Department of Psychology.
Royal London Hospital for Integrated Medicine, UCLH NHS Trust, London.
Br J Gen Pract. 2017 Oct;67(663):e709-e715. doi: 10.3399/bjgp17X692561. Epub 2017 Sep 11.
GPs are reporting increasing levels of burnout, stress, and job dissatisfaction, and there is a looming GP shortage. Promoting resilience is a key strategy for enhancing the sustainability of the healthcare workforce and improving patient care.
To explore GPs' perspectives on the content, context, and acceptability of resilience training programmes in general practice, in order to build more effective GP resilience programmes.
This was a qualitative study of the perspectives of GPs currently practising in England.
GPs were recruited through convenience sampling, and data were collected from two focus groups ( = 15) and one-to-one telephone interviews ( = 7). A semi-structured interview approach was used and data were analysed using thematic analysis.
Participants perceived resilience training to be potentially of value in ameliorating workplace stresses. Nevertheless, uncertainty was expressed regarding how best to provide training for stressed GPs who have limited time. Participants suspected that GPs most likely to benefit from resilience training were the least likely to engage, as stress and being busy worked against engagement. Conflicting views were expressed about the most suitable training delivery method for promoting better engagement. Participants also emphasised that training should not only place the focus on the individual, but also focus on organisation issues.
A multimodal, flexible approach based on individual needs and learning aims, including resilience workshops within undergraduate training and in individual practices, is likely to be the optimal way to promote resilience.
全科医生报告称,他们的倦怠感、压力和工作不满情绪日益加剧,而且即将出现全科医生短缺的情况。提高韧性是增强医疗保健人员队伍可持续性和改善患者护理的关键策略。
探讨全科医生对一般实践中韧性培训计划的内容、背景和可接受性的看法,以便制定更有效的全科医生韧性计划。
这是一项对目前在英格兰执业的全科医生观点的定性研究。
通过便利抽样招募全科医生,通过两个焦点小组(=15)和一对一的电话访谈(=7)收集数据。采用半结构化访谈方法,使用主题分析进行数据分析。
参与者认为韧性培训有可能缓解工作场所的压力,但对于如何为时间有限的压力大的全科医生提供最佳培训存在不确定性。参与者怀疑最有可能从韧性培训中受益的全科医生最不可能参与,因为压力和忙碌会阻碍参与。对于促进更好参与的最合适的培训交付方法,表达了相互矛盾的观点。参与者还强调,培训不仅应关注个人,还应关注组织问题。
基于个人需求和学习目标的多模式、灵活方法,包括本科培训和个体实践中的韧性工作坊,可能是促进韧性的最佳方式。