未经评估:2018年,Trèbes,法国南部有6,000名居民和9名全科医生(GP),经历了两次悲剧;三月的恐怖袭击,其中四人被杀,十月份发生了灾难性的洪水,其中6人死亡,数千人受到影响。
UNASSIGNED:我们旨在通过了解两次连续灾难对同一村庄全科医生的个人和专业影响,获得改善危机管理的实质性理论。
未经评估:这项定性研究分别对八名全科医生进行了完整的访谈,随后的分析涉及基于扎根理论的类别概念化。
UNASSIGNED:分析显示全科医生经历了双重状态转换。首先,经历了与人口相同的情感冲击的医生成为受害者;他们通常的职业关系从同情转变为同情。他们感到的无助被国家缺乏参与第一批紧急措施的需求所放大;因此,他们失去了职业地位。在第二阶段,全科医生恢复了他们的价值观和技能,并获得了新的价值观和技能,从而重新获得合格专业人员的地位。在这种情况下,与会者建议整合协调的危机管理系统和同行支持的系统发展。
未经评估:我们获得了关于全科医生经历的创伤阶段的宝贵信息,允许更好地了解对个人/职业地位的影响。因此,将全科医生纳入适应性危机管理计划将限制创伤分离的影响,同时提高其专业有效性.
UNASSIGNED: In 2018, Trèbes, 6,000 inhabitants with nine general practitioners (GPs) in southern France, experienced two tragedies; a terrorist attack in March, in which four people were killed, and a catastrophic flood in October, in which six people died and thousands more were affected.
UNASSIGNED: We aimed to obtain a substantive theory for improving crisis management by understanding the personal and professional effects of the two successive disasters on GPs in the same village.
UNASSIGNED: This qualitative study conducted complete interviews with eight GPs individually, with subsequent analyses involving the conceptualisation of categories based on grounded theory.
UNASSIGNED: The analysis revealed that GPs underwent a double status transition. First, doctors who experienced the same emotional shock as the population became victims; their usual professional relationship changed from empathy to sympathy. The helplessness they felt was amplified by the lack of demand from the state to participate in the first emergency measures; consequently, they lost their professional status. In a second phase, GPs regained their values and skills and acquired new ones, thus regaining their status as competent professionals. In this context, the participants proposed integrating a coordinated crisis management system and the systematic development of peer support.
UNASSIGNED: We obtained valuable information on the stages of trauma experienced by GPs, allowing a better understanding of the effects on personal/professional status. Thus, the inclusion of GPs in adaptive crisis management plans would limit the effects of traumatic dissociation while increasing their professional effectiveness.