Njengamazwe amaninzi, i-Australia ijongene nokusasazwa okude kwezempilo, kunye noogqirha abambalwa kwiCapita kwiindawo ezisemaphandleni kunye nendlela yokufikelela kwizinto eziphezulu. Ubuqhetseba obucekeceke obuDibeneyo (i-CLAS) yimodeli yemfundo yezonyango enokwenzeka ngakumbi kunezinye iimodeli zobuqhetseba ukuze zivelise izidali ezisebenza emaphandleni, ezisandayo kwaye zisanda. Ngelixa le datha yexabiso ibalulekile, idatha ethile yeprojekthi ukuchaza le phenomenon iyasilela.
Ukujongana nolu gama lolwazi, indlela yolwazi olwenziwe kwimbonakalo yemfundo esetyenziselwa ukugqiba ukuba i-Deaki ixhase njani izigqibo zomsebenzi odibeneyo (ngo-2011 ukuya ku-2020) ngokwendawo yezonyango kunye nendawo.
Amashumi amathathu anesithoba uAlumni athathe inxaxheba kudliwanondlebe olufanelekileyo. Inkqubo yeSigqibo seZigqibo zasemaphandleni iphuhliswa, iphakamisa ukuba indibaniselwano yezinto zobuqu kunye nenkqubo kwimbono ephakathi ye "Ukhetho lokuthatha inxaxheba" linokuxabisa izigqibo zabafundi kunye nezigqibo zomsebenzi, zombini nakwizilonda. Nje ukuba kudityaniswe, ingcinga yezakhono zoyilo zoyilo kunye noqeqesho lwesiza esonyusa ukubandakanyeka kwithuba lokufumana ulwazi kunye nokuthelekisa ukhathalelo lwempilo ngendlela ebaluleke ngayo.
Inkqubo-sikhokelo ephucukileyo imele imixholo yenkqubo ethathwa njengenempembelelo kubantu abaphumeleleyo 'kwizigqibo ezilandelayo zomsebenzi. Ezi zinto, zidityaniswe neNkcazo yeMishini yeNkqubo, igalelo ekufezekiseni iinjongo zenkqubo yasemaphandleni yasezilalini. Inguqu yenzekile ukuba ngaba baphumelele bafuna ukuthatha inxaxheba kwinkqubo okanye hayi. Inguqu yenzekile ngokucamngca, ethi nayiphi na imiceli mngeni okanye ifuna imiceli mngeni okanye iqinisekisa amajoni ofundileyo ngokwenza izigqibo, ngaloo ndlela ekwenza ngayo ulwazi lwesazisi.
Njengamazwe amaninzi, i-Australia ijongene nokuhlala ixesha elide kunye nokungaqiniseki ekuhanjisweni kwabasebenzi bezempilo [1]. Oku kungqinwa linani elingezantsi koogqirha kwiCapita kwiindawo ezisemaphandleni nakwindlela yokutshintsha ukusuka ekukhathaleni okukhethekileyo [2, 3]. Ethathwe kunye, ezi zinto zinefuthe elibi kakhulu kwimpilo kwiindawo ezisemaphandleni, ngakumbi kuba ukhathalelo lwempilo olusisiseko luphawu lokhathalelo lwezempilo lwabantu, ukubonelela kuphela kweSebe likaxakeka [4]. ]. Ubuqhetseba obuhlanganisiweyo obuDibeneyo (i-ICRE) yimodeli yemfundo yezonyango eyaphuhliswa njengeyona ndlela yokuqeqesha abafundi bezonyango kwiindawo ezincinci zasemaphandleni kwaye yadalwa ukukhuthaza ukuziqhelanisa nabantu abafanayo kuluntu [5, 6]. Le ndlela ifanelekileyo ifezekisiwe kuba abafundi abaphumeleleyo basemaphandleni kunokwenzeka ngakumbi kunabafundi (kubandakanya ukujikeleza kwamaphandle) ukuya emsebenzini kwiindawo ezikumaphandleni) kunye nokukhathalela okude [7,8,9, 10]. Indlela Abaphumeleleyo Bonyango Okwenziweyo Inketho yomsebenzi ichazwe njengenkqubo entsonkothileyo ebandakanya inani lezinto zangaphakathi nangaphandle, ezinjengokhetho lwendlela yokufumana impilo [11,12,13]. Ingqwalaselo kancinane ihlawulwe kwizinto ezikulo qeqesho lonyango lwe-plargraduate elinokuphembelela le nkqubo yokwenza izigqibo.
