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1.
BMC Med Ethics ; 23(1): 45, 2022 04 19.
Article in English | MEDLINE | ID: covidwho-1798405

ABSTRACT

BACKGROUND: Commentators believe that the ethical decision-making climate is instrumental in enhancing interprofessional collaboration in intensive care units (ICUs). Our aim was twofold: (1) to determine the perception of the ethical climate, levels of moral distress, and intention to leave one's job among nurses and physicians, and between the different ICU types and (2) determine the association between the ethical climate, moral distress, and intention to leave. METHODS: We performed a cross-sectional questionnaire study between May 2021 and August 2021 involving 206 nurses and physicians in a large urban academic hospital. We used the validated Ethical Decision-Making Climate Questionnaire (EDMCQ) and the Measure of Moral Distress for Healthcare Professionals (MMD-HP) tools and asked respondents their intention to leave their jobs. We also made comparisons between the different ICU types. We used Pearson's correlation coefficient to identify statistically significant associations between the Ethical Climate, Moral Distress, and Intention to Leave. RESULTS: Nurses perceived the ethical climate for decision-making as less favorable than physicians (p < 0.05). They also had significantly greater levels of moral distress and higher intention to leave their job rates than physicians. Regarding the ICU types, the Neonatal/Pediatric unit had a significantly higher overall ethical climate score than the Medical and Surgical units (3.54 ± 0.66 vs. 3.43 ± 0.81 vs. 3.30 ± 0.69; respectively; both p ≤ 0.05) and also demonstrated lower moral distress scores (both p < 0.05) and lower "intention to leave" scores compared with both the Medical and Surgical units. The ethical climate and moral distress scores were negatively correlated (r = -0.58, p < 0.001); moral distress and "intention to leave" was positively correlated (r = 0.52, p < 0.001); and ethical climate and "intention to leave" were negatively correlated (r = -0.50, p < 0.001). CONCLUSIONS: Significant differences exist in the perception of the ethical climate, levels of moral distress, and intention to leave between nurses and physicians and between the different ICU types. Inspecting the individual factors of the ethical climate and moral distress tools can help hospital leadership target organizational factors that improve interprofessional collaboration, lessening moral distress, decreasing turnover, and improved patient care.


Subject(s)
Attitude of Health Personnel , Intention , Child , Cross-Sectional Studies , Hospitals , Humans , Infant, Newborn , Intensive Care Units , Job Satisfaction , Morals , Stress, Psychological , Surveys and Questionnaires
2.
Dissertation Abstracts International: Section B: The Sciences and Engineering ; JOUR(12-B):No Pagination Specified, 83.
Article in English | APA PsycInfo | ID: covidwho-2084288

ABSTRACT

Despite facing various challenges relating to mental health and often dealing with a highly stressful work environment, physicians often feel as though they cannot readily access mental healthcare services. This is due to an array of elements, such as personality factors, systemic barriers, and cultural issues. While the prevalence of mental health difficulties within a physician population is relatively well researched, very little has been done to address the obstacles to treatment. Physicians are regularly exposed to potentially traumatic experiences and often make morally ambiguous decisions. While highly trained and undeniably competent, no physician is perfect, and medical errors with severe consequences do happen. Further, healthcare systems face unprecedented challenges worldwide due to circumstances following the onset of the Covid-19 pandemic. This manuscript discusses the risk of what is known as Moral Injury in a physician population due to everyday difficulties and the extraordinary circumstances resulting from the Covid-19 pandemic. Subsequently, the discussion is then broadened to propose implementing a form of Acceptance and Commitment Therapy (ACT) as a means of treatment for said Moral Injury. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

