Running against the clock: a qualitative study of internal medicine residents' work experience.

Details

Serval ID
serval:BIB_81463686E217
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Running against the clock: a qualitative study of internal medicine residents' work experience.
Journal
Swiss medical weekly
Author(s)
Bourquin C., Monti M., Saraga M., Stiefel F., Kraege V., Gachoud D., Castioni J., Marques-Vidal P.M., Bastardot F., Méan M., Lamy O., Vollenweider P., Waeber G., Garnier A.
ISSN
1424-3997 (Electronic)
ISSN-L
0036-7672
Publication state
Published
Issued date
15/08/2022
Peer-reviewed
Oui
Volume
152
Pages
w30216
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
While hospitals are adopting strategies designed to increase the overall efficiency of the healthcare system, physicians are facing expanding requirements. Such changes in work environment add new psychosocial and physical stressors. Building on a previous quantitative time-motion study, we conducted a qualitative study to better understand the work experience of internal medicine residents.
The study used a qualitative description approach, and was based on focus group discussions with residents. Data were analysed using reflexive thematic analysis. The study was conducted among all residents of the Internal Medicine division of a tertiary university hospital in Switzerland.
Time emerged as the major determinant of residents' daily experience, which residents want to waste on no account. Shifts are perceived as a constraining succession of distinct periods, with little room for adjustments. Moreover, residents feel held back and distracted in their progression toward the end of the shift. Under time pressure, some essential professional activities, such as caring for patients and families, dealing with medical complications and talking with consultants, may be experienced as unexpected undesirable bumps on the road. Residents describe "running through" a structured day, scattered with obstacles, and resorting to "tricks of the trade" in an attempt to influence the course of the shift.
Time constraints are not new to medicine. However, our findings outline how time has become a constant preoccupation for internal medicine residents, permeating their daily work experience. This changing relationship with time carries the risk of undermining the foundations of clinical medicine and challenges the ability of hospitals to preserve the "sense of the profession". Introduction.
Keywords
Humans, Internal Medicine, Internship and Residency, Physicians, Qualitative Research, Running
Pubmed
Open Access
Yes
Create date
25/08/2022 17:14
Last modification date
13/09/2022 6:39
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