Error in intensive care: psychological repercussions and defense mechanisms among health professionals.
Identifieur interne : 003305 ( PubMed/Corpus ); précédent : 003304; suivant : 003306Error in intensive care: psychological repercussions and defense mechanisms among health professionals.
Auteurs : Alexandra Laurent ; Laurence Aubert ; Khadija Chahraoui ; Antoine Bioy ; André Mariage ; Jean-Pierre Quenot ; Gilles CapellierSource :
- Critical care medicine [ 1530-0293 ] ; 2014.
English descriptors
- KwdEn :
- Adaptation, Psychological, Adult, Attitude of Health Personnel, Clinical Competence, Critical Care (methods), Critical Care (psychology), Defense Mechanisms, Female, France, Guilt, Health Personnel (psychology), Hospitals, Teaching, Humans, Intensive Care Units, Interviews as Topic, Male, Medical Errors (psychology), Middle Aged, Patient Care Team, Psychometrics, Qualitative Research, Shame.
- MESH :
- geographic : France.
- methods : Critical Care.
- psychology : Critical Care, Health Personnel, Medical Errors.
- Adaptation, Psychological, Adult, Attitude of Health Personnel, Clinical Competence, Defense Mechanisms, Female, Guilt, Hospitals, Teaching, Humans, Intensive Care Units, Interviews as Topic, Male, Middle Aged, Patient Care Team, Psychometrics, Qualitative Research, Shame.
Abstract
To identify the psychological repercussions of an error on professionals in intensive care and to understand their evolution. To identify the psychological defense mechanisms used by professionals to cope with error.
DOI: 10.1097/CCM.0000000000000508
PubMed: 25054673
Links to Exploration step
pubmed:25054673Le document en format XML
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Khadija" sort="Chahraoui, Khadija" uniqKey="Chahraoui K" first="Khadija" last="Chahraoui">Khadija Chahraoui</name></author><author><name sortKey="Bioy, Antoine" sort="Bioy, Antoine" uniqKey="Bioy A" first="Antoine" last="Bioy">Antoine Bioy</name></author><author><name sortKey="Mariage, Andre" sort="Mariage, Andre" uniqKey="Mariage A" first="André" last="Mariage">André Mariage</name></author><author><name sortKey="Quenot, Jean Pierre" sort="Quenot, Jean Pierre" uniqKey="Quenot J" first="Jean-Pierre" last="Quenot">Jean-Pierre Quenot</name></author><author><name sortKey="Capellier, Gilles" sort="Capellier, Gilles" uniqKey="Capellier G" first="Gilles" last="Capellier">Gilles Capellier</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:25054673</idno><idno type="pmid">25054673</idno><idno type="doi">10.1097/CCM.0000000000000508</idno><idno type="wicri:Area/PubMed/Corpus">003305</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003305</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Error in intensive care: psychological repercussions and defense mechanisms among health professionals.</title><author><name sortKey="Laurent, Alexandra" sort="Laurent, Alexandra" uniqKey="Laurent A" first="Alexandra" last="Laurent">Alexandra Laurent</name><affiliation><nlm:affiliation>1Laboratory of psychology EA 3188, University of Franche-Comte, Besancon, France. 2Laboratory LPPM EA 4452, University of Bourgogne, Dijon, France. 3Intensive Care Units, Teaching Hospital, Dijon, France. 4Intensive Care Units, Teaching Hospital, Besançon, France. 5Australian and New Zealand Intensive Care Research Centre, Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Aubert, Laurence" sort="Aubert, Laurence" uniqKey="Aubert L" first="Laurence" last="Aubert">Laurence Aubert</name></author><author><name sortKey="Chahraoui, Khadija" sort="Chahraoui, Khadija" uniqKey="Chahraoui K" first="Khadija" last="Chahraoui">Khadija Chahraoui</name></author><author><name sortKey="Bioy, Antoine" sort="Bioy, Antoine" uniqKey="Bioy A" first="Antoine" last="Bioy">Antoine Bioy</name></author><author><name sortKey="Mariage, Andre" sort="Mariage, Andre" uniqKey="Mariage A" first="André" last="Mariage">André Mariage</name></author><author><name sortKey="Quenot, Jean Pierre" sort="Quenot, Jean Pierre" uniqKey="Quenot J" first="Jean-Pierre" last="Quenot">Jean-Pierre Quenot</name></author><author><name sortKey="Capellier, Gilles" sort="Capellier, Gilles" uniqKey="Capellier G" first="Gilles" last="Capellier">Gilles Capellier</name></author></analytic><series><title level="j">Critical care medicine</title><idno type="eISSN">1530-0293</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adaptation, Psychological</term><term>Adult</term><term>Attitude of Health Personnel</term><term>Clinical Competence</term><term>Critical Care (methods)</term><term>Critical Care (psychology)</term><term>Defense Mechanisms</term><term>Female</term><term>France</term><term>Guilt</term><term>Health Personnel (psychology)</term><term>Hospitals, Teaching</term><term>Humans</term><term>Intensive Care Units</term><term>Interviews as Topic</term><term>Male</term><term>Medical Errors (psychology)</term><term>Middle Aged</term><term>Patient Care Team</term><term>Psychometrics</term><term>Qualitative Research</term><term>Shame</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>France</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Critical Care</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Critical Care</term><term>Health Personnel</term><term>Medical Errors</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adaptation, Psychological</term><term>Adult</term><term>Attitude of Health Personnel</term><term>Clinical Competence</term><term>Defense Mechanisms</term><term>Female</term><term>Guilt</term><term>Hospitals, Teaching</term><term>Humans</term><term>Intensive Care Units</term><term>Interviews as Topic</term><term>Male</term><term>Middle Aged</term><term>Patient Care Team</term><term>Psychometrics</term><term>Qualitative Research</term><term>Shame</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To identify the psychological repercussions of an error on professionals in intensive care and to understand their evolution. To identify the psychological defense mechanisms used by professionals to cope with error.