Evidence map›Paper›PMID 28315113›Full record

ArticleAdvances in health sciences education : theory and practice2018

"I'd been like freaking out the whole night": exploring emotion regulation based on junior doctors' narratives.

Robert M Lundin, Kiran Bashir, Alison Bullock, Camille E Kostov, Karen L Mattick, Charlotte E Rees, Lynn V Monrouxe

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Article in Advances in health sciences education : theory and practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

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26citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

26 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Robert M LundinSchool of Medicine, Cardiff University, Wales, UK.
Kiran BashirSchool of Medicine, Cardiff University, Wales, UK.
Alison BullockSchool of Social Sciences, Cardiff University, Wales, UK.
Camille E KostovSchool of Medicine, Cardiff University, Wales, UK.
Karen L MattickCentre for Research in Professional Learning, Graduate School of Education, University of Exeter, England, UK.
Charlotte E ReesFaculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia.
Lynn V MonrouxeChang Gung Medical Education Research Centre, Chang Gung Memorial Hospital, Linkou, No.5, Fuxing St., Guishan District, Taoyuan City, 33305, Taiwan, ROC. Monrouxe@cgmh.org.tw.ORCID http://orcid.org/0000-0002-4895-1812

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The importance of emotions within medical practice is well documented. Research suggests that how clinicians deal with negative emotions can affect clinical decision-making, health service delivery, clinician well-being, attentiveness to patient care and patient satisfaction. Previous research has identified the transition from student to junior doctor (intern) as a particularly challenging time. While many studies have highlighted the presence of emotions during this transition, how junior doctors manage emotions has rarely been considered. We conducted a secondary analysis of narrative data in which 34 junior doctors, within a few months of transitioning into practice, talked about situations for which they felt prepared or unprepared for practice (preparedness narratives) through audio diaries and interviews. We examined these data deductively (using Gross' theory of emotion regulation: ER) and inductively to answer the following research questions: (RQ1) what ER strategies do junior doctors describe in their preparedness narratives? and (RQ2) at what point in the clinical situation are these strategies narrated? We identified 406 personal incident narratives: 243 (60%) contained negative emotion, with 86 (21%) also containing ER. Overall, we identified 137 ER strategies, occurring prior to (n = 29, 21%), during (n = 74, 54%) and after (n = 34, 25%) the situation. Although Gross' theory captured many of the ER strategies used by junior doctors, we identify further ways in which this model can be adapted to fully capture the range of ER strategies participants employed. Further, from our analysis, we believe that raising medical students' awareness of how they can handle stressful situations might help smooth the transition to becoming a doctor and be important for later practice.

Indexed as

Adaptation, PsychologicalClinical CompetenceEmotionsNarrationStress, PsychologicalAdultAttitude of Health PersonnelFemaleHumansMalePhysiciansQualitative ResearchStudents, MedicalYoung AdultAudio diariesEmotion regulationERGrossInternsJunior doctorsMedical educationPreparedness for practiceTransitions

Identifiers

PMID28315113
PMCPMC5801373

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.