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Doctor, how can we help you? Qualitative interview study to identify key interventions to target burnout in hospital doctors
OBJECTIVE: To identify priority interventions for the prevention and reduction of work stress and burnout in hospital doctors through analysis of (1) doctors’ experiences of work stress and burnout and (2) their preferences with respect to interventions. DESIGN: Qualitative design using semistructur...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6731950/ https://www.ncbi.nlm.nih.gov/pubmed/31492785 http://dx.doi.org/10.1136/bmjopen-2019-030209 |
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author | Walsh, Gillian Hayes, Blánaid Freeney, Yseult McArdle, Siobhain |
author_facet | Walsh, Gillian Hayes, Blánaid Freeney, Yseult McArdle, Siobhain |
author_sort | Walsh, Gillian |
collection | PubMed |
description | OBJECTIVE: To identify priority interventions for the prevention and reduction of work stress and burnout in hospital doctors through analysis of (1) doctors’ experiences of work stress and burnout and (2) their preferences with respect to interventions. DESIGN: Qualitative design using semistructured interviews analysed with deductive thematic analysis. SETTING: Hospitals in Ireland. PARTICIPANTS: 32 hospital doctors (16 practising consultants and 16 doctors in training) from a range of specialties, career stages, hospital types and locations. RESULTS: Practical, system-focused interventions were found to be most needed. Challenges with basic entitlements, that is, accessing statutory leave, knowing in advance when leave can be taken and being adequately covered when on leave were identified as requiring urgent attention. Other priority interventions identified were the integration of psychological support in the everyday working environment, time and training for clinical line managers to perform key management activities such as debriefing and education interventions which highlight work stress risks and care pathways, teach self-care and train doctors in how to support one another. CONCLUSIONS: Hospital doctors are feeling the effects of greater demand and fewer resources. What they most urgently need is adequate staffing levels, access to statutory leave and adequate cover when on leave. Doctors do not receive the support they need from their clinical line managers, who lack the skills and time to excel as people managers. Organisations should focus on developing clinical management skills across the system. The culture of medicine needs to change from stigmatisation and competitiveness to compassion and collaboration. Organisations, medical schools and professional bodies can steer this change through education. |
format | Online Article Text |
id | pubmed-6731950 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-67319502019-09-20 Doctor, how can we help you? Qualitative interview study to identify key interventions to target burnout in hospital doctors Walsh, Gillian Hayes, Blánaid Freeney, Yseult McArdle, Siobhain BMJ Open Occupational and Environmental Medicine OBJECTIVE: To identify priority interventions for the prevention and reduction of work stress and burnout in hospital doctors through analysis of (1) doctors’ experiences of work stress and burnout and (2) their preferences with respect to interventions. DESIGN: Qualitative design using semistructured interviews analysed with deductive thematic analysis. SETTING: Hospitals in Ireland. PARTICIPANTS: 32 hospital doctors (16 practising consultants and 16 doctors in training) from a range of specialties, career stages, hospital types and locations. RESULTS: Practical, system-focused interventions were found to be most needed. Challenges with basic entitlements, that is, accessing statutory leave, knowing in advance when leave can be taken and being adequately covered when on leave were identified as requiring urgent attention. Other priority interventions identified were the integration of psychological support in the everyday working environment, time and training for clinical line managers to perform key management activities such as debriefing and education interventions which highlight work stress risks and care pathways, teach self-care and train doctors in how to support one another. CONCLUSIONS: Hospital doctors are feeling the effects of greater demand and fewer resources. What they most urgently need is adequate staffing levels, access to statutory leave and adequate cover when on leave. Doctors do not receive the support they need from their clinical line managers, who lack the skills and time to excel as people managers. Organisations should focus on developing clinical management skills across the system. The culture of medicine needs to change from stigmatisation and competitiveness to compassion and collaboration. Organisations, medical schools and professional bodies can steer this change through education. BMJ Publishing Group 2019-09-05 /pmc/articles/PMC6731950/ /pubmed/31492785 http://dx.doi.org/10.1136/bmjopen-2019-030209 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Occupational and Environmental Medicine Walsh, Gillian Hayes, Blánaid Freeney, Yseult McArdle, Siobhain Doctor, how can we help you? Qualitative interview study to identify key interventions to target burnout in hospital doctors |
title | Doctor, how can we help you? Qualitative interview study to identify key interventions to target burnout in hospital doctors |
title_full | Doctor, how can we help you? Qualitative interview study to identify key interventions to target burnout in hospital doctors |
title_fullStr | Doctor, how can we help you? Qualitative interview study to identify key interventions to target burnout in hospital doctors |
title_full_unstemmed | Doctor, how can we help you? Qualitative interview study to identify key interventions to target burnout in hospital doctors |
title_short | Doctor, how can we help you? Qualitative interview study to identify key interventions to target burnout in hospital doctors |
title_sort | doctor, how can we help you? qualitative interview study to identify key interventions to target burnout in hospital doctors |
topic | Occupational and Environmental Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6731950/ https://www.ncbi.nlm.nih.gov/pubmed/31492785 http://dx.doi.org/10.1136/bmjopen-2019-030209 |
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