Supporting doctors' well‐being and resilience during COVID‐19: A framework for rapid and rigorous intervention development

Smith, Kathrine Gibson; Cunningham, Kathryn B; Cecil, Joanne E.; Laidlaw, Anita; Cairns, Patrick; Scanlan, Gillian Marion; Tooman, Tricia; Aitken, Gill; Ferguson, Julie; Gordon, Lisi; Johnston, Peter; Pope, Lindsey; Wakeling, Judy; Walker, Kenneth R.

doi:10.1111/aphw.12300

Cited by 8 publications

(9 citation statements)

References 29 publications

(29 reference statements)

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“…This study presents the characteristics and benefits provided by the collaboration of an interdisciplinary panel of experts to co-design and validate an educational intervention on long-term cancer survivorship for nursing. The expert judgement method has been widely used to validate research tools and educational interventions that need to be carried out rigorously and have not been done before [ 28 ]. It is considered to be of importance to establish the validity of the content in educational interventions in the area of health, since they will influence the quality of the learning outcomes [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Co-Design and Validation of a Family Nursing Educational Intervention in Long-Term Cancer Survivorship Using Expert Judgement

Domingo-Oslé

Rosa-Salas

Ulibarri-Ochoa

et al. 2023

IJERPH

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The number of cancer survivors is increasing exponentially thanks to early screening, treatment, and cancer care. One of the main challenges for healthcare systems and professionals is the care of cancer survivors and their families, as they have specific needs that are often unmet. Nursing students, as future healthcare professionals, need education to face these new health demands. They will need to develop specific competencies to help them care for and empower this emerging population. The aim of the study was to co-design and validate an educational intervention on long-term cancer survivorship for nursing, through a multidisciplinary panel of experts. Group interviews were conducted with a panel of 11 experts, including eight professionals from different backgrounds (oncology, cancer nursing, pharmacology, and education), a long-term cancer survivor, a family member of a cancer survivor, and a nursing student. The experts validated a pioneer educational intervention to train nursing students in long-term cancer survival. The co-design and validation of the intervention from an interdisciplinary perspective and with the participation of long-term cancer survivors and their families was considered relevant as it included the vision of all the stakeholders involved in long-term cancer survivorship.

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Section: Discussionmentioning

confidence: 99%

Co-Design and Validation of a Family Nursing Educational Intervention in Long-Term Cancer Survivorship Using Expert Judgement

Domingo-Oslé

Rosa-Salas

Ulibarri-Ochoa

et al. 2023

IJERPH

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“…Resources that promoted psychological resilience were personal (ethical boundaries, reflection), organizational (infrastructure support, a sense of connection), and existential (sense of meaning and purpose). Interventions to promote resilience should target both the individual and organizational level ( 48 ). Additional personal resources we identified were reflective abilities, self-awareness, empathy, and social skills.…”

Section: Discussionmentioning

confidence: 99%

Cultivating Psychological Resilience of Israeli Medical Directors of COVID-19 Divisions: The Dynamic Spheres of Salutogenics

Gabay

Naamati-Schneider

Pikkel

2022

Front. Public Health

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PurposeThere are a few qualitative studies on the psychological resilience of COVID-19 medical directors upon outbreaks of pandemics. Psychological resilience is essential to providing quality care through the pandemic.Materials and MethodsWe conducted narrative interviews with 14 out of 21 medical directors of COVID-19 divisions in Israeli public hospitals upon the outbreak of the pandemic and through its first wave. We adopted the Salutogenic paradigm to identify personal and organizational resources that both deterred and promoted resilience of front-line medical directors. Thematic analysis was performed based on the Sense of coherence construct, an anchor of Salutogenics.ResultsLow comprehensibility was compensated by ethical boundaries and managerial experience. A few organizational and personal resources promoted manageability. The hospital management both deterred and promoted resilience. In contrast to Salutogenics theory, meaningfulness was driven by the occupational calling rather than by comprehensibility and manageability. Gaps in personal resources inhibited resilience.ConclusionsOur study adds to the scant qualitative research performed upon the outbreak of the pandemic and extends the Salutogenic paradigm suggesting that the three axes of sense of coherence are multi-layered, intertwined, and evolving. We introduce the dynamic spheres model that we adopted from Physics to illustrate the findings. We propose interventions to build resilience in front-line medical directors.

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“…It is vital that medical educators and managers consider the learning from these experiences to help pinpoint what aspects of support might be beneficial to maintain, and indeed may need to be introduced or continued beyond the pandemic. This study forms the basis for evidenced‐based interventions for supporting doctors that target different groups' needs appropriately 34,35 …”

Section: Discussionmentioning

confidence: 99%

“…This paper reports on the empirical data collection workstream of a wider project that aimed to develop evidence‐based interventions to support doctors' wellbeing and promote resilience during and beyond COVID‐19 7,12,34,35 . Longitudinal narrative inquiry was employed to explore the experiences of doctors' transitions during the pandemic 36,37 .…”

Section: Methodsmentioning

confidence: 99%

Heard, valued, supported? Doctors' wellbeing during transitions triggered by COVID‐19

et al. 2021

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Introduction: Supporting doctors' wellbeing is crucial for medical education to help minimise negative long-term impacts on medical workforce retention and ultimately patient care. There is limited study of how doctors' transitions experiences impact wellbeing, particularly socially and culturally. Multiple Multidimensional Transitions (MMT) theory views transitions as dynamic, incorporating multiple contexts and multiple domains.Using MMT as our lens, we report a qualitative analysis of how transitions experienced by doctors during the pandemic impacted on social and cultural aspects of wellbeing. Methods: Longitudinal narrative inquiry was employed, using interviews and audio-diaries. Data were collected over 6 months in three phases: (i) interviews with doctors from across the career spectrum (n = 98); (ii) longitudinal audio-diaries for 2-4 months (n = 71); (iii) second interviews (n = 83). Data were analysed abductively, narrowing focus to factors important to social and cultural wellbeing. Results: Doctors described experiencing multiple interacting transitions triggered by the pandemic in multiple contexts (workplace, role, homelife and education). Patterns identifiable across the dataset allowed us to explore social and cultural wellbeing crosscutting beyond individual experience. Three critical factors contributed to social and cultural wellbeing both positively and negatively: being heard (e.g., by colleagues asking how they are); being valued (e.g., removal of rest spaces by organisations showing lack of value); and being supported (e.g., through regular briefing by education bodies). Conclusions: This study is the first to longitudinally explore the multiple-multidimensional transitions experienced by doctors during the COVID-19 pandemic. Our data analysis helped us move beyond existing perceptions around wellbeing and articulate multiple factors that contribute to social and cultural wellbeing. It is vital that medical educators consider the learning from these experiences to help pinpoint what aspects of support might be beneficial to trainee doctors and their trainers. This study forms the basis for developing evidenced-based interventions that ensure doctors are heard, valued and supported.

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Supporting doctors' well‐being and resilience during COVID‐19: A framework for rapid and rigorous intervention development

Cited by 8 publications

References 29 publications

Co-Design and Validation of a Family Nursing Educational Intervention in Long-Term Cancer Survivorship Using Expert Judgement

Co-Design and Validation of a Family Nursing Educational Intervention in Long-Term Cancer Survivorship Using Expert Judgement

Cultivating Psychological Resilience of Israeli Medical Directors of COVID-19 Divisions: The Dynamic Spheres of Salutogenics

Heard, valued, supported? Doctors' wellbeing during transitions triggered by COVID‐19

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