Category | Subcategory | Example(s) |
---|---|---|
1) Non-healthcare: Management & Organisation (32) 23.7% | Specific measures for managing activities Working together with managers Specific activism measures Involving patients, managers and specialists together Participation in commissions from management | “I limit the use of protocols when I find it unrealistic to follow them”; “I schedule all family business for the 1 day I work in the morning”; “I schedule home-visits“; “I have one diary for what is important and another for the ‘little things’”; “I allocate two slots for patients with complex medical issues”; “I have advocated strategies for self-care and the recovery of professional dignity and have agreed with management for these to be included in the centre’s activities”; “I’ve worked with neighbourhood associations on specific issues”; “When a serious problem arises, we include the affected patients in a discussion on the solutions; the managers are in favour of this”; “I collaborate on commissions encouraged by management: Pharmacy, etc.” |
2) Self-care, self-knowledge and “existential” activities (32) 23.7% | “Friendly” physical spaces Use of humour Adjusting expectations/putting things in perspective Specific mindfulness and self-care strategies at work Spaces for reflection Doing other extra-professional activities Encouraging positive thinking | “I decorate the office in a bright way and change it up periodically”; “I try to smile all the time... and it works!”; “I try to have fun with the patients, I use humour a lot”; “I take short breaks between patients. It only takes a few seconds to look at the next patient’s medical history and become aware of myself”; “Sometimes, when I’m very tired, I close the door and relax for a few minutes”; “I usually set aside time for reflection/talking/having fun with a colleague who is free”; “Physical exercise. Relaxation exercises. Relaxing with family and friends in my free time, unwinding”; “I do other activities: theatre, literature, etc., that help me put everything in perspective”; “I usually look ahead and think of the satisfaction I get from helping the patient with their problem and trying to resolve it or at least make it better.” |
3) Teamwork /Collaboration (23) 17% | Encouraging solidarity and shared experiences between team members Task delegation strategies Specific nursing strategies Working with social services Specific strategies with specialist colleagues | “I try to enjoy the shared moments with the team”; “I share my experiences (critical incidents) with my colleagues”; “I collaborate in working groups with colleagues on specific aspects for improving healthcare”; “By coming to agreements with my staff, I have been able to delegate many actions”; “Participation in multidisciplinary groups with specialists, nurses, etc.”; “On the team, we’ve included social services in many decisions”; |
4) Healthcare (15) 11% | Optimising Primary healthcare strategies: longitudinality; education, health,... Joint care with nursing Focus on problem-solving in healthcare Encouraging “complete care” Use of new technologies (ultrasound) | “I use my relationship with and knowledge of my patients for many things, e.g., if I’m overloaded 1 day I ask them directly if they can wait until another day”; “Training and supporting nurses to carry out self-limited minor processes”; “Supporting triage operations in appointments to assess whether a doctor or nurse appointment is necessary and prioritising these accordingly”; “Being ‘present’ at each point, I can forget about the superfluous”; “Focusing on the care of the patient I’m treating and not thinking about the waiting list, delays, absent colleagues, emergencies...”; “With the incorporation of ultrasound I have gained both in decisiveness and in relation to my patients.” |
5) Doctor/Patient/Colleague relationship/ (11) 8.1% | Trust Actively empathising Being assertive Prioritising respect and kindness | “I always try to improve the trust my patients have on me”; “I consciously strive to empathise and try to understand other points of view”; “I avoid conflict with conflicting people”; “I’m assertive but always respectful.” |
6) Non-healthcare: Teaching, Research (10) 7.4% | Participating in new projects Teaching residents and students Ongoing education Research | “I get involved in other projects: research, publications, conferences, teaching... I like it and it lets me escape somewhat from the pressure of the clinic”; “Training, teaching residents, community activity.” |
7) Low pay (2) 1.5% | Adapting to income Moderating material desires | “Throughout life you adapt, it’s about wanting less, about what you are more than what you have.” |