Time Pressure Experienced by Internal Medicine Residents in an Educational Hospital in Saudi Arabia: A Qualitative Study

Dalal A. ALQahtani , Moeber M. Mahzari , Alanoud A. ALQahtani , Jerome I. Rotgans
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引用次数: 2

Abstract

Purpose

Residents suffer from high workload and extended working hours, which have several negative consequences on their mental health and patients' safety. Similarly, time pressure, which is also part of the clinical training of medical residents, may have adverse effects on their performance. The aim of this study was to explore internal medicine residents’ perceptions of time pressure sources in the workplace, its negative effects on them and their patients and finally what strategies they adopt to cope with them.

Method

This was a focus group qualitative study. Seventeen internal medicine residents from all four years of the residency training were recruited. A semi-structured interview approach was used, and data were analyzed using thematic analysis.

Results

Participants perceived their work as stressful and very demanding. Four major themes emerged to explain the sources of time pressure in the workplace: patient-related factors; practice-related factors; training-related factors; and resident-related factors. In addition, two main themes arose to show the negative effects of time pressure on residents: the effects on residents' health and the effects on residents’ performance. Data also showed two main coping strategies, which can be summarized as: active adaptive coping and avoidant maladaptive coping.

Discussion

This in depth-qualitative study highlights the sources and consequences of perceived time pressure in clinical training of internal medicine residents. Residents feel this adverse working condition could have substantial adverse effects on their health and performance.

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沙特阿拉伯一所教育医院内科住院医师经历的时间压力:一项定性研究
目的住院医生的工作量大,工作时间长,这对他们的心理健康和病人的安全产生了一些负面影响。同样,时间压力也是住院医师临床培训的一部分,可能会对他们的表现产生不利影响。本研究旨在探讨内科住院医师对工作场所时间压力来源的认知、时间压力对他们和病人的负面影响,以及他们采取的应对策略。方法采用焦点小组定性研究。招募了17名接受过四年住院医师培训的内科住院医师。采用半结构化访谈方法,数据采用专题分析。结果:参与者认为他们的工作压力很大,要求很高。在解释工作场所时间压力的来源时,出现了四个主要主题:与患者相关的因素;实践因素;培训与因素;以及居民相关因素。此外,还出现了两个主题来显示时间压力对居民的负面影响:对居民健康的影响和对居民绩效的影响。数据还显示了两种主要的应对策略,可归纳为主动适应性应对和回避性适应不良应对。本深入的定性研究强调了内科住院医师临床培训中感知时间压力的来源和后果。居民认为这种不利的工作条件可能对他们的健康和工作表现产生重大不利影响。
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来源期刊
CiteScore
3.60
自引率
0.00%
发文量
0
审稿时长
38 weeks
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