I-Pedagogy ye-Pedagogy yahluka ngokujikeleza kwe-Bhloko yeSiko Amaziko anengeniso esemaphandleni ahlala kwindawo yokuhlala asemaphandleni anemilo yeklinikhi kuzo zombini iindlela zokusebenza ngokubanzi nasezibhedlele [5]. Into ephambili yeli gama elithi "ukuqhubeka," eququzelelwa kukuncamathisela ixesha elide, ukuvumela abafundi ukuba baphuhlise ubudlelwane bexesha elide kunye neesuphavayiza, amaqela abantu abangama-5,14,15]. Izifundo zokufunda izifundo zelayisensi kwaye zihambelana, ngokuchasene nezifundo ezilungiselelwe ixesha elimisiweyo ezibonisa ukujikeleza kwe-5, 17].
Nangona idatha yobungakanani kumsebenzi we-CWEDS ibalulekile ekuvavanyweni kweziphumo zenkqubo, kukho ubungqina obuthile bokuchaza ukuba kutheni abaphumeleleyo basemaphandleni basebenza ngokusebenza kwabasebenzi bezempilo [8, 18]. I-Brown et al (2021) iqhube uphononongo lokufumana isazisi kwingeniso esezantsi (edolophini nasemaphandleni) kwaye yacebisa ukuba ulwazi oluthe kratya luyafuneka kwimisebenzi yokufumana amandla okunika iindlela zokuphembelela kwabafundi abaphumeleleyo ' Izigqibo malunga nomsebenzi [18]. Ukongeza, kukho isidingo sokuqonda ngokutsha ukhetho lomsebenzi we-CREDIT, ukuba baphumelele kwezo gqirha, njengoko izifundo ezininzi zigxile kwizimvo ezibonwayo kunye noogqirha abangama-11, 18, 19].
Kuya kubangela umdla ukufundisisa iindlela ezigcweleyo ze-HOPEROCS ngokubhekisele kwimpumelelo yezonyango kunye nendawo. Inkqubo ye-cortarcitist ye-constructivist yayisetyenziselwa ukuphendula imibuzo yophando kwaye iphuhlise isakhelo esingangqinelaniyo esichaza izinto zabasebenzi eziphembelele kule nkqubo.
Le yiprojekthi ye-corcatitist yethiyori. Oku kuchongwe njengeyona ndlela ifanelekileyo yethiyori ye-Insulelo kuba (i) yaqalisa ubudlelwane phakathi kwabaphengululi, nto leyo eyakhiwe ngayo ngamaqela omabini amaqela (II) kwathathwa njengezindlela ezifanelekileyo zobulungisa bezentlalo uphando. Umzekelo, ukusasazwa ngokufanelekileyo kwezixhobo zonyango, kunye (iii) kunokuchaza into enjengokuthi "okwenzekileyo" kunokuphonononga nje kwaye uyichaze [20].
I-Deakin Destican Degn (MD) degree (ngaphambili i-bachelor yonyango / i-bachelor yotyando inikezelwe ngo-2008. Ugqirha we-Piedraly yeminyaka emine inikezelwe kuzo zombini iidolophu nakwiindawo zasentshona eVictoria, Ostreliya. Ngokwemodeli ye-Modes yaseMoustralia (MMM) yenkqubo yokuhlelwa kwendawo, iindawo ze-MD zekhosi zibandakanya i-MM1 (iingingqi zeMetropolitan), i-MM2 (i-MM2 (i-MM3 (i-MM5 (i-MM5 (i-MM5 (i-MM5 (i-MM5 (amaphandle amalali Iidolophu)) [21].
Iminyaka emibini yokuqala yeSigaba sePiclinical (iMvelaphi yoNyango) yaqhutywa eGeelong (MM1). Kwiminyaka yesithathu neyesine, abafundi baqeqesha uqeqesho lweklinikhi (ukuziqhelanisa nobungcali kumayeza) kwesinye sezikolo zeklinikhi ezintlanu zeklinikhi eGeelong, kwiMpuma yeMpuma (MM1), i-Wallarat (MM2) okanye i-IGrnarat (MM1) okanye iKlinikhi yeKlinikhi yoLuntu yasekuKenyamileyo Inkqubo ye-RCCs); ), ngokusesikweni kwaziwa njengeNkqubo yokungena (mm 3-5) kwada kwango-2014 (Fig. 1).
