TY  - JOUR
PY  - 2022//
TI  - Integrating general practitioners into crisis management would accelerate the transition from victim to effective professional: qualitative analyses of a terrorist attack and catastrophic flooding
JO  - European journal of general practice
A1  - Clary, Bernard
A1  - Baert, Bélinda
A1  - Bourrel, Gérard
A1  - Amouyal, Michel
A1  - Lognos, Béatrice
A1  - Oude-Engberink, Agnès
A1  - Million, Elodie
SP  - 125
EP  - 133
VL  - 28
IS  - 1
N2  - 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>
LA  - en
SN  - 1381-4788
UR  - http://dx.doi.org/10.1080/13814788.2022.2072826
ID  - ref1
ER  -