Hertzberg Tuva Kolstad, Skirbekk Helge, Tyssen Reidar, Aasland Olaf Gjerløw, Rø Karin Isaksson
Forskningsinstituttet Modum Bad Vikersund og Avdeling for medisinsk atferdsvitenskap Institutt for medisinske basalfag Det medisinske fakultet Universitetet i Oslo.
Lovisenberg diakonale høgskole Oslo.
Tidsskr Nor Laegeforen. 2016 Oct 25;136(19):1635-1638. doi: 10.4045/tidsskr.16.0067. eCollection 2016 Oct.
Norwegian hospital doctors emphasise the value of working hard and efficiently and of a high degree of attendance in the workplace. This helps establish social norms that guide behaviour within the professional culture. It is important to examine what consequences these values may entail when the doctor also needs to cater to his or her own needs.
We conducted eight focus-group interviews and three individual interviews among a total of 48 senior consultants and specialty registrars working in the areas of surgery, psychiatry and internal medicine. Total N = 48; 56 % women. The interviews were analysed with the aid of systematic text condensation.
When Norwegian hospital doctors wish to appear as good doctors, they see that this entails consequences for the interrelationships with colleagues, the management and the work-life balance. Conflicts of interest arose between senior consultants and specialty registrars. Management initiatives to deal with absence, adaptation of the job to the life stage of each individual doctor and increased management involvement among doctors were among the measures proposed.
Better mutual knowledge between doctors and management with regard to each other’s values and responsibilities could constitute key premises for structural changes, for example in terms of better planning of leaves of absence and opportunities for adaptation of work schedules to the life stage of the persons concerned.
挪威医院医生强调努力高效工作以及高度出勤的价值。这有助于建立指导职业文化中行为的社会规范。当医生也需要满足自身需求时，审视这些价值观可能带来的后果很重要。
我们对48名从事外科、精神病学和内科领域工作的高级顾问和专科住院医生进行了8次焦点小组访谈和3次个人访谈。样本总量N = 48；女性占56%。访谈借助系统文本浓缩法进行分析。
当挪威医院医生希望展现出优秀医生的形象时，他们发现这会对与同事、管理层的关系以及工作与生活的平衡产生影响。高级顾问和专科住院医生之间出现了利益冲突。提出的措施包括管理层应对缺勤的举措、根据每位医生的生活阶段调整工作、以及增加医生中的管理层参与度。
医生与管理层之间在彼此价值观和责任方面有更好的相互了解，可能构成结构变革的关键前提，例如在更好地规划请假以及根据相关人员生活阶段调整工作时间表的机会方面。