I-RCCs ibhalisela abafundi abangama-20 abafundi ngamnye asebenza kwimimandla ye-grampia kunye ne-West Victoria kwiVictoria yeNtshona yeVenkile (eyesithathu) ye-MD. Indlela yokhetho isebenzisa inkqubo yokhetho apho abafundi bakhetha isikolo sekliniki kunyaka wabo wesibini. Le nkqubo yamkela abafundi kunye neentlobo ngeentlobo zokhetho ukusuka ekuqaleni ukuya kwesihlanu. Izixeko ezithile emva koko zabelwa ngokusekelwe kukhetho lwabafundi kunye nodliwanondlebe. Abafundi basasazwa kwizixeko ikakhulu ngokwamaqela abantu ababini ukuya kwezine.
Abafundi basebenza nge-GPS kunye neenkonzo zempilo zasemaphandleni, kunye nengcali ngokubanzi (GP) njengomphathi wabo wokuqala.
Abaphandi abane ababandakanyeka kolu phando bavela kwiimvelaphi ezahlukeneyo kunye namandla, kodwa babelana ngomdla oqhelekileyo kwimfundo yezonyango kunye nokusasazeka ngokulinganayo kwabasebenzi bezonyango. Xa sisebenzisa ithiyori eyakhawulezayo, sicinga ngemvelaphi yethu, ulwazi, iinkolelo, kunye nemidla ukuba ichaphazele ukuphuhliswa kwemibuzo yophando, inkqubo yodliwanondlebe, uhlalutyo lwedatha, kunye nesakhiwo sedatha, kunye nesakhiwo sedatha, kunye nesakhiwo sedatha, kunye nesakhiwo sedatha, kunye nesakhiwo sedatha, kunye nesakhiwo sedatha, kunye nesakhiwo sedatha, kunye nesakhiwo sedatha, kunye nesakhiwo sedatha, kunye nesakhiwo sedatha, kunye nesakhiwo sedatha, kunye nesakhiwo sedatha, kunye nesakhiwo sedatha, kunye nesakhiwo sedatha, kunye nesakhiwo sedatha, kunye nesakhiwo sedatha, kunye nesakhiwo sedatha, kunye nesakhiwo sedatha, kunye nesakhiwo sedatha, kunye nesakhiwo sedatha, kunye nesakhiwo sedatha, kunye nesakhiwo sedatha, kunye nesakhiwo sedatha, kunye nesakhiwo sedatha, kunye nesakhiwo sedatha. I-JB yimpilo yempilo yasemaphandleni ngamava kuphando olufanelekileyo, osebenza kwi-Chine kunye nokuhlala kwindawo esemaphandleni yendawo ye-imeyile yoqeqesho. I-LF ngugqirha wezemfundo kunye nomphathi weklinikhi yenkqubo yephepha-mvume kwiYunivesithi yaseDekin kwaye ubandakanyeka ekufundiseni abafundi beqela. I-MB kunye ne-HB yayingabaphandi basemaphandleni ngamava okumilisela iiprojekthi zophando olufanelekileyo kunye nokuhlala kwiindawo ezisemaphandleni njengenxalenye yoqeqesho lweLaphulo.
Ukucofa kunye namava kunye nezakhono zabaphandi zazisetyenziselwa ukutolika nokufumana intsingiselo evela kule datha yedatha etyebileyo. Kuyo yonke inkqubo yokuqokelelwa kwedatha kunye nenkqubo yohlalutyo, iingxoxo ezikhoyo zenzekile, ngakumbi phakathi kwe-JB kunye ne-MB. I-HB kunye ne-lf ibonelela ngenkxaso kuyo yonke le nkqubo nangezophuhlelo lweekhonsepthi eziphambili kunye nethiyori.
