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

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

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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

机译：“我们不会在没有壁橱的情况下退休”：医生和护士在德语瑞士医院的医生和护士中的医疗保健遗憾

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Physicians and nurses are expected to systematically provide high-quality healthcare in a context marked by complexity, time pressure, heavy workload, and the influence of nonclinical factors on clinical decisions. Therefore, healthcare professionals must eventually deal with unfortunate events to which regret is a typical emotional reaction. Using semistructured interviews, 11 physicians and 13 nurses working in two different hospitals in the German-speaking part of Switzerland reported a total of 48 healthcare-related regret experiences. Intense feelings of healthcare-related regrets had far-reaching repercussions on participants’ health, work-life balance, and medical practice. Besides active compensation strategies, social capital was the most important coping resource. Receiving superiors’ support was crucial for reaffirming professional identity and helped prevent healthcare professionals from quitting their job. Findings suggest that training targeting emotional coping could be beneficial for quality of life and may ultimately lead to lower job turnover among healthcare professionals.

机译：预计医生和护士将在以复杂性，时间压力，重大工作量和非界限因素对临床决策的影响，系统地提供高质量的医疗保健。因此，医疗保健专业人员必须最终处理不幸的事件，遗憾的是典型的情绪反应。在德语部分德语部分使用半系统的访谈，11名医生和13名在两家不同医院工作的护士，总共有48个医疗保健相关的遗憾经历。与参与者的健康，工作生活平衡和医疗实践相比，医疗相关遗憾的强烈感情。除了主动补偿策略外，社会资本是最重要的应对资源。接受上级的支持对于重申专业身份至关重要，并帮助防止医疗保健专业人员退出工作。调查结果表明，针对情绪应对的培训可能有利于生活质量，最终可能导致医疗保健专业人员的工作营业额降低。

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来源
《Qualitative health research》 |2018年第11期|共13页
作者
Martina von Arx; Stéphane Cullati; Ralph E. Schmidt; Silvia Richner; Rainer Kraehenmann; Boris Cheval; Thomas Agoritsas; Pierre Chopard; Claudine Burton-Jeangros; Delphine S. Courvoisier;
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作者单位

University of Geneva Geneva Switzerland;

University of Geneva Geneva Switzerland;

University of Geneva Geneva Switzerland;

Triemli Municipal Hospital Zurich Switzerland;

University of Zurich Zurich Switzerland;

University of Geneva Geneva Switzerland;

University Hospitals of Geneva Geneva Switzerland;

University of Geneva Geneva Switzerland;

University of Geneva Geneva Switzerland;

University of Geneva Geneva Switzerland;

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原文格式 PDF
正文语种 eng
中图分类保健组织与事业（卫生事业管理）;
关键词
healthcare-related regret; healthcare professionals; Switzerland; coping; work-life balance; social capital; qualitative;

机译：医疗保健相关的遗憾;医疗保健专业人员;瑞士;应对;工作生活平衡;社会资本;定性;

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专利

1. “We Won’t Retire Without Skeletons in the Closet”: Healthcare-Related Regrets Among Physicians and Nurses in German-Speaking Swiss Hospitals [J] . Martina von Arx, Stéphane Cullati, Ralph E. Schmidt, Qualitative health research . 2018,第11期

机译：“我们不会在没有壁橱的情况下退休”：医生和护士在德语瑞士医院的医生和护士中的医疗保健遗憾
2. Is the skeleton still in the hospital closet? A review of hospital malnutrition emphasizing health economic aspects [J] . Souza Telma T., Sturion Claudio J., Faintuch Joel Clinical nutrition . 2015,第6期

机译：骨架还在医院的壁橱里吗？强调营养经济方面的医院营养不良的评论
3. Operator volume, hospital volumes, and outcomes for percutaneous coronary interventions in EuropeStephan Windecker MD, FESC, Director of Invasive Cardiology, Department of Cardiology, Swiss Cardiovascular Centre Bern, University Hospital Bern, Switzerland, talks about the difficult area of number of procedures performed and the outcomes in interventional cardiology for physicians and hospitals in Europe. [J] . Anonymous European Heart Journal: The Journal of the European Society of Cardiology . 2009,第18期

机译：在欧洲，经皮冠状动脉介入治疗的操作者数量，医院数量和结果Stephan Windecker医学博士，FESC，瑞士伯尔尼大学附属医院瑞士心血管中心伯尔尼大学心血管病学主任欧洲医师和医院介入心脏病学的成果。
4. Physicians' and Nurses' Perceived Threats Toward Health Information Technology: A Military Hospital Case Study [C] . Mansor Alohali, Fergal Carton, Yvonne OConnor IFIP WG 8.6 International Conference on Transfer and Diffusion of IT . 2020

机译：医生和护士对健康信息技术的威胁：军事医院案例研究
5. Hospital staff nurse duties: A survey of physicians, hospital administrators, nursing administrators, and nursing educators. [D] . Campbell, Gene Beryl Hamrick. 1990

机译：医院工作人员护士职责：对医生，医院管理员，护理管理员和护理教育者的调查。
6. Healthcare-Related Regret among Nurses and Physicians Is Associated with Self-Rated Insomnia Severity: A Cross-Sectional Study [O] . Ralph E. Schmidt, Stephane Cullati, Elizabeth Mostofsky, -1

机译：护士和医师之间与医疗保健相关的遗憾与自我评价的失眠严重程度相关：一项跨领域研究
7. Healthcare-Related Regret among Nurses and Physicians Is Associated with Self-Rated Insomnia Severity: A Cross-Sectional Study [O] . Schmidt, Ralph Erich, Cullati, Stéphane, Mostofsky, Elizabeth, 2015

机译：护士和医师之间与医疗保健相关的遗憾与自我评价的失眠严重程度相关：一项跨领域研究

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

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