Spotlight on Japanese physicians: An exploration of their professional experiences elicited by means of narrative facilitators.

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Version: Author's accepted manuscript
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Serval ID
serval:BIB_B5CCB970EF5D
Type
Article: article from journal or magazin.
Collection
Publications
Title
Spotlight on Japanese physicians: An exploration of their professional experiences elicited by means of narrative facilitators.
Journal
Work
Author(s)
Stiefel F., Stiefel F., Terui T., Machino T., Ishitani K., Bourquin C.
ISSN
1875-9270 (Electronic)
ISSN-L
1051-9815
Publication state
Published
Issued date
2019
Peer-reviewed
Oui
Volume
63
Number
2
Pages
269-282
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
While investigation of physicians' work experience is often limited to issues of satisfaction or burnout, a broader view of their experiences is lacking.
To explore professional experiences, we asked Japanese physicians (N = 18, 12 men and 6 women) of a general hospital to react to so-called "narrative facilitators".
The narrative facilitators - inspired by clinical psychology, visual sociology and purpose-designed techniques - oriented physicians' narratives towards clinical practise, relationship with peers and context. Transcribed interviews were subject to thematic analysis.
The thematic analysis of participants' narratives revealed a lonely physician with a tough job, torn between the ideal of patient-centred care and a clinical reality, which limits these aspirations. Patients emerged as anxious and burdensome consumers of medicine. Feeling neither supported by peers nor the institution, physicians also perceived the society as somewhat negligent, delegating its problem to medicine. Communication difficulties, with patients and peers, and the absence of joyful aspects of the profession constituted fundamental elements of their narratives.
Comprehensive investigation of physicians' lived professional experience could become a key to conceive ways to support them.
Keywords
Narrative facilitators, lived experience, physicians, qualitative research, thematic analysis
Pubmed
Web of science
Create date
17/06/2019 16:33
Last modification date
20/08/2019 16:24
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