“We Won’t Retire Without Skeletons in the Closet”: Healthcare-Related Regrets Among Physicians and Nurses in German-Speaking Swiss Hospitals

Arx, Martina Rebecca Von; Cullati, Stéphane; Schmidt, Ralph Erich; Richner, Silvia; Kraehenmann, Rainer; Cheval, Boris; Agoritsas, Thomas; Chopard, Pierre; Burton-Jeangros, Claudine; Courvoisier, Delphine S.

doi:10.1177/1049732318782434

Cited by 16 publications

(18 citation statements)

References 74 publications

(123 reference statements)

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“…To name a few recent examples, specifically in terms of clinical identities, Grounded Theory has been demonstrated to produce high quality findings on how nursing staff reconcile their identities as specialist practitioners, teachers, and Nurses [15,16], and in global studies, how clinicians learn [17], navigate their working environments [18][19][20], and negotiate their careerrelated errors and regrets [21][22][23][24]. It is with this reasoning, the complexity of the training intervention we were questioning, and the multi-disciplinary nature of our team (Psychologists, clinical anaesthetic and surgical Doctors, and Medical Educators), a Grounded Theory approach appropriate to cross-disciplinary health research was selected to ensure the most nuanced reflections were sought from participants.…”

Section: Grounded Theory In Clinical Researchmentioning

confidence: 99%

Becoming the temporary surgeon: A grounded theory examination of anaesthetists performing emergency front of neck access in inter-disciplinary simulation-based training

et al. 2021

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The time-critical ‘can’t intubate, can’t oxygenate’ [CICO] emergency post-induction of anaesthesia is rare, but one which, should it occur, requires Anaesthetists to perform rapid emergency front of neck access [FONA] to the trachea, restoring oxygenation, and preventing death or brain hypoxia. The UK Difficult Airway Society [DAS] has directed all Anaesthetists to be trained with surgical cricothyroidotomy [SCT] as the primary emergency FONA method, sometimes referred to as ‘Cric’ as a shorthand. We present a longitudinal analysis using a classical approach to Grounded Theory methodology of ten Specialist Trainee Anaesthetists’ data during a 6-month training programme delivered jointly by Anaesthetists and Surgeons. We identified with a critical realist ontology and an objectivist epistemology meaning data interpretation was driven by participants’ narratives and accepted as true accounts of their experience. Our theory comprises three themes: ‘Identity as an Anaesthetist’; ‘The Role of a Temporary Surgeon’; and ‘Training to Reconcile Identities’, whereby training facilitated the psychological transition from a ‘bloodless Doctor’ (Anaesthetist) to becoming a ‘temporary Surgeon’. The training programme enabled Specialist Trainees to move between the role of control and responsibility (Identity as an Anaesthetist), through self-described ‘failure’ and into a role of uncertainty about one’s own confidence and competence (The Role of a Temporary Surgeon), and then return to the Anaesthetist’s role once the airway had been established. Understanding the complexity of an intervention and providing a better insight into the training needs of Anaesthetic trainees, via a Grounded Theory approach, allows us to evaluate training programmes against the recognised technical and non-technical needs of those being trained.

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Section: Grounded Theory In Clinical Researchmentioning

confidence: 99%

Becoming the temporary surgeon: A grounded theory examination of anaesthetists performing emergency front of neck access in inter-disciplinary simulation-based training

et al. 2021

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“…The initial search using the aforementioned mesh terms yielded 652 articles. After the removal of duplicate publications and those not meeting our inclusion criteria, 14 articles remained for the analysis (Table 2) (8,9,11,12,33,(36)(37)(38)(39)(40)(41)(42)(43)(44). All articles included were published in English.…”

Section: Results From the Systematic Reviewmentioning

confidence: 99%

“…Furthermore, in those studies, a score for the regret intensity cannot be obtained to assess its intra- or intervariability. This is a critical aspect given the self-reported nature of the data and the potential sample bias ( 38 , 41 , 42 ).…”