3.
SSRN;
Preprint in English | SSRN | ID: ppcovidwho-346180

ABSTRACT

Health law is in its heyday. The COVID-19 pandemic has made health law and disability law prominent in every area of life, including the law school classrooms and faculty meetings. Discussions of vaccine policies, remote teaching, masking as reasonable disability accommodations, rationing of scarce medical equipment, FDA authorization of new treatments, and public health regulation across federal, state, and local levels of governance, dominated many of the [Zoom] conversations in law schools during the last few years. Health law and disability law were therefore upgraded to the status of popular law school classes as well as to more mainstream legal scholars’ research agendas. Experimental jurisprudence scholarship that uses controlled experiments to address jurisprudential questions and investigate legal concepts, language, and intuitions as lay people perceive them, has gained momentum in recent years. As I will show, the use of experiments in this tradition has slowly penetrated the study of health law and disability law. Yet while the use of experiments to study policy and legal issues related to health and disability is off to a promising start, the potential of this approach remains far from being realized. In this essay, I will first show how the use of experiments has helped revisit core concepts in the fields of health law and disability law. I then review three strands of work that emerged in the existing literature on “experimental health and disability law”: the study of framing – the language of public health messaging;measuring perceived deservingness of government benefits;and testing efficacy of physicians’ conflict of interest disclosures. I conclude by pointing to new directions scholars should explore in future work.

4.
Int J Osteopath Med ; 2022 Oct 14.
Article in English | MEDLINE | ID: covidwho-2076199

ABSTRACT

Background: SARS-CoV-2 infection responsible for the COVID-19 pandemic has demonstrated a significant burden on the mental health of health care providers. The purpose of the study is to evaluate the mental health symptoms among osteopathic physicians from a single academic institution during the COVID-19 pandemic. Methods: This was a cross-sectional, survey-based study conducted during the COVID-19 pandemic from January 2021 to March 2021. The survey was emailed to 4239 alumni physicians from the single medical school in California, USA. Burnout, anxiety, and depression were assessed by the single-item Mini-Z Burnout Assessment, 7-item Generalized Anxiety Disorder Scale, and 2-item Patient Health Questionnaire, respectively. Results: A total of 104 survey responses were analyzed. Of them, 53 (51.0%) were attending physicians and 51 (49.0%) were residents or fellow physicians. Anxiety, burnout, and depression were reported in 29 (29.9%), 31 (32%), and 11 (11.3%), respectively. Females had increased anxiety (OR 1.66, CI 1.21-2.27; P = 0.002). Resident had higher burnout symptoms (OR 1.28, CI 1.06-1.53; p = 0.009) and depression symptoms (OR 1.15, CI 1.01-1.30; p = 0.032) compared to attending physicians. Physicians who encountered >50 COVID-19 patients had higher depression symptoms (OR 1.17, CI 1.02-1.35; p = 0.027). Conclusion: Our survey study demonstrated that osteopathic physicians graduated from a single academic institution experienced symptoms of anxiety, burnout, and depression during the COVID-19 pandemic based on the validated questionnaires. A higher prevalence was shown in the lesser experienced group of residents and fellow physicians compared to more experienced attending physicians. In addition, adjustments to the pandemic have caused a financial burden among osteopathic physicians. Future studies are warranted to assess the long-term effects of the pandemic on mental health among osteopathic physicians.

5.
Medical Science ; 26(126), 2022.
Article in English | Web of Science | ID: covidwho-2072569

ABSTRACT

It has been recommended to implement physically active lifestyles against the negative consequences of the COVID-19 pandemic. During the pandemic process, many healthcare professionals had to lead a stressful life due to long hours of intensive healthcare. This situation directly affected the burnout levels of physicians as well as indirectly affected patients seeking treatment. The goal of this study was to look into the effects of physicians' levels of participation in sports, their attitudes toward sporting recreational activities, and the effects of COVID-19 phobias on burnout. 272 physicians participated in the study. The Health Belief Scale Regarding Sports Recreational Activities (HBSSRA), Maslach Burnout Scale (MBI), and COVID-19 Phobia Scale (C19P-S) were used during data collection. Spearman correlation coefficient was used for correlation analysis, Kruskal-Wallis test was used to compare groups, and logistic regression analysis was used to establish a model. MBI total and emotional exhaustion scores were significantly different according to the physicians' participation levels in sportive activities (P=0.740, P=0.136). Statistically significant correlation was found between HBSSRA and MBI total scores (r=-0.313, P=0.009). The probability of emotional exhaustion was 1.45 times higher in physicians with low level of participation in sports activities. The increase in HBSSRA scores had a protective effect on emotional burnout (P=0.028, OR: 0.72). We are hopeful that the findings obtained from physicians will highlight the importance of sports and recreational activities, paving the way for improvement strategies that will benefit those who are most affected by the COVID-19 crisis.