Abathathi-nxaxheba yayingu-Deakin Deakid Destidd Medicad (2011 ukuya ku-2012) ngokubamba ilayisensi. Isimemo sokuthatha inxaxheba kwisifundo sathunyelwa ngabasebenzi be-RCCS abaqeqeshiweyo ngomyalezo womyalezo wokuqesha. Abathathi-nxaxheba abanomdla bacelwa ukuba bacofe kwikhonkco lobhaliso kwaye banikezele ngolwazi oluneenkcukacha ngovavanyo lwe-ofisi ye-Intanethi echaza injongo yeemfuno zophando kunye nenxaxheba, kwaye (ii) bezimisele ukuthatha inxaxheba kuphando. ababenxibelelana ngabaphandi ukuba bacwangcise ixesha elifanelekileyo lodliwanondlebe. Indawo yejografi yomsebenzi wabathathi-nxaxheba yarekhodwa.
Ukugaywa kwabathathi-nxaxheba kwenziwa ngamanqanaba amathathu: Inqanaba lokuqala lokuphumelela ngo-2017 ukuya ku-2000, inqanaba lesibini labaphumeleleyo ngo-2011 ukuya ku-2006, kunye nenqanaba lesithathu, kunye nenqanaba lesithathu. Ekuqaleni, isampulu yempilo yayisetyenziselwa ukunxibelelana nabafundi abanomdla kwaye kuqinisekiswe ukwahlukahlukana komsebenzi. Abanye abaphumeleleyo bavakalise umdla wokuthatha inxaxheba ekuhambeni kwazo kudliwanondlebe ngenxa yokuba bengaphenduli kwisicelo soPhando sexesha lokwenza udliwanondlebe. Inkqubo yokugaya abasebenzi evunyelweyo yenkqubo yokuqokelelwa kwedatha kunye nohlalutyo, ukuxhasa isampulu ye-theoret, ukukhula kwengqondo kunye nokuphuculwa kwengqondo [kunye nethiyensi [kunye nethiyeleni.
Abathathi-nxaxheba kwiskimu sokuthatha inxaxheba. Abaphumelele kwilayisensi babathathi-nxaxheba kwiNkqubo yobuqhetseba eDidinoudinal. Isampulu yemfuza kuthetha ukuqesha isampulu eyahlukeneyo yabathathi-nxaxheba.
Udliwanondlebe lwaluqhutywa ngabaphandi i-JB kunye ne-MB. Imvume yomlomo yafunyanwa kubathathi-nxaxheba kunye neaudiyo yerekhodi ngaphambi kokuqala kodliwanondlebe. Isikhokelo sodliwano-ndlebe esihleliweyo kunye nophando olunxulumene noko ekuqaleni kokuqala emva kokukhokela inkqubo yodliwanondlebe (iTheyibhile 1). Le ncwadana ihlaziyiweyo kwaye ivavanywe ngokuqokelelwa kwedatha kunye nohlalutyo lokudibanisa umkhombandlela wophando ophuhliso lwenkolelo. Udliwanondlebe lwenziwe ngefowni, erekhodiweyo erekhodiweyo, ebhalisiweyo yesenzi, kwaye yaziwa. Udliwanondlebe ubude bususela kwimizuzu engama-20 ukuya kwengama-53, bunomde ophakathi kwemizuzu engama-33. Phambi kohlalutyo lwedatha, abathathi-nxaxheba bathunyelwe iikopi zencwadi yodliwanondlebe ukuze bongeze okanye bahlela ulwazi.
Ukushicilelwa kodliwanondlebe kuye kwafakwa kwiPhakeleji yesoftware ye-QSR Nvivo Version 12 (I-Lumivero) yeWindows kwi-Windows ukuxhasa uhlalutyo lwedatha [23]. Abaphandi i-JB kunye ne-MB bamamele, bafunda, kwaye banamakhowudi ngasinye. Ukubhala amanqaku kuhlala kusetyenziswa ukurekhoda iingcinga ezingekho sesikweni malunga nedatha, iikhowudi, kunye neendidi zethiyori [20].
Ukuqokelelwa kwedatha kunye nohlalutyo kwenzeka ngaxeshanye, ngenkqubo nganye ukwazisa enye. Le ndlela yokuthelekiswa rhoqo yasetyenziswa kuwo onke amabakala ohlalutyo lwedatha. Umzekelo, ukuthelekisa idatha kunye nedatha, ukubopha kunye neekhowudi zokuhlaziya ukuphuhlisa umkhombandlela wophando ngokungqinelana nokuphuhliswa kwethiyori [20]. Researchers JB and MB met frequently to discuss initial coding and identify areas of focus during the iterative data collection process.
