Burnout among healthcare providers during COVID-19: Challenges and evidence-based interventions

Sultana, Abida; Sharma, Rachit; Hossain, Mahbub; Bhattacharya, Sudip; Purohit, Neetu

doi:10.20529/ijme.2020.73

Cited by 103 publications

(97 citation statements)

References 14 publications

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“…[13] Another study from Australia reported a dual burden of anxiety and depression among about 25% of the 266 palliative care patients. [14] Similar studies from multiple global settings have Sultana et al (2020) shown a high prevalence of psychosocial challenges in patients receiving palliative care. A metaanalytic review of 24 studies with 4007 individuals from seven countries found that the pooled prevalence of depression, major depression, and minor depression were 16 [15] Moreover, the prevalence rates of adjustment disorder and anxiety disorders were 15•4% (10•…”

Section: Introductionmentioning

confidence: 85%

“…[19] Most of these interventions are designed to help the sufferers increase their understanding of the causes, patterns, and to mobilize support from healthcare providers and months. [20] This trial reported that the CHESS intervention was significantly effective in reducing physical symptom distress at 4 months (P = .031; Cohen d = .42) and at 6 months (P = .004; d = Sultana et al (2020) .61) highlighting that digital interventions can be useful in palliative care populations. Moreover, electronic health applications are increasingly used in palliative care settings globally.…”

Section: The Rise Of Digital Health: Psychosocial Interventions In Pamentioning

confidence: 96%

“…For example, mental health components can be incorporated for patients and caregivers who may experience psychological distress or other mental health problems. In contrast, interventions for a social Sultana et al (2020) worker or healthcare provider may consist of psychosocial support, preventing burnout or empowering those providers to better manage their workload that may contribute to their psychological and emotional wellbeing. Also, digitalization may offer unique opportunities to bridge multiple components, engaging decision-makers, service providers, and users of digital services at different levels.…”

Section: The Rise Of Digital Health: Psychosocial Interventions In Pamentioning

confidence: 99%

“…It is critical to explore the population health challenges and examine how those may impact the use of digital psychosocial interventions in palliative care settings. Healthcare organizations and health systems should play a proactive role in addressing such complex multilevel challenges to deliver digital support to palliative care Sultana et al (2020) patients and caregivers who may not have the ability to access the same. Designing publicly funded interventions, mobilizing social and community resources, and engaging philanthropic and nonprofit institutions to maximize the usage and coverage of those services may help in this regard.…”

Section: Sultana Et Al (2020)mentioning

confidence: 99%

“…For instance, during the coronavirus disease (COVID-19) pandemic, the patients, caregivers, and healthcare providers may have experienced unique psychosocial stressors resulting in adverse mental health outcomes. [37][38][39][40][41] Such public health emergencies may impact palliative care services and may contribute to additional psychosocial challenges for people involved in palliative care processes. [26] As digitalization offers teleconsultations and remote caregiving, future digital interventions should be developed considering social and environmental challenges that may affect or alter palliative care services.…”

Section: Sultana Et Al (2020)mentioning

confidence: 99%

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Psychosocial challenges in palliative care: Bridging the gaps using digital health

Sultana¹,

Tasnim²,

Sharma³

et al. 2020

Preprint

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Psychosocial health is a major palliative care concern globally. Patients and caregivers engaged in palliative care may experience deteriorated mental and social health conditions. Global evidence informs a high burden of depression, anxiety, psychological distress, and other mental health problems among the palliative care populations. Those challenges aggravate the preexisting palliative care issues, such as lack of access and suboptimal quality of care. Palliative caregiving, both in the institutional and community settings, should be strengthened, incorporating psychosocial support for the patients and their caregivers. The recent advancements in digital health technologies have shown promising impacts in facilitating health communication, decision-making, and delivering psychosocial interventions using digital devices and platforms. Adopting evidence-based interventions can help the users to access mental health resources and communicate with each other to promote shared decision-making and management of health problems. Healthcare organizations and systems may explore opportunities to advance psychosocial care using digital technologies. Leveraging advanced technologies in palliative caregiving may require multifaceted research exploring potential barriers and opportunities at the user, institutional, and systems levels. Nonetheless, palliative care policies and health systems measures should be strengthened to develop and implement digital support systems that may improve psychosocial health and overall palliative care outcomes.