6.
Flora Infeksiyon Hastaliklari Ve Klinik Mikrobiyoloji Dergisi ; 27(3):453-465, 2022.
Article in English | Web of Science | ID: covidwho-2072101

ABSTRACT

Introduction: Coronavirus disease 2019 (COVID-19) is caused by a newly discovered coronavirus, SARS-CoV-2. The Turkish govern-ment has planned to procure COVID-19 vaccine through multiple agencies and companies in order to vaccinate at least 75% of the population. Physicians' beliefs and attitudes to COVID-19 vaccines are important for the immunization rate of the public. This study aimed to evaluate the vaccination approaches of the Turkish physicians against COVID-19.Materials and Methods: This study was conducted as an online survey between 15.01.2021-12.02.2021, among mainly infectious disease and internal medicine physicians in Turkiye. The survey included questions on the demographics of physicians and their approaches toward vaccination against COVID-19.Results: Among the 486 participants, 34.6% were internal medicine physicians and 17.5% were infectious diseases physicians. Total acceptance rate of the COVID-19 vaccine among physicians was 89.9%. Physicians who stated having sufficient information about COVID-19 vaccines had a higher rate of COVID-19 vaccine recommendation to their patients compared to those who stated not having sufficient information (95.8% vs 86.7%, p= 0.011). Physicians with concerns about adverse effects or efficacy of the COVID-19 vaccine had a lower rate of COVID-19 vaccine recommendation to their patients/relatives/friends (p< 0.001). Female and younger physicians were more concerned about the adverse effects of the COVID-19 vaccine (p< 0.05). Recommendation of COVID-19 vaccine was higher among physicians with confidence in having sufficient information and without concern about efficacy of the vaccine. Conclusion: Since physicians have an important role in providing information and reducing COVID-19 vaccine hesitancy among the community, improvement in the knowledge and concerns of physicians should be considered.

7.
Pakistan Journal of Psychological Research ; 37(3):381-397, 2022.
Article in English | ProQuest Central | ID: covidwho-2067643

ABSTRACT

The outbreak of the contagion corona virus disease has engrossed worldwide attention. The nature of the disease and its spread has put excessive burden on service providers leading to burn out. In the face of health threats and work pressure during pandemic, the current study aimed to investigate the impact of COVID-19 stress on Burnout among health care providers. Following a convenient sampling technique, a sample of 153 healthcare providers with an age ranged from 24 to 60 years were assessed with COVID Stress Scale (Taylor, et al., 2020) and Maslach Burnout Inventory (MBI;Maslach et al., 1997). SPSS 21 was used for statistical analysis of data. Findings revealed that Sub-Scales of COVID stress collectively explained 48% of variance in predicting emotional exhaustion and 39% variance in producing depersonalization among healthcare providers. However, COVID stress negatively predicted personal accomplishment among healthcare providers. Moreover, t-test revealed that female healthcare providers showed higher level of COVID stress i.e. danger, socio-economic consequence, xenophobia and compulsive checking as compared to males while non-significant gender differences were observed for contamination and traumatic stress. The study also found a higher level of personal accomplishment among male healthcare providers whereas female healthcare providers demonstrated higher level of emotional exhaustion and depersonalization in comparison to male health care providers.