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25054673</PMID><DateCreated><Year>2014</Year><Month>10</Month><Day>16</Day></DateCreated><DateCompleted><Year>2014</Year><Month>12</Month><Day>15</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1530-0293</ISSN><JournalIssue CitedMedium="Internet"><Volume>42</Volume><Issue>11</Issue><PubDate><Year>2014</Year><Month>Nov</Month></PubDate></JournalIssue><Title>Critical care medicine</Title><ISOAbbreviation>Crit. Care Med.</ISOAbbreviation></Journal><ArticleTitle>Error in intensive care: psychological repercussions and defense mechanisms among health professionals.</ArticleTitle><Pagination><MedlinePgn>2370-8</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/CCM.0000000000000508</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To identify the psychological repercussions of an error on professionals in intensive care and to understand their evolution. To identify the psychological defense mechanisms used by professionals to cope with error.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Qualitative study with clinical interviews. We transcribed recordings and analysed the data using an interpretative phenomenological analysis.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">Two ICUs in the teaching hospitals of Besançon and Dijon (France).</AbstractText><AbstractText Label="SUBJECTS" NlmCategory="METHODS">Fourteen professionals in intensive care (20 physicians and 20 nurses).</AbstractText><AbstractText Label="INTERVENTIONS" NlmCategory="METHODS">None.</AbstractText><AbstractText Label="MEASUREMENTS AND MAIN RESULTS" NlmCategory="RESULTS">We conducted 40 individual semistructured interviews. The participants were invited to speak about the experience of error in ICU. The interviews were transcribed and analyzed thematically by three experts. In the month following the error, the professionals described feelings of guilt (53.8%) and shame (42.5%). These feelings were associated with anxiety states with rumination (37.5%) and fear for the patient (23%); a loss of confidence (32.5%); an inability to verbalize one's error (22.5%); questioning oneself at a professional level (20%); and anger toward the team (15%). In the long term, the error remains fixed in memory for many of the subjects (80%); on one hand, for 72.5%, it was associated with an increase in vigilance and verifications in their professional practice, and on the other hand, for three professionals, it was associated with a loss of confidence. Finally, three professionals felt guilt which still persisted at the time of the interview. We also observed different defense mechanisms implemented by the professional to fight against the emotional load inherent in the error: verbalization (70%), developing skills and knowledge (43%), rejecting responsibility (32.5%), and avoidance (23%). We also observed a minimization (60%) of the error during the interviews.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">It is important to take into account the psychological experience of error and the defense mechanisms developed following an error because they appear to determine the professional's capacity to acknowledge and disclose his/her error and to learn from it.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Laurent</LastName><ForeName>Alexandra</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>1Laboratory of psychology EA 3188, University of Franche-Comte, Besancon, France. 2Laboratory LPPM EA 4452, University of Bourgogne, Dijon, France. 3Intensive Care Units, Teaching Hospital, Dijon, France. 4Intensive Care Units, Teaching Hospital, Besançon, France. 5Australian and New Zealand Intensive Care Research Centre, Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Aubert</LastName><ForeName>Laurence</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Chahraoui</LastName><ForeName>Khadija</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Bioy</LastName><ForeName>Antoine</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Mariage</LastName><ForeName>André</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Quenot</LastName><ForeName>Jean-Pierre</ForeName><Initials>JP</Initials></Author><Author ValidYN="Y"><LastName>Capellier</LastName><ForeName>Gilles</ForeName><Initials>G</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Crit Care Med</MedlineTA><NlmUniqueID>0355501</NlmUniqueID><ISSNLinking>0090-3493</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000223" MajorTopicYN="N">Adaptation, Psychological</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001291" MajorTopicYN="Y">Attitude of Health Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002983" MajorTopicYN="N">Clinical Competence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003422" MajorTopicYN="N">Critical Care</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003674" MajorTopicYN="Y">Defense Mechanisms</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006167" MajorTopicYN="N">Guilt</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006282" MajorTopicYN="N">Health Personnel</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006784" MajorTopicYN="N">Hospitals, Teaching</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007362" MajorTopicYN="N">Intensive Care Units</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007407" MajorTopicYN="N">Interviews as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019300" MajorTopicYN="N">Medical Errors</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010348" MajorTopicYN="N">Patient Care Team</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011594" MajorTopicYN="N">Psychometrics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D036301" MajorTopicYN="N">Qualitative Research</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012752" MajorTopicYN="N">Shame</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>7</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>7</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>12</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25054673</ArticleId><ArticleId IdType="doi">10.1097/CCM.0000000000000508</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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