Does perceived organisational support influence career intentions? The qualitative stories shared by UK early career doctors

Gillian Marion Scanlan, Jennifer Cleland, Kim Walker, Peter Johnston

Research output: Contribution to journalArticle

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Abstract

Introduction The wish to quit or take time out of medical training appears to be related, at least in part, to a strong desire for supportive working and learning environments. However, we do not have a good understanding of what a supportive culture means to early career doctors, and how perceptions of support may influence career decision making. Our aim was to explore this in UK Foundation doctors.
Methods This was a qualitative study using semistructured interviews incorporating a narrative inquiry approach for data collection. Interview questions were informed by the literature as well as data from two focus groups. Interviews were carried out in two UK locations. Initial data coding and analysis were inductive, using thematic analysis. We then used the lens of Perceived Organizational Support (POS) to group themes and aid conceptual generalisability.
Results Twenty-one interviews were carried out. Eleven interviewees had applied for specialty training, while ten had not. Support from senior staff and colleagues influenced participants’ job satisfaction and engagement. Positive relationships with senior staff and colleagues seemed to act as a buffer, helping participants cope with challenging situations. Feeling valued (acknowledgement of efforts, and respect) was important. Conversely, perceiving a poor level of support from the organisation and its representatives (supervisors and colleagues) had a detrimental impact on participants’ intentions to stay working within the National Health Service (NHS).
Conclusion Overall, this is the first study to explore directly how experiences in early postgraduate training have a critical impact on the career intentions of trainee/resident doctors. We found perceived support in the early stages of postgraduate training was critical to whether doctors applied for higher training and/or intended to stay working in the NHS. These findings have transferable messages to other contexts struggling to recruit and retain junior doctors.
Original languageEnglish
Article numbere022833
Pages (from-to)1-12
Number of pages12
JournalBMJ Open
Volume8
Issue number6
Early online date19 Jun 2018
DOIs
Publication statusPublished - Jun 2018

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Interviews
National Health Programs
Job Satisfaction
Focus Groups
Lenses
Decision Making
Buffers
Emotions
Learning
Organizations

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Does perceived organisational support influence career intentions? The qualitative stories shared by UK early career doctors. / Scanlan, Gillian Marion; Cleland, Jennifer; Walker, Kim; Johnston, Peter.

In: BMJ Open, Vol. 8, No. 6, e022833, 06.2018, p. 1-12.

Research output: Contribution to journalArticle

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abstract = "Introduction The wish to quit or take time out of medical training appears to be related, at least in part, to a strong desire for supportive working and learning environments. However, we do not have a good understanding of what a supportive culture means to early career doctors, and how perceptions of support may influence career decision making. Our aim was to explore this in UK Foundation doctors. Methods This was a qualitative study using semistructured interviews incorporating a narrative inquiry approach for data collection. Interview questions were informed by the literature as well as data from two focus groups. Interviews were carried out in two UK locations. Initial data coding and analysis were inductive, using thematic analysis. We then used the lens of Perceived Organizational Support (POS) to group themes and aid conceptual generalisability. Results Twenty-one interviews were carried out. Eleven interviewees had applied for specialty training, while ten had not. Support from senior staff and colleagues influenced participants’ job satisfaction and engagement. Positive relationships with senior staff and colleagues seemed to act as a buffer, helping participants cope with challenging situations. Feeling valued (acknowledgement of efforts, and respect) was important. Conversely, perceiving a poor level of support from the organisation and its representatives (supervisors and colleagues) had a detrimental impact on participants’ intentions to stay working within the National Health Service (NHS). Conclusion Overall, this is the first study to explore directly how experiences in early postgraduate training have a critical impact on the career intentions of trainee/resident doctors. We found perceived support in the early stages of postgraduate training was critical to whether doctors applied for higher training and/or intended to stay working in the NHS. These findings have transferable messages to other contexts struggling to recruit and retain junior doctors.",
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note = "Our thanks to all those FP2 doctors who participated in the interviews. Our thanks also to the Foundation Programme Directorate staff in the Scotland Deanery, NHS Education for Scotland, for sending out the email correspondence to the two regions involved in the interviews. No patients or any members of the public were involved in this study. Funding: Our thanks go to NHS Education for Scotland for funding Gillian Scanlan’s programme of work through the Scottish Medical Education Research Consortium (SMERC) and for funding the open-access fee for this paper.",
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