8.
Enfermería Global ; 21(4):158-170, 2022.
Article in English | ProQuest Central | ID: covidwho-2067133

ABSTRACT

Introducción: La carga de trabajo excesiva en el personal de salud, debido a la pandemia del COVID19 ha generado la presencia del Síndrome de Burnout. El propósito de este estudio fue determinar un modelo logístico para los factores asociados a las dimensiones del Síndrome de Burnout en el personal de salud, durante la pandemia COVID-19, en Trujillo - Perú. Método: Se aplicó un diseño transversal, correlacional;se utilizó el cuestionario estandarizado del inventario de Burnout de Maslach aplicado virtualmente, que mide: agotamiento emocional, despersonalización y realización personal, la muestra estuvo conformada por 143 profesionales de salud de los establecimientos de la Micro red de Trujillo y de El Seguro Social de Salud (ESSALUD), Resultados: El 24,5% de profesionales de la salud tienen un nivel de agotamiento emocional alto, 27,3% nivel de despersonalización alto y 39,9% nivel de realización personal bajo. El estado civil, ingreso familiar, tipo de institución donde labora, la edad y el número de hijos se asocian al nivel de agotamiento emocional (p<0,05). El sexo, la profesión, tipo de institución, edad y número de hijos se asocian al nivel de despersonalización (p<0,05). El tipo de institución y la edad se asocian al nivel de realización personal (p<0,05). Conclusiones: El modelo logístico ordinal propuesto indica el 69,2% de éxito en nivel de agotamiento emocional, el 60,8% de éxito para el nivel de despersonalización y el 58,7% con el modelo para nivel de realización personal.Alternate :Introduction: Excessive workload in health personnel, due to the COVID-19 pandemic, has generated the presence of Burnout Syndrome. The purpose of this study was to determine a logistic model for the factors associated with the dimensions of Burnout Syndrome in health personnel during the COVID-19 pandemic in Trujillo - Peru. Method: A cross-sectional, correlational design was applied. The standardized Maslach Burnout Inventory questionnaire was used and applied virtually. It measures emotional exhaustion, depersonalization and personal fulfillment. The sample consisted of 143 health professionals from the Trujillo Micro-network and Social Health Insurance establishments (ESSALUD). Results: 24.5% of health professionals have a high level of emotional exhaustion, 27.3% a high level of depersonalization and 39.9% a low level of personal fulfillment. Marital status, family income, type of institution where they work, age and number of children are associated with the level of emotional exhaustion (p<0.05). Gender, profession, type of institution, age and number of children are associated with the level of depersonalization (p<0.05). The type of institution and age are associated with the level of personal fulfillment (p<0.05). Conclusions: The proposed ordinal logistic model indicates 69.2% success in emotional exhaustion level, 60.8% success for depersonalization level and 58.7% with the model for personal fulfillment level.

9.
National Journal of Physiology, Pharmacy and Pharmacology ; 12(10):1735-1740, 2022.
Article in English | ProQuest Central | ID: covidwho-2067047

ABSTRACT

There is a statistically significant positive correlation between number of patients attended per day and antibiotics prescribed. MATERIALS AND METHODS This cross-sectional, prospective, questionnaire-based study was conducted after ethics committee approval (BVDUMC/ IEC/40 dated July 06, 2020). [...]a Google Forms was prepared in English and circulated among general practitioners of all pathies who we knew personally and professionally on WhatsApp groups from where it was circulated further. Knowledge questions focused on handling of common conditions, commonly used drugs, antibiotic resistance, and knowledge about measures to prevent resistance like antimicrobial stewardship program (AMSP).

10.
Oman Med J ; 37(5): e429, 2022 Sep.
Article in English | MEDLINE | ID: covidwho-2066990

ABSTRACT

Objectives: To investigate the relationship between attitudes toward COVID-19 vaccines and disapproval of the policy of mandatory COVID-19 vaccination among unvaccinated physicians and nurses in Oman. Methods: The subjects were (N = 346) unvaccinated physicians and nurses in Oman. Their demographic data and attitudes regarding COVID-19 vaccines and mandatory vaccination policy were collected through an anonymous web-based survey and statistically analyzed. Results: The participants' negative attitudes toward COVID-19 vaccines were positively related (r = 0.68, p < 0.001) to the extent of their non-support for COVID-19 mandatory vaccination policy. Analysis of variance test showed that after controlling for age, male healthcare providers were more likely to endorse mandating COVID-19 vaccinations. There was no difference between physicians and nurses in support of mandatory vaccination, after controlling for age. Conclusions: Regardless of job type, male, and older physicians, and nurses in Oman were more supportive of mandatory COVID-19 vaccination than their younger and female counterparts. This research provides insights from an Arabian Gulf country about the attitudes of its unvaccinated healthcare providers toward compulsory COVID-19 vaccination.

