@article{ref1,
title="Integrating general practitioners into crisis management would accelerate the transition from victim to effective professional: qualitative analyses of a terrorist attack and catastrophic flooding",
journal="European journal of general practice",
year="2022",
author="Clary, Bernard and Baert, Bélinda and Bourrel, Gérard and Amouyal, Michel and Lognos, Béatrice and Oude-Engberink, Agnès and Million, Elodie",
volume="28",
number="1",
pages="125-133",
abstract="BACKGROUND: In 2018, Trèbes, 6,000 inhabitants with nine general practitioners (GPs) in southern France, experienced two tragedies; a terrorist attack in March, in which four people were killed, and a catastrophic flood in October, in which six people died and thousands more were affected. <br><br>OBJECTIVES: We aimed to obtain a substantive theory for improving crisis management by understanding the personal and professional effects of the two successive disasters on GPs in the same village. <br><br>METHODS: This qualitative study conducted complete interviews with eight GPs individually, with subsequent analyses involving the conceptualisation of categories based on grounded theory. <br><br>RESULTS: The analysis revealed that GPs underwent a double status transition. First, doctors who experienced the same emotional shock as the population became victims; their usual professional relationship changed from empathy to sympathy. The helplessness they felt was amplified by the lack of demand from the state to participate in the first emergency measures; consequently, they lost their professional status. In a second phase, GPs regained their values and skills and acquired new ones, thus regaining their status as competent professionals. In this context, the participants proposed integrating a coordinated crisis management system and the systematic development of peer support. <br><br>CONCLUSION: We obtained valuable information on the stages of trauma experienced by GPs, allowing a better understanding of the effects on personal/professional status. Thus, the inclusion of GPs in adaptive crisis management plans would limit the effects of traumatic dissociation while increasing their professional effectiveness.<p /> <p>Language: en</p>",
language="en",
issn="1381-4788",
doi="10.1080/13814788.2022.2072826",
url="http://dx.doi.org/10.1080/13814788.2022.2072826"
}