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Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2017

Open Access 01-01-2017 | Research

Validation of the German version of two scales (RIS, RCS-HCP) for measuring regret associated with providing healthcare

Authors: Silvia C. Richner, Stéphane Cullati, Boris Cheval, Ralph E. Schmidt, Pierre Chopard, Christoph A. Meier, Delphine S. Courvoisier

Published in: Health and Quality of Life Outcomes | Issue 1/2017

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Abstract

Background

The regret intensity scale (RIS) and the regret coping scale for healthcare professionals (RCS-HCP) working in hospitals assess the experience of care-related regrets and how healthcare professional deal with these negative events. The aim of this study was to validate a German version of the RIS and the RCS-HCP.

Methods

The RIS and RCS-HCP in German were first translated into German (forward- and backward translations) and then pretested with 16 German-speaking healthcare professionals. Finally, two surveys (test and 1-month retest) administered the scales to a large sample of healthcare professionals from two different hospitals.

Results

Of the 2142 eligible healthcare professionals, 494 (23.1%) individuals (108 physicians) completed the cross-sectional web based survey and 244 completed the retest questionnaire. Participants (n = 165, 33.4% of the total sample) who reported not having experienced a regret in the last 5 years, had significantly more days of sick leave during the last 6 months. These participants were excluded from the subsequent analyses. The structure of the scales was similar to the French version with a single dimension for the regret intensity scale (Cronbach’s alpha: 0.88) and three types of coping strategies for the regret coping scale (alphas: 0.69 for problem-focused strategies, 0.67 for adaptive strategies and 0.86 for the maladaptive strategies). Construct validity was good and reproduced the findings of the French study, namely that higher regret intensity was associated with situations that entailed more consequences for the patients. Furthermore, higher regret intensity and more frequent use of maladaptive strategies were associated with more sleep difficulties and less work satisfaction.

