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The effect of a full shift system on doctors

The effect of a full shift system on doctors Purpose – This paper aims to investigate the implications and impact from the implementation of European Working Time Directive (EWTD) compliant working patterns (the introduction of shifts) on doctors. Design/methodology/approach – A qualitative, case study based research method was used. Data collection involved: the application of semi‐structured, open‐ended interviewing to elicit information based upon categories defined from the literature survey; follow‐up conversations with many interviewees; participant observation; thematic coding and analysis of the results. Findings – Shifts are here to stay. All doctors interviewed acknowledged that, but there was a general feeling of minimal flexibility in the system. A recurrent theme when asked how things could be improved was to split‐up the week of night shifts into two shorter periods. Some doctors, particularly those working full‐time with small children, already split their weekends in order to spend time with their family. Research limitations/implications – The methodology applied was appropriate, generating ample data to facilitate discussion and from which to draw specific conclusions. A perceived limitation is the single case approach; however Remenyi argues this can be enough to add to the body of knowledge. Practical implications – The research generated suggestions for how shifts could be scheduled to make them more palatable for those who work them. Specific recommendations for future research are made. Originality/value – The research questions of the paper draw out the personal implications for doctors of their employers' adherence to the implementation of EWTD. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Health Organisation and Management Emerald Publishing

The effect of a full shift system on doctors

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Publisher
Emerald Publishing
Copyright
Copyright © 2008 Emerald Group Publishing Limited. All rights reserved.
ISSN
1477-7266
DOI
10.1108/14777260810883512
pmid
18700582
Publisher site
See Article on Publisher Site

Abstract

Purpose – This paper aims to investigate the implications and impact from the implementation of European Working Time Directive (EWTD) compliant working patterns (the introduction of shifts) on doctors. Design/methodology/approach – A qualitative, case study based research method was used. Data collection involved: the application of semi‐structured, open‐ended interviewing to elicit information based upon categories defined from the literature survey; follow‐up conversations with many interviewees; participant observation; thematic coding and analysis of the results. Findings – Shifts are here to stay. All doctors interviewed acknowledged that, but there was a general feeling of minimal flexibility in the system. A recurrent theme when asked how things could be improved was to split‐up the week of night shifts into two shorter periods. Some doctors, particularly those working full‐time with small children, already split their weekends in order to spend time with their family. Research limitations/implications – The methodology applied was appropriate, generating ample data to facilitate discussion and from which to draw specific conclusions. A perceived limitation is the single case approach; however Remenyi argues this can be enough to add to the body of knowledge. Practical implications – The research generated suggestions for how shifts could be scheduled to make them more palatable for those who work them. Specific recommendations for future research are made. Originality/value – The research questions of the paper draw out the personal implications for doctors of their employers' adherence to the implementation of EWTD.

Journal

Journal of Health Organisation and ManagementEmerald Publishing

Published: Jun 20, 2008

Keywords: National Health Service; Flexible working hours; United Kingdom; Doctors

References