Cargando…

Interprofessional perceptions of emotional, social, and ethical effects of multidrug-resistant organisms: A qualitative study

INTRODUCTION: Multi-drug-resistant organisms (MDRO) are usually managed by separating the infected patients to protect others from colonization and infection. Isolation precautions are associated with negative experiences by patients and their relatives, while hospital staff experience a heavier wor...

Descripción completa

Detalles Bibliográficos
Autores principales: Bushuven, Stefan, Dettenkofer, Markus, Dietz, Andreas, Bushuven, Stefanie, Dierenbach, Petra, Inthorn, Julia, Beiner, Matthias, Langer, Thorsten
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7899372/
https://www.ncbi.nlm.nih.gov/pubmed/33617529
http://dx.doi.org/10.1371/journal.pone.0246820
_version_ 1783654041353453568
author Bushuven, Stefan
Dettenkofer, Markus
Dietz, Andreas
Bushuven, Stefanie
Dierenbach, Petra
Inthorn, Julia
Beiner, Matthias
Langer, Thorsten
author_facet Bushuven, Stefan
Dettenkofer, Markus
Dietz, Andreas
Bushuven, Stefanie
Dierenbach, Petra
Inthorn, Julia
Beiner, Matthias
Langer, Thorsten
author_sort Bushuven, Stefan
collection PubMed
description INTRODUCTION: Multi-drug-resistant organisms (MDRO) are usually managed by separating the infected patients to protect others from colonization and infection. Isolation precautions are associated with negative experiences by patients and their relatives, while hospital staff experience a heavier workload and their own emotional reactions. METHODS: In 2018, 35 participants (nurses, physicians, pharmacists) in an antimicrobial-stewardship program participated in facilitated discussion groups working on the emotional impact of MDRO. Deductive codings were done by four coders focusing on the five basic emotions described by Paul Ekmans. RESULTS: All five emotions revealed four to 11 codes forming several subthemes: Anger is expressed because of incompetence, workflow-impairment and lack of knowledge. Anxiety is provoked by inadequate knowledge, guilt, isolation, bad prognoses, and media-related effects. Enjoyment is seldom. Sadness is experienced in terms of helplessness and second-victim effects. Disgust is attributed to shame and bad associations, but on the other hand MDROs seem to be part of everyday life. Deductive coding yielded additional codes for bioethics and the Calgary Family Assessment Method. CONCLUSION: MDRO are perceived to have severe impact on emotions and may affect bioethical and family psychological issues. Thus, further work should concentrate on these findings to generate a holistic view of MDRO on human life and social systems.
format Online
Article
Text
id pubmed-7899372
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-78993722021-03-02 Interprofessional perceptions of emotional, social, and ethical effects of multidrug-resistant organisms: A qualitative study Bushuven, Stefan Dettenkofer, Markus Dietz, Andreas Bushuven, Stefanie Dierenbach, Petra Inthorn, Julia Beiner, Matthias Langer, Thorsten PLoS One Research Article INTRODUCTION: Multi-drug-resistant organisms (MDRO) are usually managed by separating the infected patients to protect others from colonization and infection. Isolation precautions are associated with negative experiences by patients and their relatives, while hospital staff experience a heavier workload and their own emotional reactions. METHODS: In 2018, 35 participants (nurses, physicians, pharmacists) in an antimicrobial-stewardship program participated in facilitated discussion groups working on the emotional impact of MDRO. Deductive codings were done by four coders focusing on the five basic emotions described by Paul Ekmans. RESULTS: All five emotions revealed four to 11 codes forming several subthemes: Anger is expressed because of incompetence, workflow-impairment and lack of knowledge. Anxiety is provoked by inadequate knowledge, guilt, isolation, bad prognoses, and media-related effects. Enjoyment is seldom. Sadness is experienced in terms of helplessness and second-victim effects. Disgust is attributed to shame and bad associations, but on the other hand MDROs seem to be part of everyday life. Deductive coding yielded additional codes for bioethics and the Calgary Family Assessment Method. CONCLUSION: MDRO are perceived to have severe impact on emotions and may affect bioethical and family psychological issues. Thus, further work should concentrate on these findings to generate a holistic view of MDRO on human life and social systems. Public Library of Science 2021-02-22 /pmc/articles/PMC7899372/ /pubmed/33617529 http://dx.doi.org/10.1371/journal.pone.0246820 Text en © 2021 Bushuven et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Bushuven, Stefan
Dettenkofer, Markus
Dietz, Andreas
Bushuven, Stefanie
Dierenbach, Petra
Inthorn, Julia
Beiner, Matthias
Langer, Thorsten
Interprofessional perceptions of emotional, social, and ethical effects of multidrug-resistant organisms: A qualitative study
title Interprofessional perceptions of emotional, social, and ethical effects of multidrug-resistant organisms: A qualitative study
title_full Interprofessional perceptions of emotional, social, and ethical effects of multidrug-resistant organisms: A qualitative study
title_fullStr Interprofessional perceptions of emotional, social, and ethical effects of multidrug-resistant organisms: A qualitative study
title_full_unstemmed Interprofessional perceptions of emotional, social, and ethical effects of multidrug-resistant organisms: A qualitative study
title_short Interprofessional perceptions of emotional, social, and ethical effects of multidrug-resistant organisms: A qualitative study
title_sort interprofessional perceptions of emotional, social, and ethical effects of multidrug-resistant organisms: a qualitative study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7899372/
https://www.ncbi.nlm.nih.gov/pubmed/33617529
http://dx.doi.org/10.1371/journal.pone.0246820
work_keys_str_mv AT bushuvenstefan interprofessionalperceptionsofemotionalsocialandethicaleffectsofmultidrugresistantorganismsaqualitativestudy
AT dettenkofermarkus interprofessionalperceptionsofemotionalsocialandethicaleffectsofmultidrugresistantorganismsaqualitativestudy
AT dietzandreas interprofessionalperceptionsofemotionalsocialandethicaleffectsofmultidrugresistantorganismsaqualitativestudy
AT bushuvenstefanie interprofessionalperceptionsofemotionalsocialandethicaleffectsofmultidrugresistantorganismsaqualitativestudy
AT dierenbachpetra interprofessionalperceptionsofemotionalsocialandethicaleffectsofmultidrugresistantorganismsaqualitativestudy
AT inthornjulia interprofessionalperceptionsofemotionalsocialandethicaleffectsofmultidrugresistantorganismsaqualitativestudy
AT beinermatthias interprofessionalperceptionsofemotionalsocialandethicaleffectsofmultidrugresistantorganismsaqualitativestudy
AT langerthorsten interprofessionalperceptionsofemotionalsocialandethicaleffectsofmultidrugresistantorganismsaqualitativestudy