Conclusions

The German RIS and RCS-HCP scales were found valid for measuring regret intensity and regret coping in a population of healthcare professionals working in a hospital. Reporting no regret, which corresponds to the coping strategy of suppression, seems to be a maladaptive strategy because it was associated with more frequent sick day leaves.
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Literature
1.
Teno JM, Gozalo PL, Bynum JP, Leland NE, Miller SC, Morden NE, Scupp T, Goodman DC, Mor V. Change in end-of-life care for medicare beneficiaries: site of death, place of care, and health care transitions in 2000, 2005, and 2009. JAMA. 2000;2013(309):470–7.
2.
3.
Glasberg AL, Eriksson S, Norberg A. Burnout and ‘stress of conscience’ among healthcare personnel. J Adv Nurs. 2007;57:392–403.CrossRefPubMed
4.
St Ledger U, Begley A, Reid J, Prior L, McAuley D, Blackwood B. Moral distress in end-of-life care in the intensive care unit. J Adv Nurs. 2013;69:1869–80.CrossRefPubMed
5.
Shapiro J, Astin J, Shapiro SL, Robitshek D, Shapiro DH. Coping with loss of control in the practice of medicine. Fam Syst Health. 2011;29:15–28.CrossRefPubMed
6.
Breugelmans SM, Zeelenberg M, Gilovich T, Huang W-H, Shani Y. Generality and cultural variation in the experience of regret. Emotion. 2014;14:1037–48.CrossRefPubMed
7.
Courvoisier DS, Cullati S, Ouchi R, Schmidt RE, Haller G, Chopard P, Agoritsas T, Perneger TV. Validation of a 15-item care-related regret coping scale for health-care professionals (RCS-HCP). J Occup Health. 2014;56:430–43.CrossRefPubMed
8.
Aldao A, Sheppes G, Gross JJ. Emotion regulation flexibility. Cognitive Ther Res. 2015;39:263–78.CrossRef
9.
Lazarus RS. Coping theory and research: past, present, and future. Psychosom Med. 1993;55:234–47.CrossRefPubMed
10.
Piers RD, Azoulay E, Ricou B, Dekeyser Ganz F, Decruyenaere J, Max A, Michalsen A, Maia PA, Owczuk R, Rubulotta F, et al. Perceptions of appropriateness of care among European and Israeli intensive care unit nurses and physicians. JAMA. 2011;306:2694–703.CrossRefPubMed
11.
Aghabarary M, Nayeri ND: Medical futility and its challenges: a review study. J Med Ethics Hist Med. 2016;9:11.
12.
Pellino IM, Pellino G. Consequences of defensive medicine, second victims, and clinical-judicial syndrome on surgeons’ medical practice and on health service. Updates Surg. 2015;67:331–7.CrossRefPubMed
13.
Courvoisier DS, Agoritsas T, Perneger TV, Schmidt RE, Cullati S. Regrets associated with providing healthcare: qualitative study of experiences of hospital-based physicians and nurses. PLoS One. 2011;6:e23138.CrossRefPubMedPubMedCentral
14.
Edrees HH, Paine LA, Feroli ER, Wu AW. Health care workers as second victims of medical errors. Pol Arch Med Wewn. 2011;121:101–8.PubMed
15.
Ullstrom S, Andreen Sachs M, Hansson J, Ovretveit J, Brommels M. Suffering in silence: a qualitative study of second victims of adverse events. BMJ Qual Saf. 2014;23:325–31.CrossRefPubMed
16.
Schmidt RE, Van der Linden M. The aftermath of rash action: Sleep-interfering counterfactual thoughts and emotions. Emotion. 2009;9:549–53.CrossRefPubMed
17.
Schmidt RE, Van der Linden M. Feeling too regretful to fall asleep: Experimental activation of regret delays sleep onset. Cog Therapy Res. 2013;37:872–80.CrossRef
18.
Schmidt RE, Renaud O, van der Linden M. Nocturnal regrets and insomnia in elderly people. Int J Aging Hum Dev. 2011;73:371–93.CrossRefPubMed
19.
Schmidt RE, van der Linden M. The nocturnal return of neglected regrets: deficits in regret anticipation predict insomnia. Open Sleep J. 2011;4:20–5.CrossRef
20.
Schmidt RE, Cullati S, Mostofsky E, Haller G, Agoritsas T, Mittleman MA, Perneger TV, Courvoisier DS. Healthcare-related regret among nurses and physicians is associated with self-rated insomnia severity: a cross-sectional study. PLoS One. 2015;10:e0139770.CrossRefPubMedPubMedCentral
21.
Seys D, Wu AW, Van Gerven E, Vleugels A, Euwema M, Panella M, Scott SD, Conway J, Sermeus W, Vanhaecht K. Health care professionals as second victims after adverse events: a systematic review. Eval Health Prof. 2012;36:135–62.CrossRefPubMed
22.
Bockting WO, Miner MH, Swinburne Romine RE, Hamilton A, Coleman E. Stigma, mental health, and resilience in an online sample of the US transgender population. Am J Public Health. 2013;103:943–51.CrossRefPubMedPubMedCentral
23.
Yl C, Johnson TP, Vangeest JB. Enhancing surveys of health care professionals: a meta-analysis of techniques to improve response. Eval Health Prof. 2013;36:382–407.CrossRef
24.
Sorum PC, Mullet E, Shim J, Bonnin-Scaon S, Chasseigne G, Cogneau J. Avoidance of anticipated regret: the ordering of prostate-specific antigen tests. Med Decis Making. 2004;24:149–59.CrossRefPubMed
25.
Studdert DM, Mello MM, Sage WM, DesRoches CM, Peugh J, Zapert K, Brennan TA. Defensive medicine among high-risk specialist physicians in a volatile malpractice environment. JAMA. 2005;293:2609–17.CrossRefPubMed
