Akademik Veri Yönetim Sistemi
International Conference on Medical and Health Sciences, Antalya, Türkiye, 17 - 20 Kasım 2022, ss.11
The aim of this study that was carried out at the general surgery clinic of a university hospital is to find out the processes of clinical education and patient care through the metaphors emerging from the participants' narratives. Participants are faculty members, nurses, and students at the surgery clinic. One researcher accompanied the experiences in the clinic for 6 months as a participant observer. Theme analysis was carried out over the metaphors that emerged in the participatory observation and in-depth interviews. Two researchers first analyzed the metaphors, then expert opinion was sought, and the conceptual framework was constructed. Two researchers re-analyzed the data through the conceptual framework and determined the themes. The conceptual framework of the analysis consists of “context”, “context-related metaphor groups” and “related themes”. As a result of the analysis, 15 main themes and 37 sub-themes were created with rich metaphor groups under six contexts. Examples of metaphors and themes related to the contexts are as follows: Context-1: "profession, medical life", metaphor: "repairing a car", theme: "technical point of view, reduction to the technical one". Context-2: “Clinical education processes/climate”, metaphor: “feeling like a bouncer”, theme: “life in the clinic and learning to be a surgeon”. Context-3: “Clinical functioning, management of processes”, metaphor: “we work like a machine”, theme: “mechanization, workload”. Context-4: “Relationships in the clinic, cultural/social interaction”, metaphor: “as if he were a village headman”, theme: “perception of the patient, patient relatives, and local culture”. Context-5: “Emotional atmosphere, emotion management”, metaphor: “breaking your heart”, main theme: “emotional attachment, emotional burden”. Context-6: “The presence of the clinic in the hospital, the clinical setting/climate”, the metaphor: “the house of lords”, the main theme: “the institutional place of the clinic, its importance”. Based on these results, it can be said that metaphors are powerful tools in understanding and evaluating clinical processes.