From: Stress, coping, and psychological resilience among physicians
Theme Subtheme | Whole sample (n = 68) n; % | GPs (n = 15) n; % | Interns (n = 9) n; % | Consultants (n = 8) n; % | SHOs (n = 18) n; % | SpRs (n = 18) n; % |
---|---|---|---|---|---|---|
The nature of resilience | ||||||
Continuing in spite of difficulties | 22; 32% | 4; 27% | 0; 0% | 3; 38% | 8; 44% | 7; 39% |
Maintaining wellbeing and happiness | 22; 32% | 9; 60% | 2; 22% | 0; 0% | 5; 28% | 6; 33% |
Toughening | 8; 12% | 0; 0% | 3; 33% | 0; 0% | 3; 17% | 2; 11% |
Maintaining performance | 9; 13% | 1; 7% | 1; 11% | 3; 38% | 2; 11 | 2; 11% |
Recovering from hardships | 10; 15% | 4; 47% | 0; 0% | 0; 0% | 4; 22% | 2; 11% |
Coping with difficulties | 39; 57% | 10; 67% | 6; 67% | 4; 50% | 6; 33% | 13; 72% |
Adapting to circumstances | 4; 6% | 0; 0% | 1; 11% | 0; 0% | 2; 11% | 1; 6% |
Thriving in spite of difficulties | 4; 6% | 0; 0% | 0; 0% | 1; 13% | 1; 6% | 2; 11% |
Resilience as a trait | 18; 26% | 6; 40% | 2; 22% | 0: 0% | 6; 33% | 4; 22% |
Resilience developing with time and experience | 28; 41% | 7; 475 | 5; 56% | 1; 13% | 8; 44% | 7; 39% |
Challenges of the profession | ||||||
Compromised basic needs | 30; 44% | 6; 40% | 3; 33% | 3; 38% | 8; 44% | 8; 44% |
Lack of control or unpredictability of job | 10; 15% | 4; 27% | 1; 11% | 1; 13% | 2; 11% | 2; 11% |
Long hours and shift work | 31; 46% | 5; 33% | 2; 22% | 1; 13% | 13; 72% | 10; 55% |
Social cost | 12; 18% | 5; 33% | 0; 0% | 0; 0% | 4; 22% | 3; 17% |
Managing the expectations of patients and their families | 14; 21% | 2; 13% | 1; 11% | 3; 38% | 3; 17% | 5; 28% |
Interpersonal interactions with colleagues | 8; 12% | 2; 13% | 1; 11% | 1; 13% | 3; 17% | 1; 6% |
Complex and emotionally taxing cases | 19; 28% | 5; 33% | 3; 33% | 2; 25% | 3; 17% | 6; 33% |
All-consuming work | 16; 24% | 6; 40% | 0; 0% | 1; 13% | 5; 28% | 4; 22% |
Insufficient organisational resources | 18; 26% | 8; 53% | 0; 0% | 5; 63% | 2; 11% | 3; 17% |
Maintaining work-life balance | 11; 16% | 5; 33% | 0; 0% | 2; 25% | 3; 17% | 1; 6% |
Maintaining or developing knowledge and skills | 4; 6% | 1; 7% | 1; 11% | 1; 13% | 0; 0% | 1; 6% |
Negative work culture | 7; 10% | 0; 0% | 0; 0% | 3; 38% | 0; 0% | 4; 22% |
Working outside of your level of ability or knowledge | 10; 15% | 1; 7% | 3; 33% | 0; 0% | 2; 11% | 4; 22% |
Threat of litigation and complaints | 3; 4% | 2; 13% | 0; 0% | 0; 0% | 0; 0% | 1; 6% |
Dealing with responsibility | 12; 18% | 8; 53% | 1; 11% | 0; 0% | 0; 0% | 3; 17% |
Workload and competing demands | 24; 35% | 9; 60% | 3; 33% | 3; 38% | 4; 22% | 5; 28% |
Job-related gratification | ||||||
Doctor-patient relationship | 9; 13% | 2; 13% | 0; 0% | 3; 38% | 2; 11% | 2; 11% |
Medical efficacy | 16; 42% | 4; 27% | 1; 11% | 3; 38% | 5; 28% | 3; 17% |
Helping colleagues | 5; 7% | 2; 13% | 0; 0% | 2; 25% | 1; 6% | 0; 0% |
Payment | 1; 1% | 1; 7% | 0; 0% | 0; 0% | 0; 0% | 0; 0% |
Resilience strategies (protective practices) | ||||||
Engage in leisure activities | 45; 66% | 10; 67% | 5; 56% | 3; 38% | 11; 61% | 16; 89% |
Support from colleagues | 43; 63% | 12;80% | 5; 56% | 5; 63% | 10; 55% | 11; 61% |
Support from family and friends | 43; 63% | 10; 67% | 5; 56% | 3; 38% | 11; 61% | 14; 78% |
Know when to ask for help | 19; 28% | 1; 7% | 1; 11% | 1; 13% | 10; 55% | 6; 33% |
Maintain boundaries with patients | 6; 9% | 1; 7% | 0; 0% | 0; 0% | 4; 22% | 1; 6% |
Prioritisation and delegation | 33; 49% | 6; 40% | 2; 22% | 5; 63% | 11; 61% | 9; 50% |
Standing up for yourself | 22; 32% | 5; 33% | 2; 22% | 4; 50% | 4; 22% | 7; 39% |
Maintain a professional approach to work | 13; 19% | 4; 27% | 1; 11% | 2; 25% | 4; 22% | 2; 11% |
Professional supports | 17; 25% | 7; 47% | 1; 11% | 3; 38% | 1; 6% | 5; 28% |
Prioritisation of basic needs at work | 8; 12% | 2; 13% | 1; 11% | 1; 13% | 2; 11% | 2; 11% |
Cultivate a good work-life balance | 57; 84% | 13; 87% | 6; 67% | 8; 100% | 15; 83% | 15; 83% |
Individual ‘healthful habits’ | 41; 60% | 12; 80% | 7; 78% | 7; 88% | 8; 44% | 7; 39% |
Resilience strategies (attitudes) | ||||||
Acceptance and realism | 35; 51% | 6; 40% | 4; 44% | 6; 75% | 10; 55% | 9; 50% |
Self-awareness and reflexivity | 41; 60% | 12; 80% | 4; 44% | 3; 38% | 9; 50% | 13; 72% |
Maintaining perspective | 48; 71% | 9; 60% | 7; 78% | 5; 63% | 16; 89% | 11; 61% |
Appreciating the good things | 5; 7% | 2; 13% | 1; 11% | 0; 0% | 1; 6% | 1; 6% |
Belief in yourself and your abilities | 7; 10% | 2; 13% | 1; 11% | 1; 13% | 2; 11% | 1; 6% |