Evidence map›Paper›PMID 21722448›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2011

Resilience among doctors who work in challenging areas: a qualitative study.

Alexander D Stevenson, Christine B Phillips, Katrina J Anderson

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. What Are the Common Themes of Physician Resilience? A Meta-Synthesis of Qualitative Studies.International journal of environmental research and public health · 2022
    Pooled it
  2. Resilience in palliative healthcare professionals: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Pooled it
  3. Resilience of primary healthcare professionals: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016
    Pooled it
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  12. Exploring resilience in family physicians working in primary health care in the Cape Metropole.African journal of primary health care & family medicine · 2019
    Article
  13. Article
  14. Professional resilience in GPs working in areas of socioeconomic deprivation: a qualitative study in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
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  18. Barriers, facilitators, and survival strategies for GPs seeking treatment for distress: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017
    Article
  19. GPs' mental wellbeing and psychological resources: a cross-sectional survey.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017
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  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Alexander D StevensonAcademic Unit of General Practice and Community Health Australian National University, Canberra, Australia. alexander.stevenson@anu.edu.au
Christine B Phillips
Katrina J Anderson

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough physician burnout has received considerable attention, there is little research of doctors who thrive while working in challenging conditions.

aimTo describe attitudes to work and job satisfaction among Australian primary care practitioners who have worked for more than 5 years in areas of social disadvantage.

methodSemi-structured interviews were conducted with 15 primary health care practitioners working in Aboriginal health, prisons, drug and alcohol medicine, or youth and refugee health. The interviews explored attitudes towards work and professional satisfaction, and strategies to promote resilience.

resultsAll doctors were motivated by the belief that helping a disadvantaged population is the 'right thing' to do. They were sustained by a deep appreciation and respect for the population they served, an intellectual engagement with the work itself, and the ability to control their own working hours (often by working part-time in the field of interest). In their clinical work, they recognised and celebrated small gains and were not overwhelmed by the larger context of social disadvantage.

conclusionIf organisations want to increase the numbers of medical staff or increase the work commitment of staff in areas of social disadvantage, they should consider supporting doctors to work part-time, allowing experienced doctors to mentor them to model these patient-appreciative approaches, and reinforcing, for novice doctors, the personal and intellectual pleasures of working in these fields.

Indexed as

Attitude of Health PersonnelJob SatisfactionMedically Underserved AreaAdaptation, PsychologicalAdultAustraliaFemaleHealth Services, IndigenousHumansInternal-External ControlInterprofessional RelationsMaleMiddle AgedPhysiciansPrimary Health CareSocial Support

Identifiers

PMID21722448
PMCPMC3123503

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.