26.
Rohacek M, Buatsi J, Szucs-Farkas Z, Kleim B, Zimmermann H, Exadaktylos A, Stoupis C. Ordering CT pulmonary angiography to exclude pulmonary embolism: defense versus evidence in the emergency room. Intensive Care Med. 2012;38:1345–51.CrossRefPubMed
27.
Nendaz M, Perrier A. Diagnostic errors and flaws in clinical reasoning: mechanisms and prevention in practice. Swiss Med Wkly. 2012;142:w13706.PubMed
28.
Ziarnowski KL, Brewer NT, Weber B. Present choices, future outcomes: anticipated regret and HPV vaccination. Prev Med. 2009;48:411–4.CrossRefPubMed
29.
Giver H, Faber A, Hannerz H, Stroyer J, Rugulies R. Psychological well-being as a predictor of dropout among recently qualified Danish eldercare workers. Scand J Public Health. 2010;38:239–45.CrossRefPubMed
30.
Heponiemi T, Kouvonen A, Vanska J, Halila H, Sinervo T, Kivimaki M, Elovainio M. The association of distress and sleeping problems with physicians’ intentions to change profession: the moderating effect of job control. J Occup Health Psychol. 2009;14:365–73.CrossRefPubMed
31.
Brosch T, Scherer KR, Grandjean D, Sander D. The impact of emotion on perception, attention, memory, and decision-making. Swiss Med Wkly. 2013;143:w13786.PubMed
32.
33.
Courvoisier DS, Merglen A, Agoritsas T. Experiencing regrets in clinical practice. Lancet. 2013;382:1553–4.CrossRefPubMed
34.
Joseph-Williams N, Edwards A, Elwyn G. The importance and complexity of regret in the measurement of ‘good’ decisions: a systematic review and a content analysis of existing assessment instruments. Health Expect. 2011;14:59–83.CrossRefPubMed
35.
Gross JJ. Emotion regulation: affective, cognitive, and social consequences. Psychophysiology. 2002;39:281–91.CrossRefPubMed
36.
Courvoisier DS, Cullati S, Haller C, Haller G, Schmidt RE, Agoritsas T, Perneger TV. Validation of a 10-item care-related regret intensity scale (RIS-10) for healthcare professionals. Med Care. 2013;51:285–91.CrossRefPubMed
37.
Mueller RO. Structural equation modeling: back to basics. Struct Equ Modeling. 1997;4:353–69.CrossRef
38.
Morin CM, Belleville G, Belanger L, Ivers H. The insomnia severity index: psychometric indicators to detect insomnia cases and evaluate treatment response. Sleep. 2011;34:601–8.PubMedPubMedCentral
39.
Blais MR, Brière NM, Riddle AS, Vallerand RJ. L’inventaire des motivations au travail de Blais. Revue québécoise de psychologie. 1993;14:185–215.
40.
Bopp M, Braun J, Gutzwiller F, Faeh D, Group SNCS. Health risk or resource? Gradual and independent association between self-rated health and mortality persists over 30 years. PloS One. 2012;7:e30795.CrossRefPubMedPubMedCentral
41.
Schermelleh-Engel K, Moosbrugger H, Müller H. Evaluating the fit of structural equation models: tests of significance and descriptive goodness-of-fit measures. MPR-online. 2003;8:23–74.
42.
Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1:307–10.CrossRefPubMed
43.
Cho J, Smith KC, Roter D, Guallar E, Noh DY, Ford DE. Needs of women with breast cancer as communicated to physicians on the internet. Support Care Cancer. 2011;19:113–21.CrossRefPubMed
44.
Nei D, Snyder LA, Litwiller BJ. Promoting retention of nurses: a meta-analytic examination of causes of nurse turnover. Health Care Manage Rev. 2015;40:237–53.CrossRefPubMed
45.
46.
Coricelli G, Dolan RJ, Sirigu A. Brain, emotion and decision making: the paradigmatic example of regret. Trends Cogn Sci. 2007;11:258–65.CrossRefPubMed
47.
Irving MJ, Irving RJ, Sutherland S. Graseby MS16A and MS26 syringe drivers: reported effectiveness of an online learning programme. Int J Palliat Nurs. 2007;13(56):58–62.
48.
Farquharson B, Bell C, Johnston D, Jones M, Schofield P, Allan J, Ricketts I, Morrison K, Johnston M. Nursing stress and patient care: real-time investigation of the effect of nursing tasks and demands on psychological stress, physiological stress, and job performance: study protocol. J Adv Nurs. 2013;69:2327–35.CrossRefPubMed
49.
Fazio RH, Olson MA. Implicit measures in social cognition research: their meaning and use. Annu Rev Psychol. 2003;54:297–327.CrossRefPubMed
50.
Dornan T, Pearson E, Carson P, Helmich E, Bundy C. Emotions and identity in the figured world of becoming a doctor. Med Educ. 2015;49:174–85.CrossRefPubMed
51.
Anwer LA, Abu-Zaid A. Transparency in medical error disclosure: the need for formal teaching in undergraduate medical education curriculum. Med Educ Online. 2014;19:23542.CrossRefPubMed
Metadata
Title
Validation of the German version of two scales (RIS, RCS-HCP) for measuring regret associated with providing healthcare
Authors
Silvia C. Richner
Stéphane Cullati
Boris Cheval
Ralph E. Schmidt
Pierre Chopard
Christoph A. Meier
Delphine S. Courvoisier
Publication date
01-01-2017
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2017
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-017-0630-z

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