Physicians’ experiences of the process leading to their sick leave for exhaustion disorder in Sweden: a narrative design

TL;DR

This study explores how physicians in Sweden experience the journey leading to taking sick leave due to exhaustion disorder.

Contribution

The study provides a narrative understanding of physicians' personal and professional experiences leading to exhaustion-related sick leave.

Findings

Physicians described a strong initial motivation to become doctors, followed by increasing work demands.

Symptoms of ill health emerged gradually, often ignored until severe exhaustion occurred.

Managing exhaustion disorder had significant personal and professional consequences for physicians.

Abstract

The aim of this study was to explore physicians' experiences of the process leading up to their sick leave due to exhaustion disorder (ED).

A qualitative study with a narrative approach was conducted.

The study was conducted in Sweden. Interviews with physicians were conducted face-to-face during the Spring and Autumn of 2022. Each interview lasted between 35 and 60 min.

Purposive sampling was employed to recruit physicians on long-term sick leave for ED. We used an interview guide with open-ended questions.

12 physicians shared their experiences of the process leading to their ED-related sick leave. Four themes related to different phases of the process: Theme 1. Strongly motivated to become a physician, Theme 2. Demands delivering best practice, Theme 3. Symptoms of ill health and Theme 4. Managing symptoms of ED. The narrative analyses showed a holistic understanding of the personal consequences for the physicians and their families as well as the consequences in working life.

Politicians and leaders at different healthcare levels must take responsibility for strengthening the working environment, which is important for creating long-term and sustainable healthcare services.