The Psychological Impact of Medical Error on Patients, Family Members, and Health Professionals

2017 ◽  
pp. 171-196
Author(s):  
Mary I. Gouva
Keyword(s):  
Medical Errors ◽  
Medical Error ◽  
Health Professionals ◽  
Psychological Impact ◽  
Psychological Effects ◽  
History Of ◽  
Underlying Causes ◽  
The Individual ◽  
The Impact

The current chapter examines the psychological implications emerging from medical errors. Whilst the psychological effects have studied, nonetheless the consequent impacts and the underlying psychological causes have not been sufficiently analysed and/ or interpreted. The chapter will add to the literate by using a psychodynamic approach in analysing the psychological impact of medical errors and provide interpretations of the underlying causes. The chapter concludes that medical errors lead to a series of implications. For the patient the quality of interactions with health professionals are directly affected and usually have immediate consequences. The impact of these consequences in the patient is mediated by the patient's personality, history of the individual and the psychoanalytic destiny of the patient. For the patient's relatives medical errors create emotional cracks leading to regression and eventual transference of the medical errors as a “bad” object. For health professionals medical errors impact upon the psychological defence mechanisms of the psychic Ego.

Taking the blame: appropriate responses to medical error

2018 ◽  
Vol 45 (2) ◽  
pp. 101-105 ◽  
Author(s):  
Daniel W Tigard
Keyword(s):  
Medical Errors ◽  
Medical Error ◽  
Moral Emotions ◽  
Psychological Effects ◽  
Individual Responsibility ◽  
Medical Community ◽  
Institute Of Medicine ◽  
Culture Of Safety ◽  
Healthcare Settings ◽  
The Individual

Medical errors are all too common. Ever since a report issued by the Institute of Medicine raised awareness of this unfortunate reality, an emerging theme has gained prominence in the literature on medical error. Fears of blame and punishment, it is often claimed, allow errors to remain undisclosed. Accordingly, modern healthcare must shift away from blame towards a culture of safety in order to effectively reduce the occurrence of error. Against this shift, I argue that it would serve the medical community well to retain notions of individual responsibility and blame in healthcare settings. In particular, expressions of moral emotions—such as guilt, regret and remorse—appear to play an important role in the process of disclosing harmful errors to patients and families. While such self-blaming responses can have negative psychological effects on the individual practitioner, those who take the blame are in the best position to offer apologies and show that mistakes are being taken seriously, thereby allowing harmed patients and families to move forward in the wake of medical error.

scholarly journals A Conceptual Paper on Self-Esteem and Social Anxiety Of Stutter Students' in Pakistan

2020 ◽  
Vol 8 (1) ◽  
pp. 28-34
Author(s):  
Raja Mahtab Yasin ◽  
Faiza Iqbal
Keyword(s):  
Quality Of Life ◽  
Self Esteem ◽  
Psychological Effects ◽  
Family Obligations ◽  
Interpersonal Difficulties ◽  
The Family ◽  
Conceptual Paper ◽  
The Individual ◽  
The Impact

Stuttering demands a multidimensional interpretation, as the consequences of the symptoms have been shown in recent years, with psycho-social and psychological effects shown with people living with a stutter far beyond the surface elements. This work explores the degree to which students may stutter with disabilities among school children and adults who stutter (AWS). The effect of stuttering on a person and on the members of the family (siblings, parents and partners) is discussed in this article. Such issues cover mental and social problems, self consciousness, stuttering responses, interpersonal difficulties in everyday situations, and the overall quality of life. The effect of stuttering on the person who shares stuttering with others is illustrated. The explanation of stuttering in children and adolescents who have severe adverse effects from dealing with a stutter mentioned is explored during their existence. The impact of the stuttering condition on the parents and sisters of children who stutter is also discussed with interesting studies about the sense of connection and confidence between young people and their parents. The family obligations and expectations for parents and siblings are stressed. The focus is also on dealing with a person who stutters from their life partner's viewpoint. Presumed quality of life is discussed through unforeseen variations between the adult's quality of life and the expectations of the spouse of the individual. Eventually, there is the potential for a new appreciation and engagement strategy for people who stutter.

scholarly journals Psychological Impact of the COVID-19 Pandemic on Out-of-Hospital Health Professionals: A Living Systematic Review

2021 ◽  
Vol 10 (23) ◽  
pp. 5578
Author(s):  
Raúl Soto-Cámara ◽  
Noemí García-Santa-Basilia ◽  
Henar Onrubia-Baticón ◽  
Rosa M. Cárdaba-García ◽  
José Julio Jiménez-Alegre ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Health Professionals ◽  
Scientific Evidence ◽  
Psychological Impact ◽  
Clinical History ◽  
Cochrane Library ◽  
Original Research ◽  
History Of ◽  
The Impact

