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Database - Alliance francophone pour l'accouchement respecté (AFAR)

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Currently 3041 records
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https://afar.info/id=3115

Created on : 22 Nov 2019
Modified on : 22 Nov 2019

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Bibliographical entry (without author) :

Work-related adverse events leaving their mark: a cross-sectional study among Dutch gynecologists. BMC Psychiatry.

Author(s) :

Baas M.A.M., Scheepstra K.W.F., Stramrood C.A., Evers R., Dijksman L.M., van Pampus M.G.

Year of publication :

2018

URL(s) :

https://www.ncbi.nlm.nih.gov/pubmed/29566667
https://doi.org/10.1186/s12888-018-1659-1

Résumé (français)  :

CONTEXTE :

Les professionnels de la santé qui font souvent face à des événements traumatiques ont un risque accru de développer un trouble de stress post-traumatique. Les recherches chez les médecins sont rares et les obstétriciens-gynécologues peuvent présenter un risque plus élevé. Les événements traumatiques liés au travail et le trouble de stress post-traumatique chez les obstétriciens-gynécologues et le type de soutien (souhaité) ont été étudiés.

METHODES :

Un questionnaire a été envoyé par courrier électronique à tous les membres de la Société néerlandaise d’obstétrique et de gynécologie, comprenant des résidents, des obstétriciens-gynécologues à la retraite et des praticiens non actifs. Le questionnaire comprenait des questions sur les expériences personnelles et les opinions concernant le soutien après des événements liés au travail, ainsi qu’un questionnaire validé pour le trouble de stress post-traumatique.

RÉSULTATS :

Le taux de réponse était de 42,8% avec 683 questionnaires éligibles pour l’analyse. 12,6% des répondants ont vécu un événement traumatique lié au travail, dont 11,8% répondaient aux critères du trouble de stress post-traumatique actuel. Cela a révélé une prévalence estimée à 1,5% d’obstétriciens-gynécologues présentant un trouble de stress post-traumatique actuel. 12% ont déclaré avoir un protocole d’assistance ou une stratégie dans leur hôpital après des événements indésirables. Les stratégies les plus courantes pour faire face à des événements émotionnels étaient les suivantes : rechercher le soutien de collègues, de la famille ou des amis, discuter du cas lors d’une réunion ou d’un audit sur les complications et trouver la distraction. 82% préféreraient le soutien par les pairs avec leurs collègues directs après un événement indésirable.

CONCLUSIONS :

Cette enquête implique que les événements liés au travail peuvent être traumatiques et par la suite conduire à un état de stress post-traumatique. Le taux de prévalence du trouble de stress post-traumatique est élevé chez les obstétriciens-gynécologues. Souvent, il n’y a pas de support standardisé après les événements indésirables. La plupart des gynécologues-obstétriciens préfèrent le soutien par les pairs avec des collègues directs après un événement indésirable. Plus de sensibilisation doit être créée pendant la formation médicale et un soutien organisé doit être mis en place.

Abstract (English)  :

BACKGROUND:

Health care professionals who are frequently coping with traumatic events have an increased risk of developing a posttraumatic stress disorder. Research among physicians is scarce, and obstetrician-gynecologists may have a higher risk. Work-related traumatic events and posttraumatic stress disorder among obstetricians-gynecologists and the (desired) type of support were studied.

METHODS:

A questionnaire was emailed to all members of the Dutch Society of Obstetrics and Gynaecology, which included residents, attending, retired and non-practicing obstetricians-gynecologists. The questionnaire included questions about personal experiences and opinions concerning support after work-related events, and a validated questionnaire for posttraumatic stress disorder.

RESULTS:

The response rate was 42.8% with 683 questionnaires eligible for analysis. 12.6% of the respondents have experienced a work-related traumatic event, of which 11.8% met the criteria for current posttraumatic stress disorder. This revealed an estimated prevalence of 1.5% obstetricians-gynecologists with current posttraumatic stress disorder. 12% reported to have a support protocol or strategy in their hospital after adverse events. The most common strategies to cope with emotional events were: to seek support from colleagues, to seek support from family or friends, to discuss the case in a complication meeting or audit and to find distraction. 82% would prefer peer-support with direct colleagues after an adverse event.

CONCLUSIONS:

This survey implies that work-related events can be traumatic and subsequently can lead to posttraumatic stress disorder. There is a high prevalence rate of current posttraumatic stress disorder among obstetricians-gynecologists. Often there is no standardized support after adverse events. Most obstetrician-gynecologists prefer peer-support with direct colleagues after an adverse event. More awareness must be created during medical training and organized support must be implemented.

Sumário (português)  :

FUNDO:

Os profissionais de saúde que frequentemente lidam com eventos traumáticos têm um risco aumentado de desenvolver um transtorno de estresse pós-traumático. A pesquisa entre médicos é escassa, e os ginecologistas e obstetras podem ter um risco maior. Eventos traumáticos relacionados ao trabalho e transtorno de estresse pós-traumático entre obstetras-ginecologistas e o tipo (desejado) de apoio foram estudados.

MÉTODOS:

Um questionário foi enviado por e-mail a todos os membros da Sociedade Holandesa de Obstetrícia e Ginecologia, que incluía residentes, atendentes, obstetras e ginecologistas aposentados e não praticantes. O questionário incluiu perguntas sobre experiências pessoais e opiniões sobre apoio após eventos relacionados ao trabalho e um questionário validado para transtorno de estresse pós-traumático.

RESULTADOS:

A taxa de resposta foi de 42,8%, com 683 questionários elegíveis para análise. 12,6% dos entrevistados experimentaram um evento traumático relacionado ao trabalho, dos quais 11,8% preencheram os critérios para o transtorno de estresse pós-traumático atual. Isso revelou uma prevalência estimada de 1,5% obstetras-ginecologistas com transtorno de estresse pós-traumático atual. 12% relataram ter um protocolo ou estratégia de apoio em seu hospital após eventos adversos. As estratégias mais comuns para lidar com eventos emocionais foram: buscar apoio de colegas, buscar apoio de familiares ou amigos, discutir o caso em uma reunião ou auditoria de complicações e encontrar distração. 82% preferem apoio de colegas com colegas diretos após um evento adverso.

CONCLUSÕES:

Esta pesquisa implica que eventos relacionados ao trabalho podem ser traumáticos e subsequentemente levar ao transtorno de estresse pós-traumático. Existe uma alta taxa de prevalência do transtorno de estresse pós-traumático atual entre obstetras-ginecologistas. Muitas vezes, não há suporte padronizado após eventos adversos. A maioria dos ginecologistas e obstetras prefere o apoio de colegas com colegas diretos após um evento adverso. Mais conscientização deve ser criada durante o treinamento médico e o apoio organizado deve ser implementado.

Full text (public) :

Comments :

Argument (français) :

Le taux de prévalence du trouble de stress post-traumatique est élevé chez les obstétriciens-gynécologues. Souvent, il n’y a pas de support standardisé après les événements indésirables.

Argument (English):

There is a high prevalence rate of current posttraumatic stress disorder among obstetricians-gynecologists. Often there is no standardized support after adverse events.

Argumento (português):

Existe uma alta taxa de prevalência do transtorno de estresse pós-traumático atual entre obstetras-ginecologistas. Muitas vezes, não há suporte padronizado após eventos adversos.

Keywords :

➡ public health ; obstetric and gynecologic violence obstetric violence, obstetrical violence ; post-traumatic stress

Author of this record :

Elise Marcende — 22 Nov 2019
➡ latest update : Bernard Bel — 22 Nov 2019

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