Interprofessional perceptions of emotional, social, and ethical effects of multidrug-resistant organisms: A qualitative study
Open Access
- 22 February 2021
- journal article
- research article
- Published by Public Library of Science (PLoS) in PLOS ONE
- Vol. 16 (2), e0246820
- https://doi.org/10.1371/journal.pone.0246820
Abstract
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. 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. 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. 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.Funding Information
- Messmer Foundation
This publication has 47 references indexed in Scilit:
- 30 Years Principles of biomedical ethics: introduction to a symposium on the 6th edition of Tom L Beauchamp and James F Childress' seminal workJournal of Medical Ethics, 2011
- Discrepant perceptions of communication, teamwork and situation awareness among surgical team membersInternational Journal for Quality in Health Care, 2011
- SPIKES: A Framework for Breaking Bad News to Patients With CancerClinical Journal of Oncology Nursing, 2010
- Patients with meticillin-resistant Staphylococcus aureus infection: twenty-first century lepersJournal of Hospital Infection, 2010
- Patienten mit multiresistenten Erregern: Wirksamkeit und Risiko von Isolierungsmaßnahmen bei „MRSA & Co.“Zentralblatt für Chirurgie - Zeitschrift für Allgemeine, Viszeral-, Thorax- und Gefäßchirurgie, 2010
- Hospital Nurses' Knowledge and Compliance on Multidrug-resistant Organism Infection Control GuidelineJournal of Korean Academy of Nursing, 2009
- Development of a Revised Health Care System Distrust ScaleJournal of General Internal Medicine, 2008
- Qualitative Data Analysis for Health Services Research: Developing Taxonomy, Themes, and TheoryHealth Services Research, 2007
- Trust in health care: theoretical perspectives and research needsJournal of Health Organization and Management, 2006
- Methicillin-resistant Staphylococcus aureus: psychological impact of hospitalization and isolation in an older adult populationJournal of Hospital Infection, 2001