Pracovní spokojenost u absolventů medicíny: Vliv psychologické smlouvy

The aim of this thesis is to explore how perceived psychological contract breach influences the job satisfaction of medical graduates in the Czech Republic. The study employs Interpretative Phenomenological Analysis within a qualitative research approach. Data were collected through individual semi-structured interviews with nine early-career physicians with up to six months of clinical experience, with the Critical Incident Technique used to elicit specific experiences of psychological contract breach. The analysis identified a process through which contract breach translates into job satisfaction. The breach is followed by an immediate reaction involving an emotional component and, in some cases, an instant response aimed at managing the situation. This is succeeded by cognitive processing, which encompasses three interrelated processes, namely sensemaking, coping strategies, and severity appraisal, that can modulate the ultimate impact of the breach on job satisfaction. The thesis contributes to a deeper understanding of the processual nature of psychological contract breach in the medical environment and offers insight into the lived experience of young doctors. In doing so, it highlights the importance of cognitive processing as an intermediary between the affective reaction and the impact of the breach on job satisfaction. The findings provide practical implications both for hospital employers and for early-career physicians themselves, offering guidance on how to navigate psychological contract breach in order to sustain job satisfaction.