GPs' perceptions of resilience training: a qualitative study

Br J Gen Pract. 2017 Oct;67(663):e709-e715. doi: 10.3399/bjgp17X692561. Epub 2017 Sep 11.

Abstract

Background: GPs are reporting increasing levels of burnout, stress, and job dissatisfaction, and there is a looming GP shortage. Promoting resilience is a key strategy for enhancing the sustainability of the healthcare workforce and improving patient care.

Aim: To explore GPs' perspectives on the content, context, and acceptability of resilience training programmes in general practice, in order to build more effective GP resilience programmes.

Design and setting: This was a qualitative study of the perspectives of GPs currently practising in England.

Method: GPs were recruited through convenience sampling, and data were collected from two focus groups (n = 15) and one-to-one telephone interviews (n = 7). A semi-structured interview approach was used and data were analysed using thematic analysis.

Results: Participants perceived resilience training to be potentially of value in ameliorating workplace stresses. Nevertheless, uncertainty was expressed regarding how best to provide training for stressed GPs who have limited time. Participants suspected that GPs most likely to benefit from resilience training were the least likely to engage, as stress and being busy worked against engagement. Conflicting views were expressed about the most suitable training delivery method for promoting better engagement. Participants also emphasised that training should not only place the focus on the individual, but also focus on organisation issues.

Conclusion: A multimodal, flexible approach based on individual needs and learning aims, including resilience workshops within undergraduate training and in individual practices, is likely to be the optimal way to promote resilience.

Keywords: burnout, professional; coping skills; general practitioners; primary health care; resilience, psychological; training.

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Attitude of Health Personnel
  • Burnout, Professional / prevention & control*
  • Burnout, Professional / psychology
  • England
  • Female
  • Focus Groups
  • General Practitioners / education*
  • General Practitioners / psychology*
  • Humans
  • Male
  • Middle Aged
  • Occupational Health*
  • Physician-Patient Relations
  • Qualitative Research
  • Quality of Health Care
  • Resilience, Psychological*
  • Work-Life Balance
  • Workload / psychology*
  • Young Adult