ABSTRACT
Introduction: In the COVID-19 pandemic situation the burden that has fallen on the shoulders of resuscitation anesthesiologists has become really great. These specialists experience emotional and psychical stress that has led to the high risk of formation of the emotional burnout syndrome in the pre-COVID period. Objective(s): A comparative analysis of the formation of a complete syndrome of emotional burnout in 2020-2021 in resuscitation anesthesiologists with varied years of professional activity. Method(s): Sixty-two resuscitation anesthesiologists volunteered to take part in the study: 47 males and 15 females. The main method of study was V. Boiko's method of "Diagnosis of level of emotional burnout". Result(s): The results have shown that, during the said period, the number of doctors with complete syndrome of emotional burnout has significantly increased, that is, all three phases: stress, resistance and exhaustion had formed. The period of study has clearly shown two groups of male doctors: with period of work of 20 or more years, and with period of work of less than 5 years. The said symptoms cause a feeling of physical and psychological overburdens, stress at work and at home, conflicts with management personnel, colleagues and patients. Conclusion(s): The atypical COVID-19 pneumonia pandemic has laid significant stress on the psychic and physical health of resuscitation anesthesiologists. The high level of psychological strain, accumulation of negative emotions, and the feeling of helplessness led to medical errors and delays in important tactical decisions.
ABSTRACT
BACKGROUND: Individuals experiencing chronic illnesses face many physical, emotional, and social strains as a result of their illnesses, all the while trying to navigate unfamiliar territory in the healthcare system. Navigation is a strategy that can help people facing complex care needs and barriers to care in finding and accessing needed supports in the health care system. Navigators provide a patient-centred service, guiding individuals through their care plans and overcoming barriers to care. Navigation supports for individuals experiencing complex care needs have shown significant promise and have been gaining traction across Canada. METHODS: The Canadian Healthcare Navigation Conference was the first event of its kind in Canada to bring together navigation researchers, service providers, students, decision makers, and individuals with lived experience to share lessons learned, promising practices, and research findings. This event was co-hosted by the Family Navigation Project at Sunnybrook Health Sciences Centre and NaviCare/SoinsNavi at the University of New Brunswick, and took place virtually on April 15-16, 2021. RESULTS: This event spanned two days, which both began with a keynote address, one from a researcher and medical professional in navigation, and another from an individual with lived experience involved in advocacy in Canadian healthcare. Concurrent oral presentations by a variety of presenters were held following each keynote presentation. A poster session was held at the end of the first day, and a panel presentation rounded out the second day. Concurrent and poster presentations covered a range of topics pertaining to approaches to navigation, navigator roles, evaluation and quality improvement, lived experience in navigation, and navigation in the context of the COVID-19 pandemic. The panel presentation focused on identifying how the navigation field has progressed in Canada and identifying crucial next steps in navigation. These next steps were determined to be: 1) agreement on navigation-related definitions, 2) regulation and training, 3) equity, diversity, inclusion, and accessibility, 4) integrating lived experience, and 5) regional coordination. CONCLUSION: This conference was an important first step to creating a shared national conversation about navigation services so that we can continue to develop, implement, and share best evidence and practices in the field.