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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...

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Autores principales: Walsh, Gillian, Hayes, Blánaid, Freeney, Yseult, McArdle, Siobhain
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
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.
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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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