Ukufaka iikhowudi kwaqala ukufaka iikhowudi zokuqala apho idatha yayikukuqhekezwa kwedatha "eyaphethwe" kunye neekhowudi ezivulekileyo zabelwa ukuba zichaziwe "kwidatha" kwidatha. Inqanaba elilandelayo lokufaka iikhowudi likhowudi eliphakathi, apho iikhowudi ze-Bine ziyaqwalaselwa, xa kuthelekiswa khona, zithatyathwe, kwaye zahlalutywe, kwaye zichanekile ukuba zibonakalise idatha ehlaziyiweyo yokuphucula idatha [20]. Okokugqibela, yandise ikhowudi ye-theoretical ye-theoretical isetyenziselwa ukwakha ithiyori. Oku kubandakanya ukuxoxa kunye nokuvumelana kwiipropathi zohlalutyo lwethiyori kuwo wonke iqela lophando kwiqela liphela, uqinisekisa ukuba ucacisa ngokucacileyo i-phenomeno.
Idatha ye-degraphic yaqokelelwa kuvavanyo lwe-Intanethi ngaphambi kodliwano-ntsapho ukuqinisekisa uluhlu olubanzi lwabathathi-nxaxheba kunye nokuncedisa uhlalutyo olusemgangathweni. Idatha eqokelelweyo ibandakanyiwe: Isini, iminyaka, unyaka wokuphumelela, imvelaphi yasemaphandleni, indawo yangoku yengqesho, ekhethekileyo yonyango, kunye nendawo yonyaka wesine weklinikhi.
Iziphumo zazisa ukuphuculwa kwesakhelo esingathethekiyo esibonisa ukuba iimpembelelo zejografi zejografi kunye nezigqibo zomsebenzi emsebenzini.
Abaphumeleleyo abangamashumi amathathu anesithoba abathathe inxaxheba kwisifundo. Ngokufutshane, i-53.8% yabathathi-nxaxheba yayingabasetyhini, abangama-43.6% ababevela kwiindawo ezisemaphandleni, i-38.5% esebenza kwiindawo ezisemaphandleni, kwaye abangama-38.7% bagqibelele kwi-Teedy Commart Ocperty Oct okanye uqeqesho (iTheyibhile 2).
Inkqubo yeSigqibo seSigqibo seKhompyutha igxile kwizigqibo zeWebhusayithi ezichaphazela izigqibo zabasebenzi abachaphazelekayo, ephakamisa ukuba indibaniselwano yezinto eziphambili ze "Ukhetho lokuthatha inxaxheba lunokuba nefuthe labafundi. Njengoko izigqibo zobungcali zobungcali, nokuba yedwa okanye i-syfiotic (umzobo 3). Ezi zinto zifunyanisiweyo zilandelayo zichaza izinto zesakhelo kwaye zibandakanye iikowuti ezivela kubathathi-nxaxheba ukubonisa ifuthe.
Izabelo zesikolo zekliniki zigqityiwe ngenkqubo yokhetho, ngoko abathathi-nxaxheba banokukhetha iinkqubo ezahlukeneyo. Phakathi kwabo bangakhethanga ukuba bathathe inxaxheba, bekukho amaqela amabini abaphumeleleyo: abo banyula ngabom ekuthatheni inxaxheba kule nkqubo (abakhethiweyo), kwaye abo babengakhethiyo kodwa bathunyelwa kwii-RCCCs. Oku kubonakaliswa kwikhonsepthi yokuphunyezwa (iqela lokugqibela) kunye nesiqinisekiso (iqela lokuqala). Nje ukuba kudityaniswe, ingcinga yezakhono zoyilo zoyilo kunye noqeqesho lwesiza esonyusa ukubandakanyeka kwithuba lokufumana ulwazi kunye nokuthelekisa ukhathalelo lwempilo ngendlela ebaluleke ngayo.
Nokuba leliphi na inqanaba lokuzikhethela, abathathi-nxaxheba ngokubanzi babenethemba ngamava abo kwaye bathi yayingunyaka wokufunda ongazange wazise kuphela kwindalo yezonyango, kodwa nabo babanike ukuqhubeka kwezifundo zabo kunye nesiseko esomeleleyo se imisebenzi yabo. Ngendlela edityanisiweyo yokuhambisa le nkqubo, bafundile ngobomi basemaphandleni, amayeza asemaphandleni, ukuziqhelanisa ngokubanzi kunye nonyango lwezonyango.
