Evidence map›Paper›PMID 34906133›Full record

ArticleBMC health services research2021

'The hardest job I've ever done': a qualitative exploration of the factors affecting junior doctors' mental health and well-being during medical training in Australia.

Katherine Petrie, Mark Deady, Deborah Lupton, Joanna Crawford, Katherine M Boydell, Samuel B Harvey

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.9field-weighted citation impact, top 5% 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

13 citing papers in PubMed, 24 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Katherine PetrieSchool of Psychiatry, University of New South Wales, Sydney, NSW, 2000, Australia. katherine.petrie@unsw.edu.au.ORCID https://orcid.org/0000-0002-6285-8518
Mark DeadySchool of Psychiatry, University of New South Wales, Sydney, NSW, 2000, Australia.
Deborah LuptonVitalities Lab, Centre for Social Research in Health and Social Policy Research Centre, University of New South Wales, Sydney, NSW, 2000, Australia.
Joanna CrawfordBlack Dog Institute, Hospital Rd, Randwick, NSW, 2031, Australia.
Katherine M BoydellBlack Dog Institute, Hospital Rd, Randwick, NSW, 2031, Australia.
Samuel B HarveyBlack Dog Institute, Hospital Rd, Randwick, NSW, 2031, Australia.ORCID https://orcid.org/0000-0001-9580-3743
Black Dog Institute · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedical practitioners can experience considerable stress and poor mental health during their careers, with doctors in training known to be particularly vulnerable. Previous research has documented work-related factors that may play a role in the mental health status of junior doctors. However, these and additional factors, need to be explored further by considering theory-driven, social, structural and contextual issues. This qualitative study aimed to explore the experiences of junior doctors working in Australian hospitals to identify factors that impact their mental health during medical training.

methodSemi-structured interviews were conducted with 12 junior medical officers (JMOs) employed across six hospitals in Australia. Transcribed de-identified interviews were analysed thematically using a data-driven inductive approach.

resultsFour interrelated main themes were identified: i) professional hierarchies; ii) occupational stress; iii) emotional labour, and iv) taking distress home; which detail the complex affective, relational and professional experiences of JMOs. The accounts demonstrate how the social, professional and organisational dimensions of these experiences impact upon trainee's well-being and mental health, both positively and negatively. Together, the findings document the dynamic, nuanced aspects of junior doctors' experiences of medical training and practice and highlights the importance of relational connections and the workplace environment in shaping JMOs' social and emotional well-being.

conclusionThe current study adds to the understanding of how junior doctors navigate medical training in Australian hospitals and highlights the complexities of this experience, particularly the ways in which mental health and well-being are shaped by different elements. These findings have important implications to inform new strategies to improve JMO mental health and to leverage work and non-work contexts to better support JMOs during medical training.

Indexed as

Mental HealthPhysiciansAttitude of Health PersonnelAustraliaHumansMedical Staff, HospitalQualitative ResearchEmotional labourJunior doctorsMedical trainingMental healthOccupational supportProfessional hierarchiesQualitative researchTransitionWork stress

Identifiers

PMID34906133
PMCPMC8672528
OpenAlexW4200229681

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.