Very first patient gift in a general practitioner’s career and the impact of this event on physician-patient relationship

Kos, Vesna

doi:10.17392/982-19

Cited by 2 publications

References 7 publications

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Medical Students’ Awareness and Attitudes Regarding Boundary Issues

Tynan¹,

Park

Zheng³

et al. 2022

Preprint

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Professional boundaries promote safe and effective healthcare. Whilst sexual boundary violations have been a research focus, it has been suggested that non-sexual boundary violations may represent a ‘slippery slope’, whereby crossing relatively minor boundaries can progress to serious boundary violations. Medical school presents an opportunity to support medical students with strategies to manage boundary challenges more effectively as doctors. The current study aimed to examine medical students’ awareness and confidence in managing boundary crossings and compare findings across year groups. Students in years 1, 3 and 5 of a five-year undergraduate program at one medical school in Australia, were invited to participate in an anonymous online survey which used multiple choice and free text questions to explore reactions to five scenarios demonstrating some level of boundary crossing. Students were asked about prior training and suggestions for future training. Quantitative data was analysed using omnibus chi-square tests and Kruskal-Wallis one-way ANOVAs for non-parametric data; free text data was analysed using coding and grouping similar themes. Final year students most accurately identified boundary crossings yet were somewhat more willing to cross ‘grey’ or less clear-cut boundaries. Year 3 students consistently reported the lowest levels of confidence in managing scenarios. Students reported little to no formal teaching relevant to the scenarios presented and supported inclusion of education regarding boundary issues in formal curricula. Our findings further suggest a need for education regarding management of the clinician-student power dynamic and there is demand from students for more teaching and support around ‘grey’ boundary crossings.

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Medical Students’ Awareness and Attitudes Regarding Boundary Issues

Tynan¹,

Park

Zheng³

et al. 2022

Preprint

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Facing COVID-19 Between Sensory and Psychoemotional Stress, and Instrumental Deprivation: A Qualitative Study of Unmanageable Critical Incidents With Doctors and Nurses in Two Hospitals in Northern Italy

et al. 2021

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Background: The COVID-19 pandemic severely strained the already unprepared Italian healthcare system. This had repercussions on healthcare workers, stemming, in particular, from a lack of clear guidelines, adequate protective equipment, and professional preparedness. Such conditions were especially prevalent in Northern Italy.Objectives: This study aimed to examine COVID-19-related professional and psychoemotional stress among nurses and doctors in two hospitals in Northern Italy, along with the worst critical incidents affecting healthcare personnel. A parallel objective was to elicit healthcare professionals' opinions about what changes are needed in the healthcare system's operations, as well as about the relational/emotional skills that are needed to better manage relationships with patients in emergency situations.Participants: Snowball sampling was used to recruit participants and yielded 17 hospital professionals: six nurses (five female and one male) and 11 doctors (seven male and four female). Three of these professionals worked in intensive care and the others in different wards. All had close contact with COVID-19 patients.Methods: The study employed a qualitative research design, using in-depth interviews of ~60 min each that were conducted via Skype video calls. The interviews were recorded and transcribed, then analysed. The qualitative analysis employed mixed methods to identify the most relevant and recursive themes from the interviews.Results: Four fundamental themes emerged from our analysis of the interview texts: (1) disorganisation and psychoemotional stress; (2) urgency and critical incidents; (3) everything surreal; and (4) disruptions in empathetic relationships with patients.Conclusions: Through our analysis of the interview narratives, we found that systematic and in-depth psychological training is needed to prepare professionals for (1) altered relationships with patients in emergencies; (2) use of exceptional medical equipment; (3) elaboration of new bioethical models suitable for disasters and pandemics; and (4) engagement with the themes of death and dying.

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Very first patient gift in a general practitioner’s career and the impact of this event on physician-patient relationship

Cited by 2 publications

References 7 publications

Medical Students’ Awareness and Attitudes Regarding Boundary Issues

Medical Students’ Awareness and Attitudes Regarding Boundary Issues

Facing COVID-19 Between Sensory and Psychoemotional Stress, and Instrumental Deprivation: A Qualitative Study of Unmanageable Critical Incidents With Doctors and Nurses in Two Hospitals in Northern Italy

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