Shame! Self-stigmatisation as an obstacle to sick doctors returning to work: a qualitative study.
Shame! Self-stigmatisation as an obstacle to sick doctors returning to work: a qualitative study.
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DOI：
10.1136/bmjopen-2012-001776
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发表时间：
2012
期刊：
影响因子：
2.9
通讯作者：
Hatch S
中科院分区：
文献类型：
--
作者：
Henderson M;Brooks SK;Del Busso L;Chalder T;Harvey SB;Hotopf M;Madan I;Hatch S
探讨患病医生对阻碍其重返工作岗位的障碍的看法。定性研究。单一参与中心从英国各地招募医生。有身体或精神健康问题、毒品或酒精问题、参与一般医疗理事会或这些问题的任何组合而离开工作至少6个月的医生都有资格。合格的医生是与皇家医疗慈善基金、医疗总理事会和从业人员健康方案一起征聘的。这些组织接触了77名医生，19人参加。每位医生都完成了深入的半结构化访谈。我们使用了一种不断比较的方法来确定和商定数据的编码和一些中心主题的确定。医生们描述说，远离工作让他们感到孤独和悲伤。许多人经历了家人的负面反应，有些人故意隐瞒他们的问题。医生们描述了缺乏同事支持的情况，并担心在返回工作岗位时会有负面反应。自我污名化是参与者描述的核心;一些人将自己描述为失败者，似乎已经内化了他人的负面观点。自我污名化的观点，可能来自于“医生是无敌的”的信念，是医生重返工作岗位的主要障碍。从医学院开始，文化变革是必要的，以使医生认识到他们的脆弱性，这样他们就可以更容易地制定策略，以管理如果他们变得不适。
To explore the views of sick doctors on the obstacles preventing them returning to work. Qualitative study. Single participating centre recruiting doctors from all over the UK. Doctors who had been away from work for at least 6 months with physical or mental health problems, drug or alcohol problems, General Medical Council involvement or any combination of these, were eligible. Eligible doctors were recruited in conjunction with the Royal Medical Benevolent Fund, the General Medical Council and the Practitioner Health Programme. These organisations approached 77 doctors; 19 participated. Each doctor completed an in-depth semistructured interview. We used a constant comparison method to identify and agree on the coding of the data and the identification of a number of central themes. The doctors described that being away from work left them isolated and sad. Many experienced negative reactions from their family and some deliberately concealed their problems. Doctors described a lack of support from colleagues and feared a negative response when returning to work. Self-stigmatisation was central to the participants’ accounts; several described themselves as failures and appeared to have internalised the negative views of others. Self-stigmatising views, which possibly emerge from the belief that ‘doctors are invincible’, represent a major obstacle to doctors returning to work. From medical school onwards cultural change is necessary to allow doctors to recognise their vulnerabilities so they can more easily generate strategies to manage if they become unwell.
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影响因子：
3.2
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通讯作者：
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作者：
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