5 results on '"Xavier Gocko"'
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2. Nurses’ Influenza Vaccination and Hesitancy: A Systematic Review of Qualitative Literature
- Author
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Natacha Pinatel, Catherine Plotton, Bruno Pozzetto, and Xavier Gocko
- Subjects
vaccine hesitancy ,flu/influenza vaccines ,qualitative research ,Medicine - Abstract
Vaccine hesitancy (VH) is defined as “delaying or refusing a secure vaccine despite its availability”. This hesitancy affects caregivers and more specifically nurses. The purpose of this study is to assess determinants of influenza VH in the nurse’s community. We conducted a systematic review of qualitative literature according to criteria of Preferred Reporting Items for Systematic Review and Meta-Analysis and Enhancing Transparency in Reporting the synthesis of Qualitative Research from 2009 until October 2020. Eleven qualitative studies analysed (ten thematic content analyses and one grounded theory method) found three main factors in VH. The first determinant was the benefit–risk equation considered as unfavourable due to an ineffective vaccine and fears about adverse effects as the pain of the injection. Wrong immunological beliefs brought into hesitancy. Disease barriers (hand washing and masks) and personal immunity were regarded as more effective than the vaccine. Lastly, dehumanised vaccination and the difficulties of access to healthcare were institutional determinants. Nurses ask for a vaccine promotion by hierarchy and doctors with transparent information and respect for autonomy. The availability of vaccines and methods of pain control seem to be some tracks to reduce nurses’ VH.
- Published
- 2022
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3. Citizen consultation and organized breast cancer screening
- Author
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Radia Spiga, Anthony Court, Catherine Plotton, Virginie Chel, and Xavier Gocko
- Subjects
medicine.medical_specialty ,medicine.diagnostic_test ,Netnography ,030503 health policy & services ,Decision Making ,Public Health, Environmental and Occupational Health ,Breast Neoplasms ,Breast neoplasm screening ,03 medical and health sciences ,Breast cancer screening ,0302 clinical medicine ,Appeal to emotion ,Disease severity ,Family medicine ,Severity of illness ,medicine ,Humans ,Mass Screening ,Female ,030212 general & internal medicine ,Technical skills ,0305 other medical science ,Psychology ,Referral and Consultation ,Early Detection of Cancer - Abstract
Scientific controversies on breast cancer screening have induced the French authorities to launch online citizen consultation. The objective of this netnography was to identify the knowledge and values underlying contributors’ choices. The choice of supporters was often based on emotions: impression of disease severity and efficacy of screening, fearfulness stemming from personal experience and testimony from relatives. Opponents emphasized the risks of the screening and the doctors’ perceived lack of relational and technical skills. The ‘non-decision’ profile was explained by information deemed simplistic, guilt-inducing and partial. Future research should focus on how to appeal to emotions to support shared decision.
- Published
- 2019
4. Case report: Recurrent peripheral facial paralysis following two influenza vaccinations in 2009 and 2016
- Author
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Bruno Pozzetto, Pierre Bertholon, Sylvain Poulteau, Marie-Noëlle Beyens, and Xavier Gocko
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Adult ,Male ,Pediatrics ,medicine.medical_specialty ,Time Factors ,Facial Paralysis ,030231 tropical medicine ,Influenza vaccinations ,03 medical and health sciences ,0302 clinical medicine ,Influenza, Human ,Pharmacovigilance ,medicine ,Humans ,030212 general & internal medicine ,Adverse effect ,Aged ,Aged, 80 and over ,General Veterinary ,General Immunology and Microbiology ,business.industry ,Vaccination ,Public Health, Environmental and Occupational Health ,Middle Aged ,Semiology ,Infectious Diseases ,Peripheral Facial Paralysis ,Influenza Vaccines ,Etiology ,Molecular Medicine ,Female ,business ,Medical literature - Abstract
A 57-year-old female experienced two successive peripheral facial paralysis (PFP) episodes following influenza immunization in 2009 and 2016 with two different vaccines. The similarity of chronology and semiology between the two events and the absence of alternative etiology plead for intrinsic accountability. Extrinsic accountability relies on previous case reports of PFP related to flu vaccination (26 cases in the French pharmacovigilance database and 4 cases in the medical literature).
- Published
- 2019
5. Interpretative phenomenological analysis of chronic pain
- Author
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Xavier Gocko
- Subjects
medicine.medical_specialty ,Interpretative phenomenological analysis ,business.industry ,media_common.quotation_subject ,Rehabilitation ,Chronic pain ,Context (language use) ,Empathy ,Disease ,Ambivalence ,medicine.disease ,Intervention (counseling) ,Medicine ,Orthopedics and Sports Medicine ,Internal validity ,business ,Psychiatry ,media_common - Abstract
Objective In France, chronic pain prevalence, causing professional or domestic activity restriction, increases with age, and reaches more than 60% people over 85 years old. In 2006, 40% of patients suffering from chronic pain are still not satisfied with practioners’ monitoring and therefore multiply consultations. The aim of this study was to analyse the phenomenon of chronic pain, thanks to patients’ experience and consciousness of their own situations. Material/Patients and methods This qualitative phenomenological study had the objective to enter in patients’ “singular universe” by using two-fold hermeneutics, both empathic and critical. The interview guidelines tackled patients’ experience of the disease and their expectations about the multiple doctors they had met. The analysis followed an iterative and inductive process (uncontextualisation-recontextualisation). The internal validity has been guaranteed by an independent double analysis. Results Fifteen different interviews, lasting from 36 to 64 minutes, were done in the period between September 2012 and December 2014. Patients told “a before and an after” chronic pain. They did not want “to be a charge to their relatives” but also wanted “to be recognized”. The loss of his prior condition falls within the context of a therapeutic path, geared towards the search for confidence, empathy but also of a precise diagnosis and an efficient treatment. Disappointments can get patients close to look for alternative therapies. Discussion/Conclusion The ambivalence of the patient, the impotence felt by the physician shakes the relationship. The narration contextualizes the painful complaint. It may be therapeutic. Unrolling his life story the patient can understand the intervention of other determinants in his suffering.
- Published
- 2016
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