Systemic challenges and resiliency in rural family practice
Sarah Lespérance1, Nahid Rahimipour Anaraki2, Shabnam Ashgari2
1Department of Family Medicine, Faculty of Medicine, Memorial University of Newfoundland, Newfoundland; Department of Family Medicine, Faculty of Medicine, Dalhousie University, Halifax, Canada.
Summary
Canadian rural family physicians (RFPs) use personal, community, and organizational strategies to build resilience and combat burnout. Understanding these strategies and systemic supports is crucial for physician well-being and rural healthcare.
Area of Science:
- Family Medicine
- Rural Health
- Physician Well-being
Background:
- Rural family physicians (RFPs) face unique challenges in maintaining their roles and preventing burnout.
- Organizational supports and systems significantly influence RFP resilience.
Purpose of the Study:
- To explore how Canadian RFPs define and utilize resilience strategies.
- To understand the role of organizational factors in RFP resilience and burnout prevention.
Main Methods:
- Qualitative study employing grounded theory.
- Semi-structured, in-depth interviews with experienced RFPs in rural Canada.
- Purposive and theoretical sampling until theoretical saturation.
Main Results:
- Five key themes emerged: powerlessness, strained work/life balance, colleague dynamics, public scrutiny, and compassion fatigue.
- Resilience strategies were identified at personal, community, and organizational levels.
- Participants highlighted both supportive and straining aspects of colleagues and organizational systems.
Conclusions:
- Increased awareness of individual and organizational resilience strategies is beneficial for RFPs.
- System-oriented solutions are needed to support RFP well-being.
- Strengthening RFP resilience benefits both physicians and rural/remote communities across Canada.
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