Opiophobia in Emergency Department Healthcare Providers: A Survey in Western Switzerland

Opiophobia contributes to oligoanalgesia in the emergency department (ED), but its definition varies, and its association to healthcare providers’ personality traits has been scantly explored. Our purpose was to study the different definitions of opiophobia and their association with two personality...

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Main Authors: Sarah Bertrand, Gabriel Meynet, Patrick Taffé, Vincent Della Santa, Daniel Fishman, Yvan Fournier, Vincent Frochaux, Vincent Ribordy, Olivier T. Rutschmann, Olivier Hugli
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/10/7/1353
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author Sarah Bertrand
Gabriel Meynet
Patrick Taffé
Vincent Della Santa
Daniel Fishman
Yvan Fournier
Vincent Frochaux
Vincent Ribordy
Olivier T. Rutschmann
Olivier Hugli
author_facet Sarah Bertrand
Gabriel Meynet
Patrick Taffé
Vincent Della Santa
Daniel Fishman
Yvan Fournier
Vincent Frochaux
Vincent Ribordy
Olivier T. Rutschmann
Olivier Hugli
author_sort Sarah Bertrand
collection DOAJ
description Opiophobia contributes to oligoanalgesia in the emergency department (ED), but its definition varies, and its association to healthcare providers’ personality traits has been scantly explored. Our purpose was to study the different definitions of opiophobia and their association with two personality traits of doctors and nurses working in EDs, namely the stress from uncertainty and risk-taking. We used three online questionnaires: the ‘Attitude Towards Morphine Use’ Score (ATMS), the Stress From Uncertainty Scale (SUS) and the Risk-Taking Scale (RTS). Doctors and nurses from nine hospital EDs in francophone Switzerland were invited to participate. The ATMS score was analyzed according to demographic characteristics, SUS, and RTS. The response rate was 56%, with 57% of respondents being nurses and 63% women. Doctors, less experienced and non-indigenous participants had a significantly higher ATMS (all <i>p</i> ≤ 0.01). The main contributors of the ATMS were the fear of side effects and of addiction. In multivariate analysis, being a doctor, less experience and non-indigenous status were predictive of the ATMS; each point of the SUS increased the ATMS by 0.24 point. The fear of side effects and of addiction were the major contributors of opiophobia among ED healthcare providers; opiophobia was also associated with their personality traits.
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spelling doaj.art-11a949838862473195c3190eb81061992023-11-21T11:56:56ZengMDPI AGJournal of Clinical Medicine2077-03832021-03-01107135310.3390/jcm10071353Opiophobia in Emergency Department Healthcare Providers: A Survey in Western SwitzerlandSarah Bertrand0Gabriel Meynet1Patrick Taffé2Vincent Della Santa3Daniel Fishman4Yvan Fournier5Vincent Frochaux6Vincent Ribordy7Olivier T. Rutschmann8Olivier Hugli9Faculty of Biology and Medicine, University of Lausanne, 1011 Lausanne, SwitzerlandFaculty of Biology and Medicine, University of Lausanne, 1011 Lausanne, SwitzerlandInstitute of Social and Preventive Medicine, University of Lausanne, Corniche 10, 1010 Lausanne, SwitzerlandEmergency Department, Hôpital Neuchâtelois, Maladière 45, 2000 Neuchâtel, SwitzerlandEmergency Department, Route de Morgins, Hôpital du Chablais, 1870 Monthey, SwitzerlandEmergency Department, Colline 3, Hôpital Intercantonal de la Broye, 1530 Payerne, SwitzerlandEmergency Department, Grand-Champsec 80, Hôpital de Sion, 1950 Sion, SwitzerlandEmergency Department, Pensionnats 2-6, Hôpital Fribourgeois, 1708 Fribourg, SwitzerlandEmergency Department, Geneva University Hospitals and School of Medicine, Gabrielle Perret-Gentil 2, 1205 Geneva, SwitzerlandEmergency Department, University Hospital of Lausanne and Lausanne University, Bugnon 46, 1011 Lausanne, SwitzerlandOpiophobia contributes to oligoanalgesia in the emergency department (ED), but its definition varies, and its association to healthcare providers’ personality traits has been scantly explored. Our purpose was to study the different definitions of opiophobia and their association with two personality traits of doctors and nurses working in EDs, namely the stress from uncertainty and risk-taking. We used three online questionnaires: the ‘Attitude Towards Morphine Use’ Score (ATMS), the Stress From Uncertainty Scale (SUS) and the Risk-Taking Scale (RTS). Doctors and nurses from nine hospital EDs in francophone Switzerland were invited to participate. The ATMS score was analyzed according to demographic characteristics, SUS, and RTS. The response rate was 56%, with 57% of respondents being nurses and 63% women. Doctors, less experienced and non-indigenous participants had a significantly higher ATMS (all <i>p</i> ≤ 0.01). The main contributors of the ATMS were the fear of side effects and of addiction. In multivariate analysis, being a doctor, less experience and non-indigenous status were predictive of the ATMS; each point of the SUS increased the ATMS by 0.24 point. The fear of side effects and of addiction were the major contributors of opiophobia among ED healthcare providers; opiophobia was also associated with their personality traits.https://www.mdpi.com/2077-0383/10/7/1353acute painopiatesopiophobiamorphineemergency departmentuncertainty
spellingShingle Sarah Bertrand
Gabriel Meynet
Patrick Taffé
Vincent Della Santa
Daniel Fishman
Yvan Fournier
Vincent Frochaux
Vincent Ribordy
Olivier T. Rutschmann
Olivier Hugli
Opiophobia in Emergency Department Healthcare Providers: A Survey in Western Switzerland
Journal of Clinical Medicine
acute pain
opiates
opiophobia
morphine
emergency department
uncertainty
title Opiophobia in Emergency Department Healthcare Providers: A Survey in Western Switzerland
title_full Opiophobia in Emergency Department Healthcare Providers: A Survey in Western Switzerland
title_fullStr Opiophobia in Emergency Department Healthcare Providers: A Survey in Western Switzerland
title_full_unstemmed Opiophobia in Emergency Department Healthcare Providers: A Survey in Western Switzerland
title_short Opiophobia in Emergency Department Healthcare Providers: A Survey in Western Switzerland
title_sort opiophobia in emergency department healthcare providers a survey in western switzerland
topic acute pain
opiates
opiophobia
morphine
emergency department
uncertainty
url https://www.mdpi.com/2077-0383/10/7/1353
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