Systemic challenges and resiliency in rural family practice.
| Autor: | Lespérance S; Department of Family Medicine, Faculty of Medicine, Memorial University of Newfoundland, Newfoundland; Department of Family Medicine, Faculty of Medicine, Dalhousie University, Halifax, Canada., Anaraki NR; Department of Family Medicine, Centre for Rural Health Studies, Faculty of Medicine, Primary Healthcare Research Unit, Memorial University of Newfoundland, Newfoundland, Canada., Ashgari S; Department of Family Medicine, Centre for Rural Health Studies, Faculty of Medicine, Primary Healthcare Research Unit, Memorial University of Newfoundland, Newfoundland, Canada., Churchill A; Department of Psychology, Faculty of Science, Memorial University of Newfoundland, Newfoundland, Canada. |
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| Jazyk: | angličtina |
| Zdroj: | Canadian journal of rural medicine : the official journal of the Society of Rural Physicians of Canada = Journal canadien de la medecine rurale : le journal officiel de la Societe de medecine rurale du Canada [Can J Rural Med] 2022 Jul-Sep; Vol. 27 (3), pp. 91-98. |
| DOI: | 10.4103/cjrm.cjrm_39_21 |
| Abstrakt: | Introduction: The objective of our study was to understand how Canadian rural family physicians (RFPs) define and use resilience strategies to maintain their roles as generalists and resist burnout, while also understanding how organisational supports and systems may play a role. Methods: This was a qualitative study of RFPs with at least 1 year of experience working in rural Canada. Data were collected via semi-structured, in-depth interviews using a grounded theory approach. The participant recruitment process involved purposive and theoretical sampling, and was stopped when theoretical saturation was reached. Results: RFPs identified the following five themes related to resilience: (1) powerlessness, (2) strained work/life balance, (3) colleagues as supportive or straining, (4) living under the microscope and (5) compassion fatigue or empathy. Strategies to enhance resilience were identified at personal, community and organisational levels by participants. Conclusion: Enhancing RFPs' awareness of the specific individual and organisational strategies, as well as system-oriented solutions to maintain resilience, is of benefit to RFPs and rural and remote communities across Canada. Competing Interests: None |
| Databáze: | MEDLINE |
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