11.
Healthcare (Basel) ; 10(10)2022 Oct 08.
Article in English | MEDLINE | ID: covidwho-2065820

ABSTRACT

(1) Background: Chinese physicians have encountered serious physical and verbal attacks in recent decades due to poor patient-physician relationships, leading to a broad spectrum of negative consequences. This study aims to assess the status of intergroup threats perceived by physicians and explore its association with organizational psychology, behavior, and well-being during the COVID-19 pandemic. (2) Methods: We conducted a cross-sectional online survey with physicians from November to December 2020 in three provinces: Heilongjiang Province, Henan Province, and Zhejiang Province, in China. A total of 604 physicians were recruited to complete an anonymous questionnaire. There were 423 valid questionnaires. (3) Results: We developed a 25-item intergroup threat scale with four dimensions: interest damage, performance impairment, value derogation, and unjust sentiment. Internal consistency reliability analyses showed that the four dimensions and overall scale exhibited high internal consistency (0.756-0.947). Additionally, the average scores for physicians' perceived overall intergroup threat, interest damage, performance impairment, value derogation, and unjust sentiment were 4.35 ± 0.51, 4.24 ± 0.73, 4.33 ± 0.58, 4.22 ± 0.65, and 4.53 ± 0.55, respectively. Moreover, this study shows that the intergroup threats perceived positively by physicians were associated with psychological stress (ß = 0.270, p < 0.01), emotional exhaustion (ß = 0.351, p < 0.01), turnover intention (ß = 0.268, p < 0.01), and defensive medical behavior (ß = 0.224, p < 0.01), and were negatively associated with job satisfaction (ß = -0.194, p < 0.01) and subjective well-being (ß = -0.245, p < 0.01). (4) Conclusions: The newly developed scale in this study is a reliable tool for measuring intergroup threats perceived by Chinese physicians. Physicians in China were suffering high-level intergroup threats during the anti-COVID-19 pandemic, which has a significant impact on damage to organizational psychology, behavior, and well-being. Intergroup threats perceived by physicians not only enlarged the risk of emotional exhaustion and psychological stress but also threatened organizational well-being. Moreover, greater intergroup threats were associated with a lower job satisfaction, more frequent defensive medical behavior, and a higher turnover intention for physicians. The results of this study suggest that essential intervention and governance measures should be considered to protect physicians' well-being and benefits in China, which are urgently needed.

12.
Antibiotics (Basel) ; 11(10)2022 Oct 04.
Article in English | MEDLINE | ID: covidwho-2065675

ABSTRACT

Although national and international guidelines have strongly discouraged use of antibiotics to treat COVID-19 patients with mild or moderate symptoms, antibiotics are frequently being used. This study aimed to determine antibiotics-prescribing practices among Bangladeshi physicians in treating COVID-19 patients. We conducted a cross-sectional survey among physicians involved in treating COVID-19 patients. During September-November 2021, data were collected from 511 respondents through an online Google Form and hardcopies of self-administered questionnaires. We used descriptive statistics and a regression model to identify the prevalence of prescribing antibiotics among physicians and associated factors influencing their decision making. Out of 511 enrolled physicians, 94.13% prescribed antibiotics to COVID-19 patients irrespective of disease severity. All physicians working in COVID-19-dedicated hospitals and 87% for those working in outpatient wards used antibiotics to treat COVID-19 patients. The majority (90%) of physicians reported that antibiotics should be given to COVID-19 patients with underlying respiratory conditions. The most prescribed antibiotics were meropenem, moxifloxacin, and azithromycin. Our study demonstrated high use of antibiotics for treatment of COVID-19 patients irrespective of disease severity and the duty ward of study physicians. Evidence-based interventions to promote judicious use of antibiotics for treating COVID-19 patients in Bangladesh may help in reducing an overuse of antibiotics.

