Rights statement: This is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Vocational Education & Training on 7 July 2020, available online: https://www.tandfonline.com/doi/full/10.1080/13636820.2020.1792535
Accepted author manuscript, 280 KB, PDF document
Available under license: CC BY-NC: Creative Commons Attribution-NonCommercial 4.0 International License
Final published version
Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
}
TY - JOUR
T1 - Exploring UK foundation doctors’ perceptions surrounding raising concerns in the workplace
AU - Talash, Khojasta
AU - Corfield, Lorraine
AU - Latcham, Natalie
AU - Lavelle, Claire
AU - Williams, Richard
AU - Machin, Laura
N1 - This is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Vocational Education & Training on 7 July 2020, available online: https://www.tandfonline.com/doi/full/10.1080/13636820.2020.1792535
PY - 2022/9/30
Y1 - 2022/9/30
N2 - This study aims to explore the perceptions of foundation doctors (FDs) in the United Kingdom (UK) surrounding raising concerns in the workplace. An online survey was sent to all FDs in the UK between February and March 2018. Respondents were asked what they had observed or experienced that had been ethically challenging during their foundation training. The qualitative responses were coded into themes. Reasons why FDs wished to raise concerns in the workplace included disagreements about clinical decisions within the team, insufficient availability of resources, lack of senior colleague support and having to work beyond their competencies. Challenges faced by FDs when raising concerns included organisational resistance to change, difficulties in communicating ideas to those higher up in the hierarchy and the emotional stress of whistleblowing regarding senior colleagues. Perceived consequences of raising concerns included negative impact on FDs’ reputation and career, and fear of bullying. To overcome these barriers, changes within organisations at all levels must take place in order to provide an environment where FDs are encouraged to raise concerns and thus make positive changes to their work environments for themselves, their colleagues and patients.
AB - This study aims to explore the perceptions of foundation doctors (FDs) in the United Kingdom (UK) surrounding raising concerns in the workplace. An online survey was sent to all FDs in the UK between February and March 2018. Respondents were asked what they had observed or experienced that had been ethically challenging during their foundation training. The qualitative responses were coded into themes. Reasons why FDs wished to raise concerns in the workplace included disagreements about clinical decisions within the team, insufficient availability of resources, lack of senior colleague support and having to work beyond their competencies. Challenges faced by FDs when raising concerns included organisational resistance to change, difficulties in communicating ideas to those higher up in the hierarchy and the emotional stress of whistleblowing regarding senior colleagues. Perceived consequences of raising concerns included negative impact on FDs’ reputation and career, and fear of bullying. To overcome these barriers, changes within organisations at all levels must take place in order to provide an environment where FDs are encouraged to raise concerns and thus make positive changes to their work environments for themselves, their colleagues and patients.
KW - Organisations
KW - mentoring
KW - vocational education and training
KW - learning in the professions
KW - workplace learning
U2 - 10.1080/13636820.2020.1792535
DO - 10.1080/13636820.2020.1792535
M3 - Journal article
VL - 74
SP - 513
EP - 527
JO - Journal of Vocational Education and Training
JF - Journal of Vocational Education and Training
SN - 1363-6820
IS - 3
ER -