A qualitative investigation of the impact of coronavirus disease 2019 (COVID-19) on emergency physicians' emotional experiences and coping strategies.
A qualitative investigation of the impact of coronavirus disease 2019 (COVID-19) on emergency physicians' emotional experiences and coping strategies.
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DOI：
10.1002/emp2.12578
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发表时间：
2021-10
影响因子：
2.3
通讯作者：
Isbell LM
中科院分区：
文献类型：
--
作者：
Welsh M;Chimowitz H;Nanavati JD;Huff NR;Isbell LM
在2019年冠状病毒病（COVID-19）大流行期间，美国的急诊医生在本已脆弱的医疗系统中照顾患者时，面临着前所未有的挑战、风险和不确定性。因此，这场大流行加剧了急诊医生的高度负面情绪和倦怠，但很少有系统的定性工作记录了这些现象。这项定性调查的目的是研究急诊医生应对COVID-19的情绪体验以及他们在应对疫情时所采用的应对策略。从2020年9月到2021年2月，我们对从2个早期COVID-19震中（纽约市和波士顿大都会地区）招募的26名急诊医生进行了半结构化采访。访谈，编码和分析进行了使用扎根理论的方法。急诊医生报告说，在大流行期间，焦虑、同情、悲伤、沮丧和愤怒加剧。医生经常将焦虑情绪归因于COVID-19病毒的医疗不确定性、感染病毒并将其传播给家庭成员的个人风险、紧急环境和资源可用性。急诊医生还讨论了禁止患者家属进入急诊科（艾德）的政策对他们自己和患者的情绪影响。医生愤怒和沮丧的来源包括不断变化的政策和规则，医院领导和管理，以及减薪。一些医生描述了一个不断演变的，持续的应对过程，以应对大流行病，大多数确定集体讨论和处理内的急诊医学界作为一个有效的应对策略。我们的研究结果强调，需要调查医生与流行病相关的情绪压力和倦怠对患者护理的影响。需要采取循证干预措施，支持急诊医生应对大流行相关创伤。
Throughout the coronavirus disease 2019 (COVID‐19) pandemic, emergency physicians in the United States have faced unprecedented challenges, risks, and uncertainty while caring for patients in an already vulnerable healthcare system. As such, the pandemic has exacerbated high levels of negative emotions and burnout among emergency physicians, but little systematic qualitative work has documented these phenomena. The purpose of this qualitative investigation was to study emergency physicians’ emotional experiences in response to COVID‐19 and the coping strategies that they employed to navigate the pandemic. From September 2020 to February 2021, we conducted semistructured interviews with 26 emergency physicians recruited from 2 early COVID‐19 epicenters: New York City and the Metro Boston region. Interviews, coding, and analyses were conducted using a grounded theory approach. Emergency physicians reported heightened anxiety, empathy, sadness, frustration, and anger during the pandemic. Physicians frequently attributed feelings of anxiety to medical uncertainty around the COVID‐19 virus, personal risk of contracting the virus and transmitting it to family members, the emergency environment, and resource availability. Emergency physicians also discussed the emotional effects of policies prohibiting patients’ family members from entering the emergency department (ED), both on themselves and patients. Sources of physician anger and frustration included changing policies and rules, hospital leadership and administration, and pay cuts. Some physicians described an evolving, ongoing coping process in response to the pandemic, and most identified collective discussion and processing within the emergency medicine community as an effective coping strategy. Our findings underscore the need to investigate the effects of physicians’ pandemic‐related emotional stress and burnout on patient care. Evidence‐based interventions to support emergency physicians in coping with pandemic‐related trauma are needed.
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影响因子：
5.4
作者：
Isbell, Linda M.;Boudreaux, Edwin D.;Kimball, Ezekiel
通讯作者：
Kimball, Ezekiel
DOI：
10.5811/westjem.2020.7.48472
发表时间：
2020-09-24
期刊：
The western journal of emergency medicine
影响因子：
--
作者：
Fitzpatrick K;Patterson R;Morley K;Stoltzfus J;Stankewicz H
通讯作者：
Stankewicz H
影响因子：
1.7
作者：
Hampton, T.;Crunkhorn, R.;Sharma, S.
通讯作者：
Sharma, S.
影响因子：
3.1
作者：
Cai, Haozheng;Tu, Baoren;Zhuang, Quan
通讯作者：
Zhuang, Quan
影响因子：
2.6
作者：
Gandhi, Tejal K.;Singh, Hardeep
通讯作者：
Singh, Hardeep