13.
Journal of Integrated Care ; 30(4):413-433, 2022.
Article in English | ProQuest Central | ID: covidwho-2063196

ABSTRACT

Purpose>The purpose of this study is to understand virtual care use (e.g. telephone and video visits) during the COVID-19 pandemic across three hospital-based ambulatory clinics (i.e. mental health, renal and respiratory care) and to describe associated patient and provider experiences.Design/methodology/approach>A mixed-methods convergent study was conducted including quantitative electronic medical records data on virtual care use, electronic surveys assessing domains of experience (e.g. satisfaction, acceptance and technology use) among patient and providers and semi-structured interviews exploring the associated barriers and facilitators of virtual care adoption.Findings>Virtual care adoption rates and relative modality use (telephone vs video) varied across specialty clinics. Mental health clinics) showed the greatest use of virtual care and greater use of video over telephone, as compared to renal and respiratory care, where telephone was used almost exclusively. Patients and providers reported an overall good satisfaction and acceptance of virtual care (60–72%) across clinics, but commonly observed barriers (technical problems, behavioral adaptations needed and inequity) persisted. Good value propositions, tech support and the presence of early adopters who can support others in workflow re-design and highlight value propositions of virtual care were listed as adoption facilitators.Originality/value>The study provides a unique opportunity to compare the rate of virtual care adoption before and during the COVID-19 pandemic across distinct specialties that operate within the same organizational and political setting. This study showed that the nature of the condition (e.g. mental health conditions) and the characteristics of the users (e.g. younger patients) may drive models of care with higher rate of video use. Focusing on removing common barriers, like providing tech support and ensuring equitable access to patients, continues to be important even in the context of high virtual care adoption rates during the pandemic.

14.
Professional Psychology : Research and Practice ; 53(5):446, 2022.
Article in English | ProQuest Central | ID: covidwho-2062168

ABSTRACT

Given the aging of the population in the United States, older adults (ages 65+ years) will increasingly be referred to psychologists for evaluation and treatment. The potential for onset of a primary or secondary disability (e.g., physical, sensory, cognitive, or emotional) significantly increases during older adulthood and may or may not be the reason for referral to a psychologist. The overarching aims of this article are to discuss the more common ethical and professional considerations for psychologists working with older adults with disabilities and offer suggested practices to optimize these interactions. This discussion focuses on a collaborative model in which the psychologist partners with the older adult to learn of their specific preferences and needs with the goal of providing equitable, appropriate, and accessible assessment services and therapeutic support. Service provision during the novel coronavirus disease 2019 (COVID-19) pandemic and the related use of telepsychology are also examined as part of this position.

15.
Z Evid Fortbild Qual Gesundhwes ; 2022 Oct 05.
Article in German | MEDLINE | ID: covidwho-2061994

ABSTRACT

BACKGROUND: The SARS-CoV-2 pandemic has an impact on the wellbeing of health care workers. The influence of a work-related sense of coherence as well as perceived organizational support on the level of burnout and the intention to leave the job is largely unknown, especially for physicians in German hospitals. METHOD: In December 2020 and January 2021, physicians of 81 hospitals in Hessian (Germany) participated in an online survey using the BAT (Burnout Assessment Tool), Work-SoC (Work-related Sense of Coherence), the POS-s (Perceived Organizational SUPPORT - short version) and literature-based items based. RESULTS: Of 181 physicians, 34% showed a moderate or high burnout level, 21% would leave the job after the pandemic. The higher the work-SoC (ß = -0.560; p < 0.001) and the higher the POS-s (ß = -0.125; p < 0.05), the lower the burnout level. Not being able to care sufficiently for their patients has a negative impact on the sense of coherence. 46.4% reported that they did not feel sufficiently prepared by their employer during the pandemic. They wished to have support in the form of the mindfulness and resilience trainings (45%), emergency childcare (41%) and a crisis counselor in their team (32%). CONCLUSION: Regardless of the pandemic, health-promoting work conditions have to be developed that facilitate coherent work and prevent "moral injuries" or enable physicians to deal with them.

16.
SSM Qual Res Health ; 2: 100176, 2022 Dec.
Article in English | MEDLINE | ID: covidwho-2061890

ABSTRACT

The COVID-19 response required family physicians (FPs) to adapt their practice to minimise transmission risks. Policy guidance to facilitate enacting public health measures has been generic and difficult to apply, particularly for FPs working with communities that experience marginalisation. Our objective was to explore the experiences of FPs serving communities experiencing marginalisation during COVID-19, and the impact the pandemic and pandemic response have had on physicians' ability to provide care. We conducted semi-structured qualitative interviews with FPs from four Canadian regions, October 2020 through June 2021. We employed maximum variation sampling and continued recruitment until we reached saturation. Interviews explored participants' roles/experiences during the pandemic, and the facilitators and barriers they encountered in continuing to support communities experiencing marginalisation throughout. We used a thematic approach to analyse the data. FPs working with communities experiencing marginalisation expressed the need to continue providing in-person care throughout the pandemic, often requiring them to devise innovative adaptations to their clinical settings and practice. Physicians noted the health implications for their patients, particularly where services were limited or deferred, and that pandemic response policies frequently ignored the unique needs of their patient populations. Pandemic-related precautionary measures that sought to minimise viral transmission and prevent overwhelming acute care settings may have undermined pre-existing services and superseded the ongoing harms that are disproportionately experienced by communities experiencing marginalisation. FPs are well placed to support the development of pandemic response plans that appreciate competing risks amongst their communities and must be included in pandemic planning in the future.

