Frontline Physician Perspectives on Their Experiences Working During the First Wave of the COVID-19 Pandemic.
Frontline Physician Perspectives on Their Experiences Working During the First Wave of the COVID-19 Pandemic.
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DOI：
10.1007/s11606-022-07792-y
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发表时间：
2022-12
影响因子：
5.7
通讯作者：
Peek, Monica E.
中科院分区：
文献类型：
--
作者：
Gonzalez, Cristina M.;Hossain, Onjona;Peek, Monica E.
在2019冠状病毒病大流行的第一波浪潮中，医生工作在第一线，沉浸在不确定性中。在整个疫情期间，对一线医生观点的研究一直落后于临床创新。为提供持续及未来应对COVID-19疫情的信息，我们对医生的观点进行了定性探索，探讨政策和程序的影响，以及在2020年春季第一波疫情高峰期间护理患者时吸取的经验教训。一份机密调查通过电子邮件发送给了一个方便的样本。调查问题包括人口数据、参与者在大流行中的作用和地理位置。11个开放式问题探讨了他们的观点和建议，他们会给前进。涵盖的广泛领域包括COVID-19特定教育、出院计划、对患者护理的意外后果、预期的心理健康状况以及在危机中影响员工福祉的个人/机构因素。从2020年5月到7月，我们收到了55份调查。人口统计学数据表明，在美国不同震中工作的一线医生的抽样，以及性别、种族/民族和临床专业的多样性。归纳性专题分析。通过数据分析得出了四个主题：（1）领导力可以建立或破坏士气;（2）领导力应该在整个决策过程中让一线工作人员参与进来;（3）COVID-19的新奇导致护理提供方面的意外后果;以及（4）心理健康后遗症将是深刻和普遍的。我们的参与者展示了让一线医生作为重要利益相关者参与政策制定、评估和修订的好处;他们强调了挑战、成功、意外后果以及从第一波COVID-19大流行中的各个震中吸取的教训。从早期的COVID-19大流行危机中可以学到很多东西;我们的参与者的见解阐明了检查机构绩效、影响政策变化和改善危机管理的机会，以便更好地为这次和未来的大流行病做好准备。在线版本包含补充材料，可通过10.1007/s11606-022-07792-y获得。
During the first wave of the COVID-19 pandemic physicians worked on the front lines, immersed in uncertainty. Research into perspectives of frontline physicians has lagged behind clinical innovation throughout the pandemic. To inform ongoing and future efforts in the COVID-19 pandemic, we conducted a qualitative exploration of physician perspectives of the effects of policies and procedures as well as lessons learned while caring for patients during the height of the first wave in the spring of 2020. A confidential survey was emailed to a convenience sample. Survey questions included demographic data, participant role in the pandemic, and geographic location. Eleven open-ended questions explored their perspectives and advice they would give going forward. Broad areas covered included COVID-19-specific education, discharge planning, unintended consequences for patient care, mental health conditions to anticipate, and personal/institutional factors influencing workforce well-being amid the crisis. We received fifty-five surveys from May through July 2020. Demographic data demonstrated sampling of frontline physicians working in various epicenters in the USA, and diversity in gender, race/ethnicity, and clinical specialty. Inductive thematic analysis. Four themes emerged through data analysis: (1) Leadership can make or break morale; (2) Leadership should engage frontline workers throughout decision-making processes; (3) Novelty of COVID-19 led to unintended consequences in care delivery; and (4) Mental health sequelae will be profound and pervasive. Our participants demonstrated the benefit of engaging frontline physicians as important stakeholders in policy generation, evaluation, and revision; they highlighted challenges, successes, unintended consequences, and lessons learned from various epicenters in the first wave of the COVID-19 pandemic. There is much to be learned from the early COVID-19 pandemic crisis; our participants’ insights elucidate opportunities to examine institutional performance, effect policy change, and improve crisis management in order to better prepare for this and future pandemics. The online version contains supplementary material available at 10.1007/s11606-022-07792-y.
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