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瑞典医生因精疲力竭症而休病假过程中的经历:一项叙事研究设计

Physicians' experiences of the process leading to their sick leave for exhaustion disorder in Sweden: a narrative design.

作者信息

Landstad Bodil J, Kvangarsnes Marit, Thunqvist Emelie, Löfman Björn, Nygren Åke, Brulin Emma

机构信息

Faculty of Health Sciences, Mid Sweden University, Östersund, Sweden

Unit of Research, Östersund Hospital, Östersund, Sweden.

出版信息

BMJ Open. 2025 May 24;15(5):e097179. doi: 10.1136/bmjopen-2024-097179.

Abstract

OBJECTIVES

The aim of this study was to explore physicians' experiences of the process leading up to their sick leave due to exhaustion disorder (ED).

DESIGN

A qualitative study with a narrative approach was conducted.

SETTING

The study was conducted in Sweden. Interviews with physicians were conducted face-to-face during the Spring and Autumn of 2022. Each interview lasted between 35 and 60 min.

PARTICIPANTS

Purposive sampling was employed to recruit physicians on long-term sick leave for ED. We used an interview guide with open-ended questions.

RESULTS

12 physicians shared their experiences of the process leading to their ED-related sick leave. Four themes related to different phases of the process: Theme 1. Strongly motivated to become a physician, Theme 2. Demands delivering best practice, Theme 3. Symptoms of ill health and Theme 4. Managing symptoms of ED. The narrative analyses showed a holistic understanding of the personal consequences for the physicians and their families as well as the consequences in working life.

CONCLUSIONS

Politicians and leaders at different healthcare levels must take responsibility for strengthening the working environment, which is important for creating long-term and sustainable healthcare services.

摘要

目的

本研究旨在探讨医生因精疲力竭症(ED)而休病假之前的经历。

设计

采用叙事方法进行定性研究。

背景

该研究在瑞典进行。2022年春秋两季对医生进行了面对面访谈。每次访谈持续35至60分钟。

参与者

采用目的抽样法招募因精疲力竭症而长期休病假的医生。我们使用了带有开放式问题的访谈指南。

结果

12名医生分享了他们因精疲力竭症而休病假过程中的经历。四个主题与该过程的不同阶段相关:主题1. 成为医生的强烈动机,主题2. 提供最佳实践的要求,主题3. 健康不佳的症状,主题4. 应对精疲力竭症的症状。叙事分析显示,对医生及其家人的个人后果以及工作生活中的后果有了全面的理解。

结论

不同医疗保健层面的政治家和领导者必须承担起加强工作环境的责任,这对于创建长期和可持续的医疗服务至关重要。

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