Division of Clinical Epidemiology, University Hospitals of Geneva, Geneva, Switzerland.
PLoS One. 2011;6(8):e23138. doi: 10.1371/journal.pone.0023138. Epub 2011 Aug 2.
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 analysis
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.
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.
后悔是临床实践中不可避免的后果。医生和护士在时间紧迫、信息过载、复杂和不确定的情况下，做出无数的临床决策和行动。
探讨医院医生和护士对后悔的临床决策或干预的感受，并研究他们如何应对这些后悔。
对瑞士大学医院的 12 名医生和 13 名护士进行了志愿者样本的定性研究，使用半结构式访谈和主题分析。
所有受访者都报告了至少一次强烈的后悔，这有时会导致睡眠问题或请病假。受访者还报告了小的和大的后悔的积累效应，这有时会导致他们离开自己的科室或选择另一个专业。受访者使用了多种应对后悔的方法，包括改变自己的做法、寻求同事和家人的支持，但也有一些人会抑制与该情况相关的想法或对该情况进行反复思考。另一种应对策略是接受自己的局限性和医学的局限性。医生报告说，他们避免与亲密的同事分享，因为他们觉得这样做会失去自己的可信度。
由于后悔似乎与积极和消极的后果都有关，因此了解医护人员应对后悔的策略非常重要，并确定是否培训应对策略可以帮助减少负面后果，如睡眠问题、缺勤或人员流动。
