Systemic challenges and resiliency in rural family practice.

IF 0.7 Q3 MEDICINE, GENERAL & INTERNAL

Canadian Journal of Rural Medicine Pub Date : 2022-07-01 DOI:10.4103/cjrm.cjrm_39_21

Sarah Lespérance, Nahid Rahimipour Anaraki, Shabnam Ashgari, AnnMarie Churchill

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引用次数: 2

Abstract

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.

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农村家庭实践中的系统性挑战和弹性。

引言:本研究的目的是了解加拿大农村家庭医生(rfp)如何定义和使用弹性策略来维持他们作为全科医生的角色并抵抗倦怠，同时也了解组织支持和系统如何发挥作用。方法:对在加拿大农村工作至少1年的rfp进行定性研究。数据通过半结构化的深度访谈收集，采用扎根理论方法。参与者招募过程涉及有目的和理论抽样，并在达到理论饱和时停止。结果:rfp确定了以下五个与弹性相关的主题:(1)无力感，(2)工作/生活平衡紧张，(3)同事支持或紧张，(4)生活在显微镜下，(5)同情疲劳或同理心。参与者在个人、社区和组织层面确定了增强复原力的策略。结论:提高rfp对具体的个人和组织策略的认识，以及以系统为导向的解决方案，以保持弹性，对rfp和加拿大的农村和偏远社区都有好处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Canadian Journal of Rural Medicine MEDICINE, GENERAL & INTERNAL-

CiteScore

1.70

自引率

18.20%

发文量

期刊介绍： The Canadian Journal of Rural Medicine (CJRM) is a quarterly peer-reviewed journal available in print form and on the Internet. It is the first rural medical journal in the world indexed in Index Medicus, as well as MEDLINE/PubMed databases. CJRM seeks to promote research into rural health issues, promote the health of rural and remote communities, support and inform rural practitioners, provide a forum for debate and discussion of rural medicine, provide practical clinical information to rural practitioners and influence rural health policy by publishing articles that inform decision-makers.