Abanye abathathi-nxaxheba baxela ukuba ukuba babengayiye nakho kule program kwaye bagqibe lonke uqeqesho kwindawo yedolophu, ngekhe bacinge okanye baqonde ukuba bakuqonde indlela yokufikelela kwiimfuno zabo zasemaphandleni. Oku kukhokelela ekuguqukeni izinto zobuqu nezobuchwephesha, njengohlobo lukagqirha abanqwenela ukuba lube njalo, uluntu oludinga ukulisebenzisa, kunye nendlela yokuphila efana nokufikelela kwindalo kunye nokufikeleleka kobomi basemaphandleni.
Kubonakala kum ukuba ndisandula ukuhlala kwi-X [indawo yeMetropolitan] okanye into enjalo, ngekhe ukuba siye sahlala sikwindawo enye, andicingi ukuba thina (sitsibela ( emsebenzini kwiindawo ezisemaphandleni) bekungayi kunyanzelwa (umbhalisi oqhelekileyo wokuziqhelanisa nokuziqhelanisa namaphandle).
Ukuthatha inxaxheba kule nkqubo kubonelela ngamathuba okubonisa nokungqina iinjongo zabafundi zokusebenza kwiindawo ezisemaphandleni. Oku kuhlala kubangelwa yinto yokuba ukhulele kwindawo esemaphandleni kwaye unenjongo yokwenza i-internright kwindawo efanayo emva kokuphumelela. Kwabo bathathi-nxaxheba ababezimisele ukungena ekuziqhelanise nokuziqhelanisa ngokubanzi, bekucacile ukuba amava abo aye wadibana nokuzinikela kwabo kwaye waqinisa ukuzibophelela kwabo ekufezekiseni le ndlela.
I-IT (ukuba ikwiphephavili) iqinile nje into endiyicingelayo kwaye itywinwe ngokwenene isivumelwano sayo kwaye andizange ndicinge ngokufaka isicelo seMetro kwi-quest okanye icinge ngayo. Malunga nokusebenza kwiMetro (i-Psychichistrist, ikliniki yasemaphandleni).
Kwabanye, ukuthatha inxaxheba kuqinisekisile ukuba ubomi basemaphandleni / impilo ayizange ihlangane neemfuno zabo zobuqu nezinobuchule. Imiceli mngeni yomntu ibangela umgama ovela kusapho kunye nabahlobo, kunye nokufikelela kwiinkonzo ezinjengemfundo kunye nononophelo lwezempilo. Bakujonga rhoqo umsebenzi wefowuni owenziweyo ogqirha basemaphandleni ukuba bathintele umsebenzi.
Umphathi wam weSixeko uhlala enxibelelana. Ke ngoko, ndicinga ukuba le ndlela yokuphila ayilunganga kum (GP kwikliniki enkulu).
Amathuba okucwangcisa kunye nolwakhiwo lokufunda lwabafundi luyaphembelela izigqibo zomsebenzi. Izinto eziphambili zokuqhubeka kwephepha-mvume kunye nokudityaniswa kokubonelela abathathi-nxaxheba ngokuzimela kunye noluhlu lwamathuba okhathalelo lwezigulana, kuphucule izakhono, kunye nokuthelekisa iindidi zonyango ngexesha elifanelekileyo kunye nezobugcisa .
Kuba izifundo zezonyango ezikhoyo zifundiswa, abathathi-nxaxheba banenqanaba eliphezulu lokuzimela kwaye banokuzimela kwaye bafumane amathuba awo okufunda. I-Autonophy yaBathathi-nxaxheba ikhula ngokuhamba konyaka njengoko ifumana ukuqonda ngaphakathi kunye nokhuseleko ngaphakathi kwenkqubo, efumana amandla okuzibandakanya ekuziphatheni ngokunzulu kwizicwangciso zeklinikhi. Oku kuvumela abathathi-nxaxheba ukuba bathelekise iindlela zonyango ngexesha lokwenyani, zibonisa umdla wazo kwiindawo ezithile zeklinikhi abahlala beziphelisa ngokukhethekileyo.
