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Table 4 Organizing breaks in daily routines

From: Psychosocial demands and resources for working time organization in GP practices. Results from a team-based ethnographic study in Germany

Topic

Quote number

Quote

Attitude towards the regular implementation of breaks

Quote 11

“But there is no 10:00 a.m. break. That depends on how much work needs to be done. If there is not much to do like today, then no one here will blame anyone for sitting in the kitchen. That is for sure.” (Interview with GP, group practice 3)

Absence of short breaks at certain work stations

Quote 12

“[Standing near the registration desk for about 3 h, the observer] could not observe that one of the PrAs went to the toilet or got herself something to drink. There are also no cups or glasses at the workstations.” (Observation protocol, group practice 3)

Design of break rooms

Quote 13

“From the laboratory a further room is accessible and [a] PrA presented this room to [the observer] as a break room area. There is a large dining table with four chairs. There are various cupboards and shelves along the walls. On a smaller shelf there is a coffee machine and there are several cups and glasses as well as kitchen utensils and supplies for the preparation of coffee. To the left there is a waist-high drawer cabinet with a printer, a mobile phone station and an answering machine.” (Observation protocol, single practice 1)

Social relationships

Quote 14

“So first of all the staff room is very important, where you can retreat and which is also used in the morning, because some members of the practice team have breakfast together and drink coffee before work.” (Interview with GP, group practice 5)

Absence of breaks for GPs

Quote 15

“Especially the doctors. […] Our doctors sometimes have zero rest at all. They sit here with their food and work while they eat. So they have really no rest.” (Focus group discussion among practice staff, group practice 2)