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Protocol

Investigating the conditions in which women GPs thrive: a realist review protocol

Ruth Abrams, Laura Jefferson, Su Golder, Lilith Whiley, Sophie Park, Vickie Williams and Ruth Riley
BJGP Open 23 January 2025; BJGPO.2024.0275. DOI: https://doi.org/10.3399/BJGPO.2024.0275
Ruth Abrams
1 University of Surrey, Kate Granger Building, Priestley Road, Surrey Research Park, Guildford, United Kingdom
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Laura Jefferson
2 Department of Health Sciences, University of York, York, United Kingdom
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Su Golder
2 Department of Health Sciences, University of York, York, United Kingdom
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Lilith Whiley
3 Sussex Business School, Jubilee Building, Falmer, Brighton, United Kingdom
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Sophie Park
4 Nuffield Department of Primary Care Health Sciences, University of Oxford, England, United Kingdom
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Vickie Williams
1 University of Surrey, Kate Granger Building, Priestley Road, Surrey Research Park, Guildford, United Kingdom
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Ruth Riley
1 University of Surrey, Kate Granger Building, Priestley Road, Surrey Research Park, Guildford, United Kingdom
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Abstract

Background Women now make up approximately half of the GP workforce. However, many are leaving the profession. This could be because they experience higher rates of burnout, stress and anxiety, suicide, and lower rates of career progression. They also take on a greater load of emotional labour. Retaining this staff group is one of five priorities for future policy and research.

Aim This research aims to synthesise the available evidence on how general practice workplaces can best support women GPs to thrive at work.

Design & setting We propose to undertake a realist review, which seeks to understand why an approach may work in specific contexts. This involves building an understanding of how contextual factors affect the activation of mechanisms (ie, changes in participant reasoning or behaviours) to produce their outcomes.

Method We will locate available evidence on the topic, and, using a realist logic of analysis develop an understanding as to how, why, for whom and in what contexts women GPs thrive at work. Evidence will include: academic literature, policy documents, media items and guidelines.

Results Findings will be co-disseminated with PPI and stakeholder members to all key groups including policymakers, employers, the public, and academic audiences by a wide variety of means.

Conclusion This review is intended to improve understanding of how working environments affect women GPs. It is anticipated that findings will support the implementation of strategies to better support this group to thrive at work.

  • Women
  • GPs
  • Primary Care
  • Thriving
  • Realist
  • Received November 15, 2024.
  • Accepted January 9, 2025.
  • Copyright © 2025, The Authors

This article is Open Access: CC BY license (https://creativecommons.org/licenses/by/4.0/)

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Accepted Manuscript
Investigating the conditions in which women GPs thrive: a realist review protocol
Ruth Abrams, Laura Jefferson, Su Golder, Lilith Whiley, Sophie Park, Vickie Williams, Ruth Riley
BJGP Open 23 January 2025; BJGPO.2024.0275. DOI: 10.3399/BJGPO.2024.0275

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Accepted Manuscript
Investigating the conditions in which women GPs thrive: a realist review protocol
Ruth Abrams, Laura Jefferson, Su Golder, Lilith Whiley, Sophie Park, Vickie Williams, Ruth Riley
BJGP Open 23 January 2025; BJGPO.2024.0275. DOI: 10.3399/BJGPO.2024.0275
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Keywords

  • Women
  • GPs
  • Primary care
  • Thriving
  • Realist

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