ArticleBMJ open2021
Protective factors and sources of support in the workplace as experienced by UK foundation and junior doctors: a qualitative study.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Suicide in Healthcare Workers: An Umbrella Review of Prevalence, Causes, and Preventive Strategies.Journal of primary care & community healthPooled it
- Effectiveness of a Mindfulness and Self-Compassion Standard Training Program versus an Abbreviated Training Program on Stress in Tutors and Resident Intern Specialists of Family and Community Medicine and Nursing in Spain.International journal of environmental research and public health · 2021Trial
- Preparing House Officers for Emergencies in a Psychiatric Setting with Simulation-Based Learning.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026Article
- The protective role of perceived support, job recognition and availability of workplace resources in the relationship between burnout and suicidality among health and social care professionals in Switzerland.Frontiers in public health · 2026Article
- Exploring the experiences of residents in managing multiple roles at tertiary care hospitals of Punjab, Pakistan.Pakistan journal of medical sciences · 2025Article
- The effects of incivility on learning burnout in Chinese nursing interns: mediating roles of career calling and self-efficacy.Frontiers in psychology · 2025Article
- Implementing and sustaining dementia care coordinators across integrated care systems: a realist evaluation.BMC medicine · 2024Article
- Using a Novel Gameplay Intervention to Target Intrusive Memories After Work-Related Trauma: Iterative Qualitative Analysis of Intensive Care Unit Staff Experiences.JMIR formative research · 2024Article
- Negotiating the postvention situation: A grounded theory of NHS staff experiences when supporting their coworkers following a colleague's suicide.Death studies · 2024Article
- In the shoes of junior doctors: a qualitative exploration of job performance using the job-demands resources model.Frontiers in psychology · 2024Article
- Working conditions, psychological distress and suicidal ideation: cross-sectional survey study of UK junior doctors.BJPsych open · 2023Article
- Induction Implications: Shaping the Competence and Confidence of Junior Doctors Within Complex Medical Specialties.Cureus · 2023Article
- The comparative mental health of Australian doctors before and during COVID-19: A population-based approach.The Australian and New Zealand journal of psychiatry · 2023Article
- Mental health burden for NHS healthcare staff during the COVID-19 pandemic: First results of a longitudinal survey.Heliyon · 2023Article
- Factors associated with suicide in physicians: a silent stigma and public health problem that has not been studied in depth.Frontiers in psychiatry · 2023Review
- The experiences of autistic doctors: a cross-sectional study.Frontiers in psychiatry · 2023Article
- Recommendations for improving the working conditions and cultures of distressed junior doctors, based on a qualitative study and stakeholder perspectives.BMC health services research · 2022Article
- Article
- What challenges did junior doctors face while working during the COVID-19 pandemic? A qualitative study.BMJ open · 2021Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis paper reports findings identifying foundation and junior doctors' experiences of occupational and psychological protective factors in the workplace and sources of effective support.
designInterpretative, inductive, qualitative study involving in-depth interviews with 21 junior doctor participants. The interviews were audio-recorded, transcribed, anonymised and imported into NVivo V.11 to facilitate data management. Data were analysed using a thematic analysis employing the constant comparative method.
settingNational Health Service in the UK.
participantsParticipants were recruited from junior doctors through social media (eg, the British Medical Association (BMA) junior doctors' Facebook group, Twitter and the mental health research charity websites). A purposive sample of 16 females and 5 males, ethnically diverse, from a range of specialities, across the UK. Junior doctor participants self-identified as having stress, distress, anxiety, depression and suicidal thoughts or having attempted to kill themselves.
resultsAnalysis identified three main themes, with corresponding subthemes relating to protective work factors and facilitators of support: (1) support from work colleagues - help with managing workloads and emotional support; (2) supportive leadership strategies, including feeling valued and accepted, trust and communication, supportive learning environments, challenging stigma and normalising vulnerability; and (3) access to professional support - counselling, cognitive-behavioural therapy and medication through general practitioners, specialist support services for doctors and private therapy.
conclusionsFindings show that supportive leadership, effective management practices, peer support and access to appropriate professional support can help mitigate the negative impact of working conditions and cultures experienced by junior doctors. Feeling connected, supported and valued by colleagues and consultants acts as an important buffer against emotional distress despite working under challenging working conditions.
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