Health professionals (HPs), especially those working in the front line, have been one of the groups most affected by the COVID-19 pandemic. The objective of this study is to identify the best available scientific evidence on the impact of the COVID-19 pandemic on the mental health of out-of-hospital HPs in terms of stress, anxiety, depression, and self-efficacy. A living systematic review of the literature was designed, consulting the electronic online versions of the CINHAL, Cochrane Library, Cuiden, IBECS, JBI, LILACS, Medline PyscoDoc, PsycoINFO, Scopus, and Web of Science databases in November 2021. Original research was selected, published in either English, Spanish, French, Italian, or Portuguese. In total, 2082 publications were identified, of which 16 were included in this review. The mental health of out-of-hospital HPs was affected. Being a woman or having direct contact with patients showing suspicious signs of COVID-19 or confirmed cases were the factors related to a greater risk of developing high levels of stress and anxiety; in the case of depressive symptoms, it was having a clinical history of illnesses that could weaken their defenses against infection. Stopping unpleasant emotions and thoughts was the coping strategy most frequently used by these HPs.

scholarly journals A study of anxiety, depression and stress symptoms among Fayoum medical students during COVID-19 lockdown, Egypt

2021 ◽  
Vol 57 (1) ◽  
Author(s):  
Mohamed R. Soltan ◽  
Shaimaa S. Soliman ◽  
Mariam E. Dawoud
Keyword(s):  
Medical Students ◽  
Psychiatric Illness ◽  
Psychological Impact ◽  
Previous History ◽  
Road Accident ◽  
Psychological Effects ◽  
Road Accidents ◽  
Online Questionnaire ◽  
History Of ◽  
The Impact

Abstract Background The widespread pandemic of COVID-19 virus carries not only physical hazards, but also major psychological effects especially among medical students. The aim was to investigate the psychological effects of COVID-19 on medical students and the factors affecting them. The study was carried out with an online questionnaire distributed through Google Forms for medical students at Faculty of Medicine, Egypt. The questionnaire included socio-demographic questions, validated psychometric tools for the assessment of depression, anxiety and stress (Depression Anxiety Stress Scales DASS-21) and the Impact of Event Stress Scale-Revised (IES-R) were applied. Results The total number of participants was 282 students. Percentage of participants with clinically significant depression was 75.2%, anxiety was 56.4% and stress was 52.9%. Those showed PTSD probability was 54.3%. The multivariate regression analysis revealed that IES remained significantly associated with gender and previous road accidents, depression and anxiety remained significantly associated with personal history of psychiatric illness, while stress remained significantly associated with gender and previous road accidents. Conclusions Medical students were highly depressed, anxious and stressed during period of COVID-19 pandemic. Being a female, having previous history of psychiatric illness and previous road accident were highly associated with increasing the psychological impact of COVID-19.

scholarly journals Diferentes Perspectivas nas Abordagens da Saúde/ Doença

2021 ◽  
Vol 1 (1) ◽  
pp. 21-35
Author(s):  
Adélcio Machado dos Santos
Keyword(s):  
Quality Of Life ◽  
Health Professionals ◽  
Universal Functions ◽  
Health It ◽  
Cultural Contexts ◽  
History Of ◽  
Health And Disease ◽  
Culture Environment ◽  
The Individual

O homem é visto num aspecto mais abrangente como sendo um cientista imperfeito, inserido numa realidade social, os sujeitos e seus laços se estabelecem em um território na busca de qualidade de vida. O objetivo do estudo é investigar as diferentes perspectivas elaboradas na abordagem do binômio saúde e doença. Embora sejam muito diversas em razão da peculiaridade de seus contextos culturais, as sociedades apresentam, também, características comuns. Necessita do desempenho de certas funções universais, indispensáveis ao prosseguimento de seu curso, entre elas a saúde. É bem verdade que estar saudável vai além de não ser acometido por um tipo de enfermidade, relacionada a aspectos como cultura, meio ambiente, congênito, genético, entre outros, ligados à história de cada indivíduo. É por essa razão que a educação em saúde deve ser o objetivo dos profissionais da saúde para o indivíduo, para o melhor da coletividade.   Man is seen in a broader aspect as being an imperfect scientist, inserted in a social reality, the subjects and their bonds are established in a territory in the search for quality of life. The objective of the study is to investigate the different perspectives elaborated in the approach to the binomial health and disease. Although they are very diverse due to the peculiarity of their cultural contexts, societies also have common characteristics. It requires the performance of certain universal functions, indispensable to the continuation of its course, among them health. It is very true that being healthy goes beyond not being affected by a type of illness, related to aspects such as culture, environment, congenital, genetic, among others, linked to the history of each individual. It is for this reason that health education should be the goal of health professionals for the individual, for the best of the collectivity.