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Section: Introductionmentioning

confidence: 85%

Section: The Rise Of Digital Health: Psychosocial Interventions In Pamentioning

confidence: 96%

Section: The Rise Of Digital Health: Psychosocial Interventions In Pamentioning

confidence: 99%

Section: Sultana Et Al (2020)mentioning

confidence: 99%

Section: Sultana Et Al (2020)mentioning

confidence: 99%

See 3 more Smart Citations

Psychosocial challenges in palliative care: Bridging the gaps using digital health

Sultana¹,

Tasnim²,

Sharma³

et al. 2020

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

A qualitative investigation of the impact of coronavirus disease 2019 (COVID‐19) on emergency physicians’ emotional experiences and coping strategies

et al. 2021

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Study objective: Throughout the coronavirus disease 2019 (COVID-19) pandemic, emergency physicians in the United States have faced unprecedented challenges, risks, and uncertainty while caring for patients in an already vulnerable healthcare system.As such, the pandemic has exacerbated high levels of negative emotions and burnout among emergency physicians, but little systematic qualitative work has documented these phenomena. The purpose of this qualitative investigation was to study emergency physicians' emotional experiences in response to COVID-19 and the coping strategies that they employed to navigate the pandemic.Methods: From September 2020 to February 2021, we conducted semistructured interviews with 26 emergency physicians recruited from 2 early COVID-19 epicenters: New York City and the Metro Boston region. Interviews, coding, and analyses were conducted using a grounded theory approach.Results: Emergency physicians reported heightened anxiety, empathy, sadness, frustration, and anger during the pandemic. Physicians frequently attributed feelings of anxiety to medical uncertainty around the COVID-19 virus, personal risk of contracting the virus and transmitting it to family members, the emergency environment, and resource availability. Emergency physicians also discussed the emotional effects of policies prohibiting patients' family members from entering the emergency department (ED), both on themselves and patients. Sources of physician anger and frustration included changing policies and rules, hospital leadership and administration, and pay cuts. Some physicians described an evolving, ongoing coping process in response to the pandemic, and most identified collective discussion and processing within the emergency medicine community as an effective coping strategy. Conclusions:Our findings underscore the need to investigate the effects of physicians' pandemic-related emotional stress and burnout on patient care. Evidence-based

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The health workforce: Central to an effective response to the COVID‐19 pandemic in the European Region

Zapata

Buchan

Azzopardi-Muscat

2021

Health Planning & Management

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COVID-19 has reinforced the centrality of health workers at the core of a well performing and resilient health system. It has concomitantly exposed the risks of staffing and skills shortages and the importance of protecting the health workforce. The present commentary focuses on highlighting some of the lessons learnt, challenges and future needs of the health workforce in Europe in the context of COVID-19. During the pandemic innovative and flexible approaches were implemented to meet increasing demand for health workers and new skills and responsibilities were adopted over a short period of time. We have seen the rapid adaptation and use of new technologies to deliver care. The pandemic has underlined the importance of valuing, protecting and caring for our health workforce and the need to invest appropriately and adequately in the health workforce to have sufficient, capable and wellmotivated health workers. Some of the main challenges that lie ahead of us include the imperative for better investment, to need to improve recruitment and retraining whilst better retaining health workers, a focus on domestic sustainability, redeploying and developing new skills and competences among health workers, enabling more effective multi-professional collaboration and team work, improving the quality of education and training, increasing the public

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Burnout among healthcare providers during COVID-19: Challenges and evidence-based interventions

Cited by 103 publications

References 14 publications

Psychosocial challenges in palliative care: Bridging the gaps using digital health

Psychosocial challenges in palliative care: Bridging the gaps using digital health

A qualitative investigation of the impact of coronavirus disease 2019 (COVID‐19) on emergency physicians’ emotional experiences and coping strategies

The health workforce: Central to an effective response to the COVID‐19 pandemic in the European Region

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