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dc.contributor.authorRuiz Moral, Roger 
dc.contributor.authorMonge Martín, Diana 
dc.contributor.authorGarcía de Leonardo Mena, Cristina 
dc.contributor.author
dc.contributor.authorCaballero Martínez, Fernando 
dc.contributor.authorÁlvarez Montero, Santiago
dc.date.accessioned2021-11-04T11:50:24Z
dc.date.available2021-11-04T11:50:24Z
dc.date.issued2021
dc.identifier.issn1471-2296spa
dc.identifier.urihttp://hdl.handle.net/10641/2582
dc.description.abstractBackground: Studies conducted to understand how family doctors develop resilience and deal with the challenges posed by work-related stress, usually have focused on identifying the elements that generate resilience from psychological perspectives and their impact on coping strategies. Few have explored the role that personal qualities and values that traditionally motivate family physicians can play as drivers of well-being and resilience. Objectives: To explore attributes that exemplary family physicians (EFP) consider important for their work and the elements that, for them, are source of gratification and resources in the face of the adversities they encounter in their practice. Methods: This is an exploratory study carried out by online survey. Eighty six doctors regarded as exemplary by their colleagues answered 7 close and 4 open-ended questions that explored their job satisfaction, the elements of their work that reward them, the difficulties and problems they usually encounter, the resources they use to cope with those problems, and the personal qualities they consider central to their work. Four researchers conducted a thematic (deductive and inductive) analysis of the free text responses received. Based on the results obtained, and through an iterative discussion process, the researchers proposed an integrated set of qualities at the core of their professionalism. Results: 88.4% (76) of the doctors said they were satisfied with their work. However, they face problems (202 comments), including demanding patients, insensitive managers with unshared interests/care goals, excessive paperwork, work overload, or time pressures. Sources of gratification point to personal identity; clinical, relational, and collaborative efficiency; a holistic and comprehensive practice (centred on individuals); and a continuous search for excellence (149) and the root of their resources (135). These elements, in turn, corresponded to the attributes considered essential for the practice of family medicine (131). Conclusions: For EFPs, certain professional values give meaning to their clinical practice and are a source of wellbeing and resources. This central focus on professional values and qualities can help for better understand the burnout nature and expand the type of action that promotes resilience. Further studies using a less structured qualitative research will be needed to confirm/expand these results.spa
dc.language.isoengspa
dc.publisherBMC Family Practicespa
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 España*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/es/*
dc.subjectBurnoutspa
dc.subjectResiliencespa
dc.subjectProfessionalismspa
dc.subjectMedical valuesspa
dc.subjectQualitative researchspa
dc.subjectMedical ethicsspa
dc.subjectFamily medicinespa
dc.titleMedical resilience and morality: a survey study on the opinions and actions of exemplary family physicians.spa
dc.typearticlespa
dc.description.versionpost-printspa
dc.rights.accessRightsopenAccessspa
dc.description.extent1.433 KBspa
dc.identifier.doi10.1186/s12875-021-01555-0spa
dc.relation.publisherversionhttps://bmcfampract.biomedcentral.com/articles/10.1186/s12875-021-01555-0spa


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