Investigating the Relationship Between Self-Esteem and Stigma Among Young Adults With History of Suicide Attempts

Crisis ◽  
2016 ◽  
Vol 37 (4) ◽  
pp. 265-270 ◽  
Author(s):  
Meshan Lehmann ◽  
Matthew R. Hilimire ◽  
Lawrence H. Yang ◽  
Bruce G. Link ◽  
Jordan E. DeVylder
Keyword(s):  
Young Adults ◽  
Suicide Attempts ◽  
Self Esteem ◽  
High Risk Population ◽  
High Functioning ◽  
People With Mental Illness ◽  
History Of ◽  
The Individual ◽  
The Impact ◽  
The Relationship

Abstract. Background: Self-esteem is a major contributor to risk for repeated suicide attempts. Prior research has shown that awareness of stigma is associated with reduced self-esteem among people with mental illness. No prior studies have examined the association between self-esteem and stereotype awareness among individuals with past suicide attempts. Aims: To understand the relationship between stereotype awareness and self-esteem among young adults who have and have not attempted suicide. Method: Computerized surveys were administered to college students (N = 637). Linear regression analyses were used to test associations between self-esteem and stereotype awareness, attempt history, and their interaction. Results: There was a significant stereotype awareness by attempt interaction (β = –.74, p = .006) in the regression analysis. The interaction was explained by a stronger negative association between stereotype awareness and self-esteem among individuals with past suicide attempts (β = –.50, p = .013) compared with those without attempts (β = –.09, p = .037). Conclusion: Stigma is associated with lower self-esteem within this high-functioning sample of young adults with histories of suicide attempts. Alleviating the impact of stigma at the individual (clinical) or community (public health) levels may improve self-esteem among this high-risk population, which could potentially influence subsequent suicide risk.

Patients With a History of Oronasal Fistula Repair Exhibit Lower Oral Health Measured With Patient-Centric Outcomes Measures

2020 ◽  
pp. 105566562098133
Author(s):  
Alyssa Fritz ◽  
Diana S. Jodeh ◽  
Fatima Qamar ◽  
James J. Cray ◽  
S. Alex Rottgers
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Cleft Palate ◽  
Fistula Repair ◽  
Old Patients ◽  
Oronasal Fistula ◽  
Patient Reported ◽  
History Of ◽  
The Impact

Introduction: Oronasal fistulae following palatoplasty may affect patients’ quality of life by impacting their ability to eat, speak, and maintain oral hygiene. We aimed to quantify the impact of previous oronasal fistula repair on patients’ quality of life using patient-reported outcome psychometric tools. Methods: A cross-sectional study of 8- to 9-year-old patients with cleft palate and/or lip was completed. Patients who had a cleft team clinic between September 2018 and August 2019 were recruited. Participants were divided into 2 groups (no fistula, prior fistula repair). Differences in the individual CLEFT-Q and Child Oral Health Impact Profile-Short Form 19 (COHIP-SF 19) Oral Health scores between the 2 groups were evaluated using a multivariate analysis controlling for Veau classification and syndromic diagnosis. Results: Sixty patients with a history of cleft palate were included. Forty-two (70%) patients had an associated cleft lip. Thirty-two (53.3%) patients had no history of fistula and 28 (46.7%) patients had undergone a fistula repair. CLEFT-Q Dental, Jaw, and Speech Function were all higher in patients without a history of a fistula repair; however, none of these differences were statistically significant. The COHIP-SF 19 Oral Health score demonstrated a significantly lower score in the fistula group, indicating poorer oral health ( P = .05). Conclusions: One would expect that successful repair of a fistula would result in improved function and patient satisfaction, but the consistent trend toward lower CLEFT-Q scores and significantly increased COHIP-SF 19 Oral Health scores in our study group suggests that residual effects linger and that the morbidity of a fistula may not be completely treated with a secondary correction.

