Exploring the Impact of the Coronavirus Pandemic on Pediatric Palliative Care Clinician Personal and Professional Well-Being: A Qualitative Analysis of U.S. Survey Data.
Exploring the Impact of the Coronavirus Pandemic on Pediatric Palliative Care Clinician Personal and Professional Well-Being: A Qualitative Analysis of U.S. Survey Data.
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DOI：
10.1016/j.jpainsymman.2020.09.037
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发表时间：
2021-04
影响因子：
4.7
通讯作者：
Wiener L
中科院分区：
文献类型：
--
作者：
Rosenberg AR;Weaver MS;Fry A;Wiener L
COVID-19大流行对姑息治疗服务和患者体验产生了巨大影响。对姑息治疗临床医生的经验和反应知之甚少。我们的目的是描述大流行对儿科姑息治疗临床医生的个人和专业福祉的影响。2020年5月至6月期间，冠状病毒时代所需部署和修改的姑息性评估（PANDEMIC）横断面在线调查在7个专业列表服务器上发布。我们对有关COVID-19持续影响的三个开放式问题的书面答复进行了常规内容分析。在来自美国80个城市的207名多学科受访者中，148人（71%）对开放式问题提供了书面答复，62人（42%）的答复与个人，职业或存在幸福感有关。这些回答被分为4大类：个人负担，专业负担，个人利益和专业利益。受访者对负担的描述比对好处的描述更常见（分别为67%和33%）。个人负担与恐惧和不确定性增加、担心将病毒带回家以及集体悲伤感有关。职业负担包括疲惫感，工作与生活平衡的挑战，与感染病毒的同事的个人经历，以及完全离开医疗保健的考虑。个人受益包括吸取经验教训，不断发展的重要意识，以及改善工作与生活的平衡。职业福利包括职业发展机会和职业目标感。儿科姑息治疗临床医生感受到COVID-19大流行的广泛影响。随着大流行的持续，持续的临床医生评估非常重要。
The COVID-19 pandemic has had a dramatic impact on palliative care delivery and patient experiences. Less is known about the experiences and responses of palliative care clinicians. We aimed to describe the pandemic's impact on pediatric palliative care clinicians' personal and professional well-being. The Palliative Assessment of Needed DEvelopments & Modifications In the Era of Coronavirus (PANDEMIC) cross-sectional online survey was posted on 7 professional listservs between May and June 2020. We conducted a conventional content analysis of written responses to three open-ended questions regarding the lasting impact of COVID-19. Of 207 multidisciplinary respondents from 80 US cities, 148 (71%) provided written responses to open-ended questions, and 62 responses (42%) were related to personal, professional, or existential well-being. These responses were sorted into 4 major categories: personal burdens, professional burdens, personal benefits, and professional benefits. Respondents described burdens more commonly than they did benefits (67% vs. 33% of comments, respectively). Personal burdens related to increased fear and uncertainty, fear of bringing the virus home, and a sense of collective grief. Professional burdens included a sense of exhaustion, a challenge with work-life balance, personal experiences with colleagues infected with the virus, and considerations of leaving health care altogether. Personal benefits included lessons learned, an evolving sense of what matters, and improved work-life balance. Professional benefits included opportunities for professional development and a sense of professional purpose. Pediatric palliative care clinicians perceive a breadth of impacts from the COVID-19 pandemic. Ongoing clinician assessment is important as the pandemic continues.
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影响因子：
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