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Master Thesis

L’interne en médecine et l’annonce de décès à un proche : ses vécus. À partir de 14 entretiens guidés, à Bordeaux en 2018

Abstract : Aim: the death disclosure to patient’s relatives is an important moment generating strong feelings for the one receiving the information. The medical resident, with his special status halfway between doctor and student, grows around a theoretical knowledge, poor concerning breaking news and death, and a practical knowledge learning by doing. The objective of this study was to describe their’s experiences in general practice during death disclosure to relatives. Method: this is a cross-sectional qualitative observational study by 14 semi-directed interviews, conducted between July and August 2018, and among general practice residents. Axial and open coding of the verbatim was performed (Nvivo software) according to the Anchored Theorization method. Results: five components were identified. 1- Their feelings, full of emotions as positive as negative, strongly reported in number or intensity « confronted with so many... cope ». 2- The expression of a relationship, materialized by communication tools and attitudes, little mastered « the contact... just be close ». 3- Several difficulties arising from the first two points, whether related to the patient, to the relatives, to the death, or to the resident himself « it's complicated... you have to answer ». 4- The absence of initial training but an « on-the-job » learning with the emergence of an experience, positive or negative « helpless... on-the-job ». 5- Finally some form of taboo on this subject within the profession « we do not speak... big omerta ». Conclusion: the death disclosure requires to develop an emotional intelligence and to free speech on emotions. Students find themselves struggling with in the meeting, to communicate and adopt their attitudes. Finally, collegiality, companionship, co-construction and the return to experience through debriefing appear very useful in learning.
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Master Thesis
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Submitted on : Wednesday, April 22, 2020 - 4:45:40 PM
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Mathilde Grenier. L’interne en médecine et l’annonce de décès à un proche : ses vécus. À partir de 14 entretiens guidés, à Bordeaux en 2018. Médecine humaine et pathologie. 2018. ⟨dumas-02551075⟩

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