The feeling of being overwhelmed or helpless
Many clinicians exhibited feelings of being overwhelmed with the data or feeling helpless as a result of receiving data. Many explicitly endorsed a devaluation of self-image and stated that it could be difficult to face their perceived shortcomings before moving to an exploration of practice improvement. Some respondents identified that it may be easier to not be made aware of opportunities for improvement.
“I think somebody like that who already thinks that they are giving their all and being pretty egalitarian […], they would probably take it very to heart and be hurt by it. And a little defensive.” [P8]
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“ I think because they don’t want to be judged. Or maybe they don’t want others to think that they are not good clinicians. Maybe that is why. Or maybe some people have a hard time facing their mistakes or their weaknesses and they don’t want to know about them.” [P9]