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Master Thesis

Les émotions des médecins généralistes lors des discussions sur les directives anticipées avec leurs patients : étude qualitative auprès de médecins généralistes de Nouvelle-Aquitaine

Abstract : Introduction: the general practitioner is at the heart of the advance directives system. Numerous surveys have shown that patients and their doctors are in favour. However, in 2021, only two out of 10 French people have written them, and the vast majority have not received any information on this right from their doctors. One of the main obstacles to their development seems to be their emotions. The aim of the study is therefore to collect and study the emotions felt by GPs when discussing advance directives with their patients. Method: A qualitative study using individual semi-directed interviews with a diversified sample of 17 general practitioners in New Aquitaine was carried out from August 2020 to March 2021. Results: discussions about advance directives provoked negative but also positive emotions in GPs, of varying intensity, such as serenity, confidence, appeasement and relief. Many coping strategies focused on the emotion or the problem are used, sometimes not recognized as such. Emotions depend on internal (personality, personal and professional experience) and external factors (content of the guidelines, patient's state of health and mind) to the physicians. Most of them were in favor of the system, which should be improved (information campaign for the public, dedicated consultation, training of doctors, review of the model, improved sharing). Conclusion: GPs' emotions seem to be far from being the main obstacle to discussing advance directives with patients. Nevertheless, the study raises the need to develop their emotional intelligence.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03380532
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Submitted on : Friday, October 15, 2021 - 3:58:43 PM
Last modification on : Thursday, November 25, 2021 - 3:15:46 AM
Long-term archiving on: : Sunday, January 16, 2022 - 8:52:10 PM

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  • HAL Id : dumas-03380532, version 1

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Lauréline Augoyard, Manon Sauvage. Les émotions des médecins généralistes lors des discussions sur les directives anticipées avec leurs patients : étude qualitative auprès de médecins généralistes de Nouvelle-Aquitaine. Médecine humaine et pathologie. 2021. ⟨dumas-03380532⟩

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