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定性研究调查北爱尔兰全科医生在患者自杀事件中的职业和个人影响。

Qualitative study investigating the professional and personal effects of patient suicide on general practitioners in Northern Ireland.

机构信息

School of Psychology, Ulster University School of Life and Health sciences, Coleraine, UK

School of Psychology, Ulster University School of Life and Health sciences, Coleraine, UK.

出版信息

BMJ Open. 2024 Feb 10;14(2):e077940. doi: 10.1136/bmjopen-2023-077940.

Abstract

OBJECTIVE

There is a dearth in suicide literature addressing the impact on general practitioners (GPs) of losing a patient. We aimed to examine the personal and professional impact as well as the availability of support and why GPs did or did not use it.

DESIGN

A qualitative study using one-to-one interviews with participants recruited using snowball sampling.

SETTING

The study was conducted in a primary care setting.

PARTICIPANTS

Interviews were held with 19 GPs within primary care in Northern Ireland.

RESULTS

GPs are impacted both personally and professionally when they lose a patient to suicide, but may not access formal help due to commonly held idealised notions of a 'good' GP who is regarded as having solid imperturbability. Fear of professional repercussions also plays a major role in deterring help-seeking.

CONCLUSIONS

There is a need for a systemic culture shift within general practice which allows doctors to seek support when their physical or mental health require it. This may help prevent stress, burnout and early retirement.

摘要

目的

关于失去患者对全科医生(GP)的影响,自杀文献非常匮乏。本研究旨在探讨 GP 个人和职业方面的影响,以及支持的可用性,以及他们是否使用了这些支持。

设计

采用滚雪球抽样方法招募参与者,进行一对一访谈的定性研究。

地点

该研究在初级保健环境中进行。

参与者

在北爱尔兰的初级保健中,对 19 名 GP 进行了访谈。

结果

当 GP 失去因自杀而去世的患者时,他们会在个人和职业方面受到影响,但由于普遍存在的理想化观念,即“好”的 GP 被认为具有坚不可摧的能力,他们可能不会寻求正式帮助。对职业后果的恐惧也在很大程度上阻碍了寻求帮助。

结论

在全科医学中需要进行系统的文化转变,使医生在需要时能够寻求支持。这可能有助于预防压力、倦怠和提前退休。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b83e/10862281/815e65eae731/bmjopen-2023-077940f01.jpg

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