Abstract:
OBJECTIVES:Our aims were to investigate the sources of work strain and stress, and the way in which they are experienced by Romanian health professionals in a work context shaped by the ongoing 20 years long reform of the national health care system. DESIGN:An exploratory, qualitative design was used to investigate medical professionals' perceptions of stress and work strain. METHODS:Twenty eight interviews and two focus groups were conducted with 38 physicians, residents and nurses, between the age of 26 and 53. A semi-structured interview guide was used for data gathering and the major themes were identified using thematic analysis of the transcripts. RESULTS:Three themes emerged in the analysis: governance and health system management, scarcity of resources, and health system reputation. Health professionals described the image of a suffering health system, exhausted by an inconsistent management plan, underfunded and understaffed; a system that is a constant source of discontent, bitterness and doubts for them and their patients. CONCLUSIONS:Romanian health professionals' experiences reveal a health care system which after 20 years of reform managed to shape a learned helplessness culture within the medical community and drive a large proportion of its workforce across the borders.
journal_name
Br J Health Psycholjournal_title
British journal of health psychologyauthors
Spânu F,Băban A,Bria M,Dumitrascu DLdoi
10.1111/bjhp.12010subject
Has Abstractpub_date
2013-09-01 00:00:00pages
663-79issue
3eissn
1359-107Xissn
2044-8287journal_volume
18pub_type
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