Occupational isolation among general practitioners in Finland

Aira, Marja; Mäntyselkä, Pekka; Vehviläinen, Arto T.; Kumpusalo, Esko

doi:10.1093/occmed/kqq082

Cited by 15 publications

(25 citation statements)

References 15 publications

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“…Physicians in LASs usually have to work independently, isolated from their professional community [47][48][49]. Such professional communities are generally sustained by means of informal gatherings of physicians in their workplace or professional organizations; they are also formally formed via hierarchical work relations or by taking part in conference meetings or CME activities.…”

Section: Self-determination Theorymentioning

confidence: 99%

Attracting and retaining physicians in less attractive specialties: the role of continuing medical education

et al. 2021

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Background Less attractive specialties in medicine are struggling to recruit and retain physicians. When properly organized and delivered, continuing medical education (CME) activities that include short courses, coaching in the workplace, and communities of practice might offer a solution to this problem. This position paper discusses how educationalists can create CME activities based on the self-determination theory that increase physicians’ intrinsic motivation to work in these specialties. Main content The authors propose a set of guidelines for the design of CME activities that offer physicians meaningful training experiences within the limits of the available resources and support. First, to increase physicians’ sense of professional relatedness, educationalists must conduct a learner needs assessment, evaluate CME’s long-term outcomes in work-based settings, create social learning networks, and involve stakeholders in every step of the CME design and implementation process. Moreover, providing accessible, practical training formats and giving informative performance feedback that authentically connects to learners' working life situation increases physicians’ competence and autonomy, so that they can confidently and independently manage the situations in their practice contexts. For each guideline, application methods and instruments are proposed, making use of relevant literature and connecting to the self-determination theory. Conclusions By reducing feelings of professional isolation and reinforcing feelings of competence and autonomy in physicians, CME activities show promise as a strategy to recruit and retain physicians in less attractive specialties.

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Section: Self-determination Theorymentioning

confidence: 99%

Attracting and retaining physicians in less attractive specialties: the role of continuing medical education

et al. 2021

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“…Across our entire sample, a third reported feeling alone at work, whilst a quarter of FPs lacked opportunities to consult with their colleagues. According to a Finnish study, isolation at work among FPs equates with making decisions alone, a lack of collaboration with other health centre workers and secondary care specialists, not being a part of the work community and a lack of mentoring at work [25]. In earlier studies in Finland, 67-71% of FPs working in health centers thought their work left them isolated too often [26,27].…”

Section: Discussionmentioning

confidence: 99%

Family physician experiences with and needs for clinical supervision: Associations between work experiences, professional issues and social support at work

Torppa

Kuikka

Nevalainen

et al. 2016

Patient Education and Counseling

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“…With burdensome responsibilities and limited access to peers, DONs can become relatively isolated in their positions. Minimizing this isolation through professional support from colleagues who impart organizational knowledge and forge connections with outside resources may better help to prepare DONs to drive improved outcomes (Aira, Mäntyselkä, Vehviläinen, & Kumpusalo, ; Corazzini et al, ; Olson & Zwygart‐Stauffacher, ; Siegel & Sikma, ). Determining how best to connect DONs with others first requires an understanding of the availability and quality of professional support.…”

Section: Specific Aims and Significancementioning

confidence: 99%

Professional networks and support for nursing home directors of nursing

Rao

Evans

Mueller

et al. 2019

Research in Nursing & Health

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In this study, we examined the influence of professional network characteristics, available professional support, and perceived support quality on intent to stay among for-profit nursing home (NH) directors of nursing (DON). We hypothesized that the receipt of high quality professional support would be associated with DON intent to stay. DONs have a critical mandate to provide leadership that influences their facilities' work climate and care quality. Yet, they often struggle to manage overwhelming responsibilities and are left feeling alienated, frustrated, and intent on leaving their jobs. Professional support, accessed via professional networks, may help DONs combat frustration and mitigate turnover that threatens NH care quality. Using a descriptive survey design, we electronically surveyed all DONs employed by a single for-profit NH corporation to collect data pertaining to their professional networks, receipt of professional support, perceptions regarding support quality, and intentions to stay in their positions. One-hundred-ninety-five DONs (65%) responded, with 133 (44%) completing every survey component. We employed social network analysis methods to construct datasets linking descriptors of DON respondents with attribute information about 1,164 network members. Statistical analyses (ANOVAs, point biserial correlations, and binomial logistic regression) yielded several findings supporting our hypothesis: (i) DONs' professional networks closely resembled the teams in which they worked daily; (ii) DONs relied on this core network of individuals to provide task support primarily; (iii) DON-nursing home administrator relationships were most important; and (iv) perceptions of support quality and support from nursing home administrators were the strongest predictors of DON intent to stay. K E Y W O R D S management, networks, nursing, nursing homes, support

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Occupational isolation among general practitioners in Finland

Abstract: Enabling flexible teamwork and social and professional support networks are the key issues in solving the problem of occupational isolation in general practice.

Cited by 15 publications

References 15 publications

Attracting and retaining physicians in less attractive specialties: the role of continuing medical education

Attracting and retaining physicians in less attractive specialties: the role of continuing medical education

Family physician experiences with and needs for clinical supervision: Associations between work experiences, professional issues and social support at work

Professional networks and support for nursing home directors of nursing

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