136404.
Burnout, depression and anxiety among Swiss medical students – A network analysis / Ernst J., Jordan K.-D., Weilenmann S. et al. Journal of Psychiatric Research. 2021. Vol. 143. Р. 196–201. DOI: 10.1016/j.jpsychires.2021.09.017
Iqbal S., Gupta, S., Venkatarao E. Stress, anxiety & depression among medical undergraduate students & their sociodemographic correlates. Indian J Med Res. 2015. Vol. 141. № 3. Р. 354–357. DOI: 10.4103/0971-5916.156571.
Kroenke K., Spitzer R.L., Williams J.B., Löwe B. An ultra-brief screening scale for anxiety and depression: the PHQ–4. Psychosomatics. 2009. Vol. 50. № 6. Р. 613–621. DOI: 10.1176/appi.psy.50.6.613.
Medical education in times of war: a mixed‑methods needs analysis at Ukrainian medical schools / Mayer A., Yaremko О., Shchudrova Т. et al. BMC Medical Education. 2023. Vol. 23. Р. 1–12. DOI: 10.1186/s12909-023-04768-2.
The influence of excessive stress on medical students in the Czech Republic – national sample / Palička M., Rybář M., Mechúrová B. et al. BMC Med Educ. 2023. Vol. 23. P. 1-9. DOI: 10.1186/s12909-023-04157-9.
Philip S., Molodynski A., Barklie L. et al. Psychological well-being and burnout amongst medical students in India: a report from a nationally accessible survey. Middle East Curr Psychiatry. 2021. Vol. 28. № 1. P. 1–6. DOI:10.1186/s43045-021-00129-1.
Picton A., Greenfield Sh., Parry J. Why do students struggle in their first year of medical school? A qualitative study of student voices. BMC Medical Education. 2022. Vol. 22. Р. 1–13. DOI: 10.1186/s12909-022-03158-4.
Takoutsing B. D., Găma, M.-A., Puyana J. C., Bonilla-Escobar F. J. The Silent Casualties: War’s Impact on Medical Students and Medical Education. International Journal of Medical Students. 2023. Vol. 11. № 4. Р. 254–258. DOI:10.5195/ijms.2023.2476.
Prevalence of mental health problems among medical students in China: A meta-analysis / Zeng W., Chen R., Wang X. et al. Medicine. 2019. Vol. 98. № 18. DOI: 10.1097/MD.0000000000015337.
