Protective factors and sources of support in the workplace as experienced by UK foundation and junior doctors: a qualitative study

Research output: Contribution to journalArticlepeer-review

Authors

  • Marta Buszewicz
  • Anya Gopfert
  • Maria Van Hove
  • Anna K Taylor
  • Kevin Teoh
  • Louis Appleby
  • Carolyn Chew-Graham

External organisations

  • University College London Hospitals NHS Foundation Trust
  • Oxford University Hospitals NHS Foundation Trust
  • London School of Hygiene and Tropical Medicine
  • University of Leeds
  • Birkbeck, University of London
  • University of Manchester
  • Keele University

Abstract

OBJECTIVES: This paper reports findings identifying foundation and junior doctors' experiences of occupational and psychological protective factors in the workplace and sources of effective support.

DESIGN: Interpretative, inductive, qualitative study involving in-depth interviews with 21 junior doctor participants. The interviews were audio-recorded, transcribed, anonymised and imported into NVivo V.11 to facilitate data management. Data were analysed using a thematic analysis employing the constant comparative method.

SETTING: National Health Service in the UK.

PARTICIPANTS: Participants were recruited from junior doctors through social media (eg, the British Medical Association (BMA) junior doctors' Facebook group, Twitter and the mental health research charity websites). A purposive sample of 16 females and 5 males, ethnically diverse, from a range of specialities, across the UK. Junior doctor participants self-identified as having stress, distress, anxiety, depression and suicidal thoughts or having attempted to kill themselves.

RESULTS: Analysis identified three main themes, with corresponding subthemes relating to protective work factors and facilitators of support: (1) support from work colleagues - help with managing workloads and emotional support; (2) supportive leadership strategies, including feeling valued and accepted, trust and communication, supportive learning environments, challenging stigma and normalising vulnerability; and (3) access to professional support - counselling, cognitive-behavioural therapy and medication through general practitioners, specialist support services for doctors and private therapy.

CONCLUSIONS: Findings show that supportive leadership, effective management practices, peer support and access to appropriate professional support can help mitigate the negative impact of working conditions and cultures experienced by junior doctors. Feeling connected, supported and valued by colleagues and consultants acts as an important buffer against emotional distress despite working under challenging working conditions.

Bibliographic note

© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ.

Details

Original languageEnglish
Article numbere045588
Number of pages10
JournalBMJ open
Volume11
Issue number6
Publication statusPublished - 23 Jun 2021

Keywords

  • Attitude of Health Personnel, Female, Humans, Male, Medical Staff, Hospital, Protective Factors, Qualitative Research, State Medicine, United Kingdom, Workplace

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