17.
International Journal of Caring Sciences ; 15(2):1625-1632, 2022.
Article in English | ProQuest Central | ID: covidwho-2057802

ABSTRACT

In recent years, the global world is facing the COVID-19 pandemic, which has caused significant long-term consequences to the population's health. Post COVID-19 is considered an implication of the various that has drawn the attention of the scientific world, as the reported cases are increasing rapidly globally and the danger of permanent disorder is real. This article focuses on the significance of specialized clinics for post COVID-19 cases and on their working methods. Hence, the example of the establishment of a specialized clinic in the University General Hospital of Ioannina (U.G.H.I.) is provided, based on a SWOT analysis, while at the same time a realistic approach to its development is presented. The proper therapeutic approach of the people that suffer from the post COVID-19 will contribute to the protection and well-being of the society, dealing effectively, in this way, with the problems caused by the of the ongoing SARS-CoV2 pandemic.

18.
Rhode Island Medical Journal ; 105(8):67-69, 2022.
Article in English | Academic Search Complete | ID: covidwho-2057693

ABSTRACT

The article discusses a 2021 survey which provided an opportunity to explore the effect of the COVID-19 pandemic on the adoption of telemedicine and physicians' experience using it. Topics include a 2017 review of telemedicine policy trends, findings on physicians who had used telemedicine in the prior year, and barriers to providing telemedicine according to the respondents.

19.
Rhode Island Medical Journal ; 105(8):84-84, 2022.
Article in English | Academic Search Complete | ID: covidwho-2057371

ABSTRACT

The article reports on the increase in the burnout rate among physicians in the U.S. during the first two years of the COVID-19 pandemic, according to a published study in Mayo Clinic Proceedings. Topics discussed include comments from American Medical Association (AMA) President Jack Resneck Jr., impact of the COVID-19 pandemic on physician burnout, and the AMA's work to mitigate physician burnout.

20.
Acta Medica Portuguesa ; 35(13), 2022.
Article in English | Scopus | ID: covidwho-2056705

ABSTRACT

Introduction: Physicians working in palliative care have a greater risk of burnout. Burnout has three dimensions: emotional exhaustion, depersonalization and reduction of personal accomplishments. Burnout is associated with different consequences for the professionals like less professional satisfaction and increase of overall levels of exhaustion. Burnout in healthcare professionals has an impact in the patients with increased probability of clinical erros. In order to monitor the quality of the care it is mandatory to assess overall levels of burnout. This study aimed to determine burnout levels and associated variables of physicians working in the Portuguese national network of palliative care. Material and Methods: A cross-sectional, exploratory and quantitative design was employed and participants were sampled using convenience and snowball technique. The Copenhagen Burnout Inventory was used to determine burnout levels of physicians working in the Portuguese National Network of Palliative Care. The contributions of personal, work and COVID-19 variables were evaluated in three subclasses: work, personal and patient-related burnout. The results obtained enabled the identification of healthcare professionals at risk, comparison with previous results published and to assess the impact of COVID-19 in their non COVID-19 activity. Results: Seventy-five physicians participated. Socio-demographic characterization was conducted and the levels of burnout and determinants were explored. High levels of personal, work and patient-related burnout were present in 32 (43%), 39 (52%) and 16 (21%) physicians, respectively. The majority agreed that COVID-19 had an impact on their activities. Exclusive dedication to palliative care and type of palliative care unit were associated with lower levels of patient and work-related burnout. Weekly physical activity was associated with lower levels of work and personal burnout. Self-perceived health status was associated with lower levels of burnout for all subclasses. Conclusion: There was a high level of burnout among physicians working in the Portuguese National Network of Palliative Care. Measures to identify and prevent burnout are necessary in order to protect these professionals. © 2022 CELOM. All rights reserved.

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