scholarly journals Natural History of NAFLD

2021 ◽  
Vol 10 (6) ◽  
pp. 1161
Author(s):  
Raluca Pais ◽  
Thomas Maurel
Keyword(s):  
Liver Disease ◽  
Natural History ◽  
Disease Progression ◽  
Specific Treatment ◽  
Alcoholic Fatty Liver ◽  
Individual Level ◽  
Close Relationship ◽  
History Of ◽  
The Individual ◽  
The Impact

The epidemiology and the current burden of chronic liver disease are changing globally, with non-alcoholic fatty liver disease (NAFLD) becoming the most frequent cause of liver disease in close relationship with the global epidemics of obesity, type 2 diabetes and metabolic syndrome. The clinical phenotypes of NAFLD are very heterogeneous in relationship with multiple pathways involved in the disease progression. In the absence of a specific treatment for non-alcoholic steatohepatitis (NASH), it is important to understand the natural history of the disease, to identify and to optimize the control of factors that are involved in disease progression. In this paper we propose a critical analysis of factors that are involved in the progression of the liver damage and the occurrence of extra-hepatic complications (cardiovascular diseases, extra hepatic cancer) in patients with NAFLD. We also briefly discuss the impact of the heterogeneity of the clinical phenotype of NAFLD on the clinical practice globally and at the individual level.

scholarly journals Engaging patients: how to speak so patients want to listen

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Rubinelli
Keyword(s):  
Health Professional ◽  
Lived Experience ◽  
Health Information ◽  
Health Professionals ◽  
Health Condition ◽  
Public Health Institutions ◽  
Health Institutions ◽  
Basic Approaches ◽  
The Impact

Abstract The paternalistic approach to health professional-patient communication is often no longer successful. The main reasons for this include the fact that trust in medicine and health professionals is no longer taken for granted. In many domains, the concepts of 'expert' and 'science' are in shadow. Moreover, patients can access all sorts of health information, including information that is or seems inconsistent with the advice given by their health professionals. This talk aims to illustrate some basic approaches to communication that can enhance health professional-patient interaction. First, health professionals should consider their communication with patients as a form of persuasion. Persuasion, that does not equal manipulation, is a way to communicate that takes into consideration the knowledge, beliefs, and attitudes of interlocutors. By adopting a person-centered style, health professionals should present their advice by contextualizing it into the emotional and cognitive setting of the patients. Second, communication should consider the lived experience of patients, that is the impact that a health condition or a preventive behavior has on their quality of life and their experience of pleasure. Indeed, managing health conditions is not just applying health advice: it often demands a change in lifestyles that can negatively impact how patients live their lives. Third, health professionals should develop clear strategies to engage with information that patients find from other sources. Health professionals must ask patients if they disagree with them, and to clarify any eventual difference of opinion. The information age has positively favored a democratization of health information. Yet, it imposes that health systems care for their communication. This talk concludes by presenting main evidence from on how to reinforce hospitals, public health institutions, and health services in communication so that patients want to listen.

scholarly journals Factors Associated with Parent–Adolescent Attachment Relationship Quality: A Longitudinal Study

Adolescents ◽  
2021 ◽  
Vol 1 (2) ◽  
pp. 159-174
Author(s):  
Danyka Therriault ◽  
Jean-Pascal Lemelin ◽  
Jean Toupin ◽  
Michèle Déry
Keyword(s):  
Behavior Problems ◽  
Emotional Abuse ◽  
Psychosocial Adaptation ◽  
Important Indicator ◽  
Attachment Relationship ◽  
Factors Associated ◽  
Adolescent Attachment ◽  
History Of ◽  
The Individual

Background: Attachment to parents during adolescence has been identified as an important indicator of psychosocial adaptation. However, the relative importance of the adolescents’ behavior problems and the larger relational context likely to influence the quality of these relationships remains relatively underexplored. The present study aims to identify the factors associated with the quality of parent–adolescent attachment relationships and to establish their relative contributions. This study also tested, as a complementary objective, the invariance of the models according to sex. Method: 706 (46.9% girls) early adolescents participated in the study at time 1 and then again, two years later. The individual (e.g., behavior problems or temperament) and contextual (e.g., parents’ behaviors, history of abuse or environment stability) associated factors were measured at time 1, while the quality of the parent–adolescent attachment relationship was measured at time 2. Results: The results showed that a history of emotional abuse, inconsistent discipline, externalized behavior problems and the adolescent’s age were negatively associated with the global attachment security score, while internalized behavior problems and peer attachment were positively associated. These variables explained 15.7% of variance. The results also demonstrated that these variables were also associated with the specific dimensions of attachment (trust, communication, alienation). Discussion: The study demonstrates the importance of several relational variables in the development of the parent–adolescent attachment relationship.

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