The aim of the investigation was to examine relations between physicians’ experiences of opportunities to exert their competence, and have arenas for collegially influence on the organization’s activities and loyalty, protest and exit. In total, 1 400 physicians participated in a questionnaire study. Strong feelings of loyalty with the organization, workplace and immediate supervisor were 2–3 times more common among those with arenas, than those without the experience of an arena. Loyalty with their profession and patients was high, and independent of access to such arenas. Of those with high access to arenas, 87% reported that their viewpoints on work conditions were taken into consideration, compared to 21% of those with low access. Considerations for changes in profession, employer or workplace were twice as common among those with low access to arenas. In conclusion, employers who want to attract physicians must have arenas where the physicians’ competence can influence the organisational activities.
I en enkätstudie undersöktes relationen mellan läkares uppfattning om kollegialt inflytande och lojalitet, protest och sorti.
Stark lojalitet med organisation och chef är 2–3 gånger vanligare bland dem som har stor tillgång till arenor för kollegialt inflytande. Lojaliteten med profession och patienter är stark och oberoende av tillgång till arenor.
Bland dem som har stor tillgång till arenor anser 87 procent att de får gehör för synpunkter jämfört med 21 procent bland dem med liten tillgång.
Överväganden om att byta yrke, arbetsgivare eller arbetsplats är dubbelt så vanliga vid liten tillgång till arenor.
Arbetsgivare som vill attrahera läkare måste ha arenor där läkarna får inflytande över verksamheten.