Kwii-RCCs Uvele kwezi majongirs ngaphambili kwaye ufumana ixesha elingakumbi lokugxila kwizifundo onomdla ngokwenene kubo, kunjalo nangoko abafundi beMetro abanakho ukuba bhetyebhetye ekukhetheni ixesha nendawo yabo. Ngapha koko, ndiye esibhedlele yonke imihla ... Oko kuthetha ukuba ndingachitha ixesha elininzi kwigumbi likaxakeka, ixesha elingakumbi kwigumbi lokusebenza, ndenze into endinomdla kuyo (i-anesthesiologist, ukuziqhelanisa namaphandle).
Inkqubo yenkqubo ivumela abafundi ukuba bahlangane nezigulana ezingafunekiyo ngelixa bebonelela ngempatho ekhuselekileyo yokufumana imbali yeklinikhi, phuhlisa izakhono zokuqikelela, kwaye unike isakhono sonyango lonyango. Le ntetho ichasene nembuyekezo yokubuyisa ukujikeleza kunyaka wesine, xa kuvakala ukuba kukho amathuba ambalwa okuphembelela abaguli abangafezekanga kwaye kukho imbuyekezo kwindima yolawulo. Umzekelo, omnye umfundi waphawula ukuba ukuba kuphela amava abo eklinikhi abokuphumezelwa ngokubanzi yayikukujikeleziswa kweminyaka yesine, awayeyichaza njengombukeli, ebengayi kuqonda ukulandela uqeqesho kwenye ikhethekileyo . .
Kwaye andinamava amnandi kuyo yonke (ijikeleza iibhloko ze-GP). Ke, ndivakalelwa kukuba le yayikukuphela kwamava am ngokusebenza ngokubanzi, mhlawumbi ukhetho lwam lomsebenzi lwaluya kuba lwahlukile ... Ndiziva ndinxunguphalo lwexesha njengoko ndijonga nje (i-GP, izindlu zasemaphandleni) Indawo yomsebenzi. .
Ukuqokelelwa kwe-ixesha elide kuvumela abathathi-nxaxheba ukuba baphuhlise ubudlelwane obuqhubekayo noogqirha abasebenza njengabacebisi kunye nemizekelo emininzi. Abathathi-nxaxheba bafuna kakhulu oogqirha bafuna ixesha elide kunye nabo ngenxa yezizathu ezahlukeneyo, njengama-Acumen, ukubakho, ukuthandwa, kunye nobuntu babo kunye nobuntu babo kunye nobuntu babo kunye nobuntu babo kunye nobuntu babo kunye nobuntu babo. Ukuhambelana kwakho okanye abanye. Umnqweno wokukhula. Iimodeli / abacebisi ababengabizi nje kuphela abathathi-nxaxheba phantsi kweliso le-GP ekhokelayo, kodwa kwabameli abavela kwizinto ezahlukeneyo zonyango, kubandakanya amagqirha, oogqirha noogqirha.
Zininzi izinto. Ndikwi-X (indawo yephepha). Kwakukho i-anesthesiogist eyayiphethe ngokungathanga ngqo i-ICU, ndicinga ukuba wayekhathalela i-ICU kwi-X (Elasemaphandleni) esibhedlele kwaye wayenengxaki yokuziphatha, uninzi endandihlangabezana nezinto ezolileyo malunga nezinto ezolileyo malunga nezinto ezolileyo malunga nezinto ezizolileyo. Yayingoyena mntu ungenakuphephekile nam. (i-anesthesiologist, ugqirha wesixeko)
Ukuqonda okuyinyani kwendlela yokuhlangana kwabahlali kwaye ubomi bobuqu bekuchazwa njengokubonelela ngokuqonda okuxabisekileyo ngeendlela zokuphila zabo kwaye kukholelwa ukuba kukhuthaze abathathi-nxaxheba ukuba balandele iindlela ezifanayo. Kukwakho nobomi bobomi bukagqirha, kuthathwe kwimisebenzi yentlalo yekhaya.
Kunyaka wonke, abathathi-nxaxheba bakhulisa izakhono zekliniki, ezakho kunye nobungcali ngokusebenza ngezandla ezibonelelwa ngolwalamano oluphuculwe nogqirha, abasebenzi kunye nabasebenzi bezempilo. Ukuphuhliswa kwezi zizakhono zonxibelelwano kunye nonxibelelwano zihlala zibandakanya indawo ethile yeklinikhi, njengamayeza ngokubanzi okanye i-anesthesia. Umzekelo, kwiimeko ezininzi, izidanga ze-anesthesiologists kunye nehechiologists gadalala zachaza ukukhula kwezinto ezisisiseko kwingqeqesho yonyaka, kunye nokusebenza ngokwakho xa kwakuvunywa ngakumbi. Le mvakalelo iya komelezwa ngoqeqesho olulandelayo. Kwaye kuya kubakho amathuba okuphucula ngakumbi.
