TY  - JOUR
PY  - 2021//
TI  - Sources of work-related psychological distress experienced by UK-wide foundation and junior doctors: a qualitative study
JO  - BMJ open
A1  - Riley, Ruth
A1  - Buszewicz, Marta
A1  - Kokab, Farina
A1  - Teoh, Kevin
A1  - Göpfert, Anya
A1  - Taylor, Anna K.
A1  - Van Hove, Maria
A1  - Martin, James
A1  - Appleby, Louis
A1  - Chew-Graham, Carolyn
SP  - e043521
EP  - e043521
VL  - 11
IS  - 6
N2  - OBJECTIVES: This paper reports findings exploring work cultures, contexts and conditions associated with psychological distress in foundation and junior doctors. <br><br>DESIGN: Qualitative study using 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. SETTING: NHS in England. PARTICIPANTS: A purposive sample of 16 female and five male junior doctor junior doctor participants who self-identified as having stress, distress, anxiety, depression and suicidal thoughts, or having attempted to kill themselves. <br><br>RESULTS: Analysis reported four key themes: (1) workload and working conditions; (2) toxic work cultures-including abuse and bullying, sexism and racism, culture of blaming and shaming; (3) lack of support; (4) stigma and a perceived need to appear invulnerable. <br><br>CONCLUSION: This study highlights the need for future solutions and interventions targeted at improving work cultures and conditions. There needs to be greater recognition of the components and cumulative effects of potentially toxic workplaces and stressors intrinsic to the work of junior doctors, such as the stress of managing high workloads and lack of access to clinical and emotional support. A cultural shift is needed within medicine to more supportive and compassionate leadership and work environments, and a zero-tolerance approach to bullying, harassment and discrimination.<p />  <p>Language: en</p>
LA  - en
SN  - 2044-6055
UR  - http://dx.doi.org/10.1136/bmjopen-2020-043521
ID  - ref1
ER  -