Regret is an unavoidable corollary of clinical practice. Physicians and nurses perform countless clinical decisions and actions, in a context characterised by time pressure, information overload, complexity and uncertainty

A Akiyama

AA White

AM Fahrenkopf

C Maslach

C Wrosch

D Marchiori

D Zohar

Delphine S. Courvoisier

DM Wegner

E O'Connor

FR Leach

H Giver

I Hozo

IA Scott

J Groopman

JF Christensen

K Montgomery

KL Ziarnowski

KM Sutcliffe

L O'Brien-Pallas

LA Treiber

M Varkevisser

M Zeelenberg

M Zeidner

Markus M. Heimesaat

MP Leiter

P Croskerry

PC Sorum

Ralph E. Schmidt

RE Schmidt

RM Epstein

RM Goldberg

S Bourgeois-Gironde

Stéphane Cullati

T Mizrahi

Thomas Agoritsas

Thomas V. Perneger

TJ Kennedy

PLoS ONE

English

PubMed

BACKGROUND: Regret is an unavoidable corollary of clinical practice. Physicians and nurses perform countless clinical decisions and actions, in a context characterised by time pressure, information overload, complexity and uncertainty. OBJECTIVE: To explore feelings associated with regretted clinical decisions or interventions of hospital-based physicians and nurses and to examine how these regrets are coped with. METHOD: Qualitative study of a volunteer sample of 12 physicians and 13 nurses from Swiss University Hospitals using semi-structured interviews and thematic analysis RESULTS: All interviewees reported at least one intense regret, which sometimes led to sleep problems, or taking sickness leave. Respondents also reported an accumulation effect of small and large regrets, which sometimes led to quitting one's unit or choosing another specialty. Respondents used diverse ways of coping with regrets, including changing their practices and seeking support from peers and family but also suppression of thoughts related to the situation and ruminations on the situation. Another coping strategy was acceptance of one's limits and of medicine's limits. Physicians reported that they avoided sharing with close colleagues because they felt they could lose their credibility. CONCLUSIONS: Since regret seems related to both positive and negative consequences, it is important to learn more about regret coping among healthcare providers and to determine whether training in coping strategies could help reduce negative consequences such as sleep problems, absenteeism, or turnover

Delphine S Courvoisier

Thomas V Perneger

Ralph E Schmidt

Directory of Open Access Journals

Regrets associated with providing healthcare: qualitative study of experiences of hospital-based physicians and nurses.

Regret is an unavoidable corollary of clinical practice. Physicians and nurses perform countless clinical decisions and actions, in a context characterised by time pressure, information overload, complexity and uncertainty.To explore feelings associated with regretted clinical decisions or interventions of hospital-based physicians and nurses and to examine how these regrets are coped with.Qualitative study of a volunteer sample of 12 physicians and 13 nurses from Swiss University Hospitals using semi-structured interviews and thematic analysisAll interviewees reported at least one intense regret, which sometimes led to sleep problems, or taking sickness leave. Respondents also reported an accumulation effect of small and large regrets, which sometimes led to quitting one's unit or choosing another specialty. Respondents used diverse ways of coping with regrets, including changing their practices and seeking support from peers and family but also suppression of thoughts related to the situation and ruminations on the situation. Another coping strategy was acceptance of one's limits and of medicine's limits. Physicians reported that they avoided sharing with close colleagues because they felt they could lose their credibility.Since regret seems related to both positive and negative consequences, it is important to learn more about regret coping among healthcare providers and to determine whether training in coping strategies could help reduce negative consequences such as sleep problems, absenteeism, or turnover

Courvoisier Delphine S.

Agoritsas Thomas

Perneger Thomas V.

Schmidt Ralph E.

Cullati Stéphane

Public Library of Science (PLOS)

Regrets Associated with Providing Healthcare: Qualitative Study of Experiences of Hospital-Based Physicians and Nurses

Crossref

Courvoisier, Delphine

Agoritsas, Thomas

Perneger, Thomas

Schmidt, Ralph Erich

Cullati, Stéphane

Archive ouverte UNIGE

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http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3149073

Regrets Associated with Providing Healthcare: Qualitative Study of Experiences of Hospital-Based Physicians and Nurses

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Directory of Open Access Journals

Public Library of Science (PLOS)

Public Library of Science (PLOS)

Crossref

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