Ipholile ngokwenene. Kuya kufuneka ndenze intsana, i-anesthesia ye-spinal, njl njl, kwaye emva konyaka olandelayo ndiza kugqiba ukuvuselela ukuvuselela umnxeba ... i-aneschiology. Ndiza kuba ngugqirha we-anesthetist jikelele kwaye ndicinga ukuba lelona candelo lilungileyo lamava am asebenza apho (iskim sephepha-mvume)
Uqeqesho lwendawo okanye iimeko zeprojekthi zachazwa njengempembelelo kwizigqibo zabathathi-nxaxheba. Izicwangciso zachazwa njengendibaniselwano yothangiso lwasemaphandleni, ukuziqhelanisa gabalala, izibhedlele kunye noseto oluthile lweklinikhi (umz. Ukusebenza kwethiyetha) okanye useto. Iikhonsepthi ezinxulumene nendawo, kubandakanya nemvakalelo yoluntu, ukuthuthuzela okusingqongileyo, kunye nohlobo lokuvezwa kweklinikhi, eziphethwe zizigqibo zabathathi-nxaxheba zokusebenza kwiindawo ezisemaphandleni kunye / okanye ukuziqhelanisa ngokubanzi.
Imvakalelo yoluntu yabaphembelela izigqibo zabathathi-nxaxheba zokuqhubeka nokuziqhelanisa ngokubanzi. Isibheno soqhelisela ngokubanzi njengomsebenzi kukuba senza imeko enobuhlobo onobukumkani obukhulu apho abathathi-nxaxheba banokunxibelelana khona kwaye bagcine iingcali kunye ne-GPS ekubonakalayo iyonwabele kwaye ifumane ulwaneliseko emsebenzini wabo.
Abathathi-nxaxheba bakwakuqonda ukubaluleka kokwakha ubudlelwane kunye noluntu lwesigulana. Ukwaneliseka ngokwakho kunye nobungcali kuyafezekiswa ngokwazi abaguli kunye nokuphuhlisa ubudlelwane obuqhubekayo ngokuhamba kwexesha njengoko belandela indlela yabo, ngamanye amaxesha kuphela kwezona ndlela zininzi zekliniki. Oku kuthelekiswa nokuzikhethela okuthandekayo kokhathalelo oluhle lokhathalelo lwe-Episodic, njengamasebe kaxakeka, apho kusekho kungekho silog esivaliweyo sezigulana ezilandelwayo.
Ke, uyazi nyhani izigulana zakho, kwaye ndicinga ukuba le nto ndiyithanda kakhulu malunga nokuba yi-GP luphawu oluqhubekayo onalo nabaguli bakho ... kunye nolwakhiwo olunabo, hayi ngamanye amaxesha ezibhedlele , unga ... ubabone kube kanye okanye kabini, kwaye rhoqo awusoze ubabone (iKlinikhi yeMetropolitan).
Ukuvezwa kokuziqhelanisa ngokubanzi kunye nokuthatha inxaxheba kunxibelelwano olufanayo kunike abathathi-nxaxheba ekuqondeni kobubanzi bamayeza e-Chinese kubungakanani ngokubanzi, ngakumbi ekuzinzisweni nasezizandleni ezithile. Ngaphambi kokuba babe ngabaqeqeshi, abanye abathathi-nxaxheba babecinga ukuba banokuziqhelanisa ngokubanzi, kodwa uninzi lwabathathi-nxaxheba abathi kamva baba lukhetho olukhethekileyo kubo, bebona ukuba i-Acupity umfanekiso wayo uphantsi Inzala yobungcali kwixesha elide.
Sele senzile i-GP yokuziqhelanisa njengomfundi wokuntywila, ndicinga ukuba kukuvezwa kwam uluhlu olubanzi lwee-GP kwaye ndacinga ukuba zingaba nzima kangakanani izigulana (i-GP) ezinokubakho, ukuziqhelanisa ne-GP). ).
IXESHA LOKUQALA: UJUL-31-2024