Vécu des situations à risque d’erreur en réanimation : une étude qualitative auprès des médecins et infirmiers

Intensive care units are considered as services with a high risk of error. More and more studies have measured the incidence and impact of errors in intensive care units, but few of them are centered on the impact of the risk of error for professionals. This study focuses on the perception of the risk of error, how it is experienced, and the way in which professionals cope with it. Forty professionals (20 physicians, 20 nurses) participated in clinical interviews. We transcribed recordings and analysed the data using a phenomenological approach. The risk of error is omnipresent in intensive care units. For nurses with less than one years experience, the risk of error is associated with important manifestations of anxiety. On the contrary, for doctors and nurses who have worked for more than one year in ICU, their experience and the relationship of cooperation built with colleagues gives them a feeling of control over risky situations. Our results show that it is important to take into account the risk of error in order to better target the support and training for the ICU professionals.     

Attitudes and Decisions about Sexual Offenders: A Comparison of Laypersons and Professionals

The current study examines the inherent biases about sexual offending held by 123 laypersons and 120 professionals (i.e. probation officers and therapists). In order to determine the extent of these biases, a series of brief newspaper articles were constructed to depict cases of sexual offenders. Each article comprised several combinations of key variables, including offender type, level of admission, and the presence of alcohol. Participants read a series of three fabricated articles and then completed a questionnaire regarding attitudes about the various offenders. The results indicate important differences between the lay and professional samples. Laypersons deemed sex offenders more favourably in terms of character, accountability, and risk for sexual recidivism. However, both groups showed some similar perceptions about sexual offending. Specifically, both groups evaluated child molesters more negatively than exhibitionists and in some cases, rapists. These findings highlight the need for continuing education for professionals in order to attenuate the effects of prejudicial attitudes. Copyright © 2011 John Wiley & Sons, Ltd.     

Violence: Incidence and Frequency of Physical and Psychological Assaults Affecting Mental Health Providers in Georgia

Threats to the physical safety and psychological well-being of mental health professionals present serious problems, according to 1,131 licensed mental health professionals in the state of Georgia. The professionals included clinical social workers, marriage and family therapists, professional counselors, psychiatrists, psychologists, and social workers. From a total of 6,431 surveys sent out, 1,131 (18%) were returned. The results revealed 2,696 separate accounts of 14,120 acts of physical or psychological assaults committed by 8,292 perpetrators. The results also showed that 61% of the respondents had been victimized in violent acts of a psychological or physical nature and that 29% had feared for their lives at least once during their professional careers. These data are consistent with other research that indicates that 6 out of 10 professionals will be assaulted during their professional careers.     

Equipping Religious Professionals to Engage Effectively with Domestic Violence

ABSTRACT

Grant-funded agencies provide the context for religious professionals seeking to engage with domestic violence. Christian and Jewish professionals are addressed. Research-driven resources sanctioned by domestic violence agencies will be identified, examining etiology, dynamics, and treatment. Domestic violence presupposes a structure of beliefs in which religious professionals participate. Physical violence may be predatory or affective and violence may be non-physical. It occurs in all congregations. Cultural norms for appropriate behavior provide a deceptive cover. Consistent resources include books, articles, information packets, audio-visual resources, seminars/workshops and the Internet. Ties between seminaries/ religious organizations and domestic violence agencies must be promoted to fully expose and reduce this public health epidemic.     

History of the Association for Creativity in Counseling

Abstract

The Association for Creativity in Counseling (ACC), though granted status as the 19th division of the American Counseling Association only three years ago, is rich with history. This article takes the reader through the evolution of ACC and its official journal: The Journal of Creativity in Mental Health (JCMH). The ACC and the JCMHare committed to promoting the values of diversity, creativity, and relational development. Goals include providing a forum for counselors and other mental health professionals to forge growth-fostering relationships and form positive connections. This historical account is a tribute to all those involved in making ACC a reality. It provides interesting and valuable information for anyone interested in ACC or in forming an association.     

Editorial

Abstract

This study examines the communication that occurs during routine genetic counselling sessions. It involves the qualitative analysis of nine consultations with one member of a clinical genetics team.

The consultations were characterised by a contrast between the sense of certainty apparent in how the clinician talked about the power and promise of the new genetics and the uncertainty communicated regarding the actual information produced by genetic tests and their limitations in solving people's problems. There was also a contrast between how the clinician seemed to control the format and agenda of the consultation and the apparently uncontrollable personal and social implications of the topics discussed. We speculate that this may be explained in terms of the clinician giving some order and certainty in an area of inherent uncertainty, and where great promises are as yet unrealised.     

The difficulties assessing spiritual distress in palliative care patients: a qualitative study

This paper reports on a focus group study aimed at exploring the difficulties that palliative care healthcare professionals encounter while assessing the spiritual distress of their patients. Three focus groups were conducted in a hospice (n = 15). Participants were all healthcare professionals working in the hospice in-patient unit. Interviews were taped and later transcribed. The data was analysed through content analysis. Emergent themes included: lack of vocabulary around spiritual issues, personal issues surrounding death and dying, training issues, fear of being unable to resolve spiritual problems, time constraints and difficulty separating spiritual and religious needs. Participants provided a number of recommendations for improving care. This pilot study has generated useful data in relation to how spiritual care of patients might be improved. Despite the abundance of academic publications and policies on spirituality, this area is not integrated well into palliative care.     

Conference spaces as emotional sites for becoming campus sustainability leaders

This paper applies a feminist political ecology approach to ask: How do sustainability in higher education (SHE) conference events co-produce the subjectivities and expertise of campus sustainability professionals (CSPs) emotionally? Specifically, how do SHE conference spaces cultivate particular embodied practices and discourses in CSPs who are meant to translate at times irreconcilable practices and discourses in their daily campus-based work? Through multi-event ethnography and autoethnography of SHE events and comparisons with academic conferences more broadly in my role as a teacher-scholar-activist, I analyze how CSPs encounter and challenge ‘green’ knowledge claims emotionally. Vignettes from a sample of conference spaces demonstrate that SHE events provoke a confusion of conflicting emotions, all while promoting products, services and solutions to ‘fix’ the distressing emotions they provoke. Furthermore, the emergence of informal and formal wellness discourses and performances at SHE conferences re-directs CSPs away from critical questions of power toward self-centered, technocratic and technophilic solutions. A politics of failure can challenge audit culture, the bullshitization of sustainability work and neoliberal tropes of professionalism and self-improvement. Such a politics compliments ongoing efforts to center justice-oriented work in sustainability.     

Sales profession and professionals in the age of digitization and artificial intelligence technologies: concepts,priorities, and questions

Recognizing the rapid advances in sales digitization and artificial intelligence technologies, we develop concepts, priorities, and questions to help guide future research and practice in the field of personal selling and sales management. Our analysis reveals that the influence of sales digitalization technologies, which include digitization and artificial intelligence, is likely to be more significant and more far reaching than previous sales technologies. To organize our analysis of this influence, we discuss the opportunities and threats that sales digitalization technologies pose for (a) the sales profession in terms of its contribution to creating value for customers, organizations, and society and (b) sales professionals, in terms of both employees in organizations and individuals as self, seeking growth, fulfillment, and status in the functions they serve and roles they live. We summarize our discussion by detailing specific research priorities and questions that warrant further study and development by researchers and practitioners alike.