Interprofessional perceptions and emotional impact of multidrug-resistant organisms: A qualitative study - 25/07/19
, Andreas Dietz, MD a, Stefanie Bushuven c, Markus Dettenkofer, MD, PhD b, Thorsten Langer, MD, PhD dHighlights |
• | Presence of multidrug-resistant organisms is linked to emotions in patients and staff. |
• | MDRO may generate anger and fear, impairing the professional-patient relationship. |
• | Barriers in communication have to be addressed through communication trainings, focusing on IDs. |
Résumé |
Background |
Hospital-acquired infections caused by multidrug-resistant organisms (MDROs) are a threat to patient safety and hospital economy. Training in hygiene precautions is known to limit MDRO spread and patient morbidity. As infection prevention is a collaborative task, we developed an interprofessional educational intervention, including a reflective unit about MDRO. This article reports on the perceptions of professionals for MDRO management.
Methods |
In 2017, we conducted 8 trainings, including facilitated group discussions focusing on the question how participants think others experience MDRO. Results were analyzed using a socio-constructivist qualitative approach.
Results |
A total of 51 health care workers from 13 professions and 5 hospitals participated, generating 366 items for coding. Three main themes could be identified: (1) significant barriers in educating clinicians and informing lay persons, (2) emotional reactions–especially anxiety and anger–from the perspective of lay persons and professionals evoked by MDRO, and (3) perceived economic burden.
Conclusions |
MDROs generate psychosocial side effects with an impact on health care management and on professional-patient relationships and interprofessional relationships. Specifically, emotions evoked by insufficient information and transparency play a major role. Therefore, hygiene trainings must not be limited to basic skills. In addition, they should be comprised of communication and educational techniques and evoke attentiveness for emotional stress.
Le texte complet de cet article est disponible en PDF.Key Words : Qualitative research, Emotion, Interprofessional medical education, Communication, Information transfer, Risk management
Plan
| Conflicts of interest: None to report. |
Vol 47 - N° 8
P. 876-882 - août 2019 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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