Evidence map›Paper›PMID 30241524›Full record

ArticleBMC health services research2018

Stress, coping, and psychological resilience among physicians.

Emily O'Dowd, Paul O'Connor, Sinéad Lydon, Orla Mongan, Fergal Connolly, Catherine Diskin, Aoibheann McLoughlin, Louise Rabbitt, Lyle McVicker, Bronwyn Reid-McDermott and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 2 pooled it
23.5field-weighted citation impact, top 1% of its field
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

68 citing papers in PubMed, 2 syntheses or guidelines pooled it, 184 citations in OpenAlex.

  1. Pooled it
  2. 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
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  5. When doctors falter: Resilience in modern obstetrics and gynecology, a narrative review.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Review
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8 more citing papers are in PubMed but not listed here.

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

11 authors at 5 institutions in 1 country.

Emily O'DowdSchool of Medicine, National University of Ireland Galway, Galway, Ireland.
Paul O'ConnorSchool of Medicine, National University of Ireland Galway, Galway, Ireland. paul.oconnor@nuigalway.ie.ORCID http://orcid.org/0000-0001-9036-098X
Sinéad LydonSchool of Medicine, National University of Ireland Galway, Galway, Ireland.
Orla MonganSchool of Medicine, National University of Ireland Galway, Galway, Ireland.
Fergal ConnollySchool of Nursing, Midwifery, and Health Systems, University College Dublin, Belfield, Dublin, Ireland.
Catherine DiskinHealth Service Executive National Doctors Training and Planning, Dublin, Ireland.
Aoibheann McLoughlinDepartment of Psychiatry, Jonathan Swift Centre, St James' Hospital, Dublin, Ireland.
Louise RabbittSchool of Medicine, National University of Ireland Galway, Galway, Ireland.
Lyle McVickerDepartment of Medicine, University Hospital Galway, Galway, Co. Galway, Ireland.
Bronwyn Reid-McDermottSchool of Medicine, National University of Ireland Galway, Galway, Ireland.
Dara ByrneSchool of Medicine, National University of Ireland Galway, Galway, Ireland.
Ollscoil na Gaillimhe – University of Galway · IEHealth Service Executive · IESt. James's Hospital · IEUniversity College Dublin · IEUniversity Hospital Galway · IE

Funding

Health Services Executive National Doctors Training and Planning N/A
6 · The paper itself

Abstract

backgroundRecent research has demonstrated that burnout is widespread among physicians, and impacts their wellbeing, and that of patients. Such data have prompted efforts to teach resilience among physicians, but efforts are hampered by a lack of understanding of how physicians experience resilience and stress. This study aimed to contribute to knowledge regarding how physicians define resilience, the challenges posed by workplace stressors, and strategies which enable physicians to cope with these stressors.

methodsA qualitative approach was adopted, with 68 semi-structured interviews conducted with Irish physicians. Data were analysed using deductive content-analysis.

resultsFive themes emerged from the interviews. The first theme, 'The Nature of Resilience' captured participants' understanding of resilience. Many of the participants considered resilience to be "coping", rather than "thriving" in instances of adversity. The second theme was 'Challenges of the Profession', as participants described workplace stressors which threatened their wellbeing, including long shifts, lack of resources, and heavy workloads. The third theme, 'Job-related Gratification', captured aspects of the workplace that support resilience, such as gratification from medical efficacy. 'Resilience Strategies (Protective Practices)' summarised coping behaviours that participants considered to be beneficial to their wellbeing, including spending time with family and friends, and the final theme, 'Resilience Strategies (Attitudes)', captured attitudes which protected against stress and burnout.

conclusionsThis study emphasised the need for further research the mechanisms of physician coping in the workplace and how we can capitalise on insights into physicians' experiences of coping with system-level stressors to develop interventions to improve resilience.

Indexed as

Adaptation, PsychologicalResilience, PsychologicalAdultBurnout, ProfessionalFemaleHumansInterviews as TopicIrelandMaleOccupational StressPhysiciansQualitative ResearchStress, PsychologicalWorkloadWorkplaceBurnoutCopingHealth service challengesPatient safetyPsychological resilienceStressWorkplace challenges

Identifiers

PMID30241524
PMCPMC6151040
OpenAlexW2889578939

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.