Organisational Support

Over 80% of respondents rated the overlap period as helping substantially with patient safety and technical skills. Teamwork and solidarity were strong supports for moral resilience. Adequate staffing, supportive managers, and supportive colleagues provided security and enabled flexibility. Peer workers should have meaningful input into programme development and organisational decision-making, supporting empowerment and organisational fit. Clear and timely communication was central to navigating moral challenges. Organisational measures appeared central to protecting interns from worse burnout. Organisational support could strengthen or undermine moral resilience. When organisations create clear peer role descriptions and build staff understanding and buy-in, professional stigma can be reduced. Organisations that adapt to peer voice and involve peers meaningfully in organisational development can strengthen peer empowerment. Incoming interns received an overlap period in which outgoing interns guided, supported, and partly supervised them. Rapid organisational change, exclusion from decisions, feeling undervalued, and overwhelmed managers made some professionals feel abandoned or…