Table 2 Thematic framework for experiences underpinning positive and negative job morale

1. Being unfairly rewarded for work

 1.1 Workload not reflected by financial rewards

 1. 2 Problems accessing professional development

 1. 3 Work-life imbalance and intentions to leave

2. Feeling vulnerable and undervalued

 2.1 Patients’ aggressive behaviour

 2.2 Ramifications of the current malpractice system

 2.3 Hostile media

3. Poor working styles and practices

 3.1 Professional, position- and horde-based tribalism

 3.2 Disorganised logistical processes

 3.3 Insufficient staffing levels

4. High internal value-based motivation

 4.1 Helping patients recover

 4.2 Quantity over quality

 4.3 Vocation for being a physician