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Master Thesis

Maltraitance ordinaire en pratique gynécologique : étude qualitative avec mise en miroir des perceptions de soignant·es et de non-soignant·es

Abstract : Background: abuse in Health Care (AHC) is defined as "all violence, abuse or neglect committed by professionals towards users", in a "daily and trivialized" way. Publicized, it is largely unexplored, especially in the gynecological field. Objectives: the main objective was to explore and mirror gynecological staff and non-caregivers’ perceptions of AHC. The secondary objective was to assess how personal experiences of non-caregivers could impact their perception of AHC situations. Medical specialty’s influence on staff perception was also explored. Methods: qualitative study, using a grounded theory approach, based on 32 semi-structured individual interviews, developed around 5 comic strips. Results: general mechanisms and implications of AHC were described in a comparable way in the 2 main groups. Most AHC situations were recognized and criticized in both groups, both on emotional and cognitive aspects. More specifically, medical staff justified and presented explanations for AHC. Most healthcare professionals denied its existence within their own practice and doubted its real existence. Among non-caregivers, many areas of improvement were described focusing on the patient and her empowerment. Personal experience of AHC among non-caregivers, and midwife practice led to a clearer identification of the abusive nature of the submitted situations. Conclusion: among caregivers, recognition of AHC in a fictitious situation coexists with non-recognition in own practice. As a useful and playful tool, comics could intervene as a first step in raising awareness of the phenomenon among healthcare professionals. They also seem useful to non-caregivers in order to gain autonomy.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03545339
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Submitted on : Thursday, January 27, 2022 - 11:00:27 AM
Last modification on : Saturday, January 29, 2022 - 3:38:52 AM

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Fanny Jolin, Camille Métral. Maltraitance ordinaire en pratique gynécologique : étude qualitative avec mise en miroir des perceptions de soignant·es et de non-soignant·es. Médecine humaine et pathologie. 2021. ⟨dumas-03545339⟩

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