Section: Methodsmentioning

confidence: 99%

Regret and Therapeutic Decisions in Multiple Sclerosis Care: Literature Review and Research Protocol

et al. 2021

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Background: Decisions based on erroneous assessments may result in unrealistic patient and family expectations, suboptimal advice, incorrect treatment, or costly medical errors. Regret is a common emotion in daily life that involves counterfactual thinking when considering alternative choices. Limited information is available on care-related regret affecting healthcare professionals managing patients with multiple sclerosis (MS).Methods: We reviewed identified gaps in the literature by searching for the combination of the following keywords in Pubmed: “regret and decision,” “regret and physicians,” and “regret and nurses.” An expert panel of neurologists, a nurse, a psychiatrist, a pharmacist, and a psychometrics specialist participated in the study design. Care-related regret will be assessed by a behavioral battery including the standardized questionnaire Regret Intensity Scale (RIS-10) and 15 new specific items. Six items will evaluate regret in the most common social domains affecting individuals (financial, driving, sports—recreation, work, own health, and confidence in people). Another nine items will explore past and recent regret experiences in common situations experienced by healthcare professionals caring for patients with MS. We will also assess concomitant behavioral characteristics of healthcare professionals that could be associated with regret: coping strategies, life satisfaction, mood, positive social behaviors, occupational burnout, and tolerance to uncertainty.Planned Outcomes: This is the first comprehensive and standardized protocol to assess care-related regret and associated behavioral factors among healthcare professionals managing MS. These results will allow to understand and ameliorate regret in healthcare professionals.Spanish National Register (SL42129-20/598-E).

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“…In addition, previous studies have shown that social capital played a mediating and moderating role in important variables. For instance, studies show that social capital plays a mediating and moderating role in job satisfaction (Lu, Zhao, & While, 2019), life satisfaction (Buijs et al, 2016), mortality (Veenstra & Patterson, 2012), and social inequalities in health (Zhu, Li, Xia, Wang, & Mao, 2019). Workplace social capital is a crucial form of social capital, and since these studies show that social capital can act as mediating and moderating variables, it is likely that workplace social capital may also play an important role in variables.…”

mentioning

confidence: 99%

The role of workplace social capital on the relationship between perceived stress and professional identity among clinical nurses during the COVID‐19 outbreak

Zhang

Gao

Tang

et al. 2020

Japan Journal Nursing Sci

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AimWorkplace social capital refers to relationship networks formed by individuals in an organization through long‐term mutually beneficial interactions and cooperation with members. These relationship networks can create value and resources for organizations and individuals. This current study aimed to explore the potential impact of workplace social capital on the association between perceived stress and professional identity in clinical nurses during the COVID‐19 outbreak.MethodsIn this cross‐sectional study, 308 Chinese clinical nurses filled out the Chinese Workplace Social Capital Scale, the Chinese Perceived Stress Scale, and the Chinese Nurse's Professional Identity Scale. Descriptive analysis, independent samples t test, analysis of variance, Pearson correlation analyses, and bootstrap method were performed to analyze the data.ResultsPerceived stress was negatively correlated with professional identity (r = −0.455, p < .001). Workplace social capital was not found to moderate the relationship between perceived stress and professional identity (95% CI −0.03 to− 0.06, p = .47 > .05). Instead, it mediated that relationship (95% CI −0.61 to −0.19, p < .05), and its mediating effect was −0.37.ConclusionsIn the early stages of the COVID‐19 outbreak, workplace social capital among the investigated clinical nurses failed to buffer the negative impact of perceived stress on professional identity, but it did play a part in mediating perceived stress and professional identity. A healthy workplace should be provided to clinical nurses to improve their professional identity, while lowering perceived stress.

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“We Won’t Retire Without Skeletons in the Closet”: Healthcare-Related Regrets Among Physicians and Nurses in German-Speaking Swiss Hospitals

Cited by 16 publications

References 74 publications

Becoming the temporary surgeon: A grounded theory examination of anaesthetists performing emergency front of neck access in inter-disciplinary simulation-based training

Becoming the temporary surgeon: A grounded theory examination of anaesthetists performing emergency front of neck access in inter-disciplinary simulation-based training

Regret and Therapeutic Decisions in Multiple Sclerosis Care: Literature Review and Research Protocol

The role of workplace social capital on the relationship between perceived stress and professional identity among clinical nurses during the COVID‐19 outbreak

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