Quality care, public perception and quick-fix service management: a Delphi study on stressors of hospital doctors in Ireland.
OBJECTIVES
To identify and rank the most significant workplace stressors to which consultants and trainees are exposed within the publicly funded health sector in Ireland.


DESIGN
Following a preliminary semistructured telephone interview, a Delphi technique with 3 rounds of reiterative questionnaires was used to obtain consensus. Conducted in Spring 2014, doctors were purposively selected by their college faculty or specialty training body.


SETTING
Consultants and higher specialist trainees who were engaged at a collegiate level with their faculty or professional training body. All were employed in the Irish publicly funded health sector by the Health Services Executive.


PARTICIPANTS
49 doctors: 30 consultants (13 male, 17 female) and 19 trainees (7 male, 12 female). Consultants and trainees were from a wide range of hospital specialties including anaesthetics, radiology and psychiatry.


RESULTS
Consultants are most concerned with the quality of healthcare management and its impact on service. They are also concerned about the quality of care they provide. They feel undervalued within the negative sociocultural environment that they work. Trainees also feel undervalued with an uncertain future and they also perceive their sociocultural environment as negative. They echo concerns regarding the quality of care they provide. They struggle with the interface between career demands and personal life.


CONCLUSIONS
This Delphi study sought to explore the working life of doctors in Irish hospitals at a time when resources are scarce. It identified both common and distinct concerns regarding sources of stress for 2 groups of doctors. Its identification of key stressors should guide managers and clinicians towards solutions for improving the quality of patient care and the health of care providers.
['Hayes|Blanaid|B|', 'Fitzgerald|Deirdre|D|', 'Doherty|Sally|S|', 'Walsh|Gillian|G|']
D001291:Attitude of Health Personnel D003253:Consultants D003697:Delphi Technique D005260:Female D006761:Hospitals D006801:Humans D007407:Interviews as Topic D007494:Ireland D008297:Male D010346:Patient Care Management D010820:Physicians D011569:Psychiatric Status Rating Scales D011787:Quality of Health Care D013315:Stress, Psychological D017132:Workplace
Delphi technique quality of healthcare work stress physician