Psychosocial Framework of Resilience: Navigating Needs and Adversities During the Pandemic, A Qualitative Exploration in the Indian Frontline Physicians.
Psychosocial Framework of Resilience: Navigating Needs and Adversities During the Pandemic, A Qualitative Exploration in the Indian Frontline Physicians.
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DOI：
10.3389/fpsyg.2021.622132
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发表时间：
2021
影响因子：
3.8
通讯作者：
Javed A
中科院分区：
文献类型：
--
作者：
Banerjee D;Sathyanarayana Rao TS;Kallivayalil RA;Javed A
在2019冠状病毒病（COVID-19）大流行期间，前线医护人员（HCW）面临重大困境。研究表明，他们易患抑郁症、焦虑症、创伤后应激障碍和失眠症。在像印度这样的发展中国家，随着病例数量的增加，资源的限制和耻辱，医生面临的困境更加严重。我们试图听到他们的“声音”，了解他们的逆境和概念化的弹性框架。一个定性的方法与建构主义范式。在最初的试点之后，在COVID指定中心工作的172名医生的社会人口统计学异质人群被有目的地从印度各地抽样。在使用预先形成的半结构化指南进行深入的虚拟访谈后，对数据进行了逐字转录和翻译。采访的重点是他们的挑战、需求以及应对和支持的过程。Charmaz的扎根理论用于分析，并辅以NVivo 10软件。对感染的恐惧、不确定性、耻辱、内疚和社会孤立成为主要挑战。同时，他们的“未满足的需求”是灵活的工作政策，更好的医疗保护的行政措施，媒体对HCW形象的敏感性，有效的风险沟通，他们的健康，最后，社会包容。他们的弹性“框架”出现作为一个过程，而导航这些逆境，并包括三个方面：形成一个“弹性的身份，”管理的弹性，并通过社会职业困扰的工作。心理健康、社会网络、同伴支持、问题协商和自我照顾是主要的应对策略。研究结果支持全球呼吁改善前线医护人员的心理健康和生活质量。研究中探讨的他们“未被听到的声音”可以锚随后的增强服从的干预措施和政策。关注一线医务工作者心理健康的指导方针需要以他们未满足的需求和生活经历为基础。
Frontline healthcare workers (HCW) have faced significant plight during the ongoing Coronavirus disease 2019 (COVID-19) pandemic. Studies have shown their vulnerabilities to depression, anxiety disorders, post-traumatic stress, and insomnia. In a developing country like India, with a rising caseload, resource limitations, and stigma, the adversities faced by the physicians are more significant. We attempted to hear their “voices” to understand their adversities and conceptualize their resilience framework. A qualitative approach was used with a constructivist paradigm. After an initial pilot, a socio-demographically heterogeneous population of 172 physicians working in COVID-designated centers were purposively sampled from all over India. Following in-depth virtual interviews using a pre-formed semi-structured guide, the data was transcribed and translated verbatim. The interview was focused on their challenges, needs, and processes of coping and support. Charmaz’s grounded theory was used for analysis supplemented by NVivo 10 software. Fear of infection, uncertainty, stigma, guilt, and social isolation emerged as the main challenges. Simultaneously, their “unmet needs” were flexible work policies, administrative measures for better medical protection, the sensitivity of media toward the image of HCW, effective risk communication for their health, and finally, social inclusion. Their resilience “framework” emerged as a process while navigating these adversities and consisted of three facets: forming a “resilient identity,” managing the resilience, and working through the socio-occupational distress. The role of mental well-being, social network, peer support, problem negotiation, and self-care emerged as the key coping strategies. The study findings support the global call for better psychosocial health and quality of life of the frontline HCWs. Their “unheard voices” explored in the study can anchor subsequent resilience-enhancing interventions and policies. Guidelines focusing on the psychological wellbeing of frontline HCWs need to be grounded in their unmet needs and lived experiences.
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影响因子：
3.1
作者：
Banerjee D;Vaishnav M;Rao TS;Raju M;Dalal PK;Javed A;Saha G;Mishra KK;Kumar V;Jagiwala MP
通讯作者：
Jagiwala MP
影响因子：
2.4
作者：
Brown, Adam D.;Dorfman, Michelle L.;Bryant, Richard A.
通讯作者：
Bryant, Richard A.
影响因子：
2.9
作者：
KREFTING, L
通讯作者：
KREFTING, L
影响因子：
2.4
作者：
Di Tella, Marialaura;Romeo, Annunziata;Castelli, Lorys
通讯作者：
Castelli, Lorys
影响因子：
1.6
作者：
Almaghrabi RH;Alfaraidi HA;Al Hebshi WA;Albaadani MM
通讯作者：
Albaadani MM