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Frontline interdisciplinary clinician perspectives on caring for patients with COVID-19: a qualitative study.
Rao, Hassan; Mancini, Diana; Tong, Allison; Khan, Humaira; Santacruz Gutierrez, Brissa; Mundo, William; Collings, Adriana; Cervantes, Lilia.
  • Rao H; Division of Hospital Medicine, Denver Health, Denver, Colorado, USA hassan.rao@dhha.org.
  • Mancini D; Division of Hospital Medicine, Denver Health, Denver, Colorado, USA.
  • Tong A; Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.
  • Khan H; Indiana University School of Medicine, Indianapolis, Indiana, USA.
  • Santacruz Gutierrez B; University of Colorado, Anschutz Medical Campus, Denver, Colorado, USA.
  • Mundo W; University of Colorado, Anschutz Medical Campus, Denver, Colorado, USA.
  • Collings A; Office of Research, Denver Health, Denver, Colorado, USA.
  • Cervantes L; Division of Hospital Medicine, Denver Health, Denver, Colorado, USA.
BMJ Open ; 11(5): e048712, 2021 05 04.
Article in English | MEDLINE | ID: covidwho-1216805
ABSTRACT

OBJECTIVE:

To describe the drivers of distress and motivations faced by interdisciplinary clinicians who were on the frontline caring for patients with COVID-19.

DESIGN:

50 semistructured interviews. Transcripts were analysed using qualitative thematic analysis.

SETTING:

A safety-net hospital in Denver, Colorado.

PARTICIPANTS:

Interdisciplinary frontline clinicians including physicians, advance practice providers, nurses, respiratory therapists and paramedics providing inpatient hospital care to patients hospitalised for COVID-19.

RESULTS:

Fifty clinicians (32 women and 18 men) participated. Five themes with respective subthemes (in parentheses) were identified depersonalisation and barriers to care (impeding rapport and compassion, focusing on infection risk at the expense of high-quality care, grief from witnessing patients suffer in isolation), powerless in uncertainty (inescapable awareness of personal risk, therapeutic doubt in a void of evidence, confronting ethical dilemmas, struggling with dynamic and unfamiliar challenges), overwhelmed and exhausted (burden of personal protective equipment (PPE), information overload and confusion, overstretched by additional responsibilities at work, compounded by personal life stressors, feeling vulnerable and dispensable, compassion fatigue, distress from the disproportionate impact on socially oppressed communities), bolstering morale and confidence (motivated by community and family support, equipped with data), and driven by moral duty (responsibility to patient care and community, collegial solidarity and collaboration, contributing to the greater good).

CONCLUSION:

Frontline clinicians reported distress due to the challenges of PPE, uncertainty and powerlessness, new responsibilities at work and home, losing control of their schedules, grief from witnessing patients suffer in isolation and witnessing healthcare disparities exacerbated by this pandemic. Clinicians feel supported by their colleagues, families, and community and were driven by a sense of moral duty. Healthcare system should adopt strategies to minimise distress faced by interdisciplinary clinicians on the frontline of COVID-19.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Prognostic study / Qualitative research Limits: Female / Humans / Male Country/Region as subject: North America Language: English Journal: BMJ Open Year: 2021 Document Type: Article Affiliation country: Bmjopen-2021-048712

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Prognostic study / Qualitative research Limits: Female / Humans / Male Country/Region as subject: North America Language: English Journal: BMJ Open Year: 2021 Document Type: Article Affiliation country: Bmjopen-2021-048712