The impact of the COVID-19 shutdown on US pediatric ophthalmologists

Robbins, Shira L.; Packwood, Eric A.; Siegel, Lance M.

doi:10.1016/j.jaapos.2020.06.002

Cited by 19 publications

(14 citation statements)

References 5 publications

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“…Multiple research surveys have been conducted by professional nursing organizations representing various broad populations of nurses to explore the impacts of COVID-19 during 2020, including the American Nurses Association (2020) , the American Association of Nurse Practitioners (2020) , the American Organization for Nurse Leadership (2020) , National Nurses United (2020) , Nurse Practitioners in Women's Health (2020) , and several state nursing organizations, among others. Similar surveys of pediatric physicians include pediatricians ( Korioth, 2020 ), pediatric emergency clinicians ( Walker & Tolentino, 2020 ), and pediatric ophthalmologists ( Robbins, Packwood, Siegel, & AAPOS Socioeconomic Committee, 2020 ). To date, no professional organization has evaluated the unique and sustained effects of COVID-19 on pediatric advanced practice registered (APRN) nursing professionals.…”

Section: Introductionmentioning

confidence: 99%

Exhausted and Burned Out: COVID-19 Emerging Impacts Threaten the Health of the Pediatric Advanced Practice Registered Nursing Workforce

Peck¹,

Sonney²

2021

Journal of Pediatric Health Care

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The purpose of this study was to describe the holistic impacts of COVID-19 on pediatric advanced practice registered nurses (APRNs). Method: AA convenience sample of APRNs affiliated with the National Association of Pediatric Nurse Practitioners participated in this cross-sectional descriptive study. An investigator-developed survey explored multifocal, holistic impacts of COVID-19. Results: A total of 886 participants were provided the survey, with 796 (90%) completing the entire survey. Respondents indicated adverse impacts across personal, clinical, educational, and research foci. Among the most alarming findings, 34% indicated moderate or extreme concern for feeling professionally burned out, 25% feeling nervous or anxious, and 15% feeling depressed or hopeless. Discussion: The pediatricAPRN workforce pipeline is at significant risk for provider burnout and compromised mental health. Acknowledgment of pandemic-related trauma on families, children and APRNs is essential. Sustained intentional efforts to cultivate holistic wellness are critically emergent.

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Section: Introductionmentioning

confidence: 99%

Exhausted and Burned Out: COVID-19 Emerging Impacts Threaten the Health of the Pediatric Advanced Practice Registered Nursing Workforce

Peck¹,

Sonney²

2021

Journal of Pediatric Health Care

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“…In the United States, there are various financial aids, including the Coronavirus Aid, Relief, and Economic Security (CARES) Act, Paycheck Protection Program, CMS COVID-19 grants, accelerated Medicare payments, and other federal loans to help ophthalmologists manage their finances. [ 12 14 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 13 ] This is in contrast with Western countries where telemedicine had seen a major surge in usage to manage routine as well as emergency eye care. [ 5 12 14 15 ] In India, doctors are hesitant about billing issues and accuracy. There is also an absence of a well-defined legal framework to promote telemedicine in India, and doctors can have fear of getting fined for malpractice.…”

Section: Discussionmentioning

confidence: 99%

All India Ophthalmological Society Financial Impact Survey on ophthalmology practice in India during COVID-19

Agarwal

Saxena

Sinha

et al. 2021

Indian Journal of Ophthalmology

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Purpose: A survey was conducted by the All India Ophthalmological Society (AIOS) to document the initial coronavirus disease 2019 (COVID-19)-related financial impact on ophthalmology practice in India. It also assessed various measures taken by ophthalmologists and the possible role of AIOS in mitigating the economic crisis. Methods: An online questionnaire-based cross-sectional survey was conducted among its registered members from July to August 2020. The prevalidated questionnaire contained 25 items related to the impact of COVID-19 on patient volume, the extent of financial distress faced by the ophthalmologists, and various proactive measures taken by them. All valid responses were tabulated and analyzed. Results: Out of 1,026 respondents, more than 90% ophthalmologists faced a 25% or more reduction in outpatient and surgical volume. Nearly 59% reported that they can suffer from serious financial distress in near future due to COVID-19 pandemic-related losses. Those who are young ( P < 0.0005), salaried ( P < 0.0005), and practicing in private sector ( P < 0.0005) and Tier 1 cities ( P < 0.0005) are reported to be more vulnerable to become financially unstable. The major concerns were revenue losses (70%), preexisting debts (39%), and increased operating costs (27%). The majority (90%) believed that AIOS can help in alleviating the distress. There was also hesitancy regarding the adoption of teleophthalmology and home-based care. Conclusion: COVID-19 has significantly affected the financial sustainability of ophthalmologists practicing in India. Identification of vulnerable groups and timely advocacy efforts by AIOS can help in mitigating this financial crisis.

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“…In this regard, although several forms of strabismus can be treated conservatively, without the need for surgery, most require surgical intervention. Even in cases that require surgery, strabismus can be treated conservatively for a short period with orthoptic exercises, occlusion therapy, and prism glasses [11,12,20].…”

Section: Identificationmentioning

confidence: 99%

“…Thus, the recommendations made by the expert group are specific [3] In this context, COVID-19 resulted in major changes in the field of ophthalmology [4][5][6][7][8][9][10]. The rationale behind the need for special adaptations stems from the fact that children are not only a vulnerable group to SARS-CoV-2 infection, but also pose a greater threat to transmitting the infection [11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Major ophthalmological outcomes of the e-learning process in children and guidelines at COVID-19: a concise systematic review

Moura¹,

Murad²,

Daher³

et al. 2022

MedNEXT

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Introduction: The effects on human health caused by the severe acute respiratory syndrome of coronavirus 2 (SARS-CoV-2) lead to several problems in the health, highlighted for ophthalmological diseases. The COVID-19 pandemic caused changes in eye care. In this sense, guidelines on safe ophthalmic practice have been developed worldwide. Objective: To present the main guidelines and considerations about the relationship between COVID-19 and eye care, especially to children and strabismus due to prolonged use of electronic devices. Methods: The research was carried out from June 2021 to August 2021 and developed based on Scopus, PubMed, Science Direct, Scielo, and Google Scholar, following the Systematic Review-PRISMA rules. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results: After the selectivity of articles and literary findings through the following descriptors COVID-19, SARS-CoV-2, a total of 58 studies were analyzed, with only 20 medium and high-quality studies selected, according to the rules of the GRADE, and with bias risks that do not compromise scientific development, based on the Cochrane instrument. Early diagnosis and intervention are imperative. A specific set of guidelines for evaluating and managing cases of COVID-19 in children has been established to examine cases of pediatric ophthalmology and strabismus. These measures are necessary, given that the pandemic may still have a long duration. In this regard, although several forms of strabismus can be treated conservatively, without the need for surgery, most require surgical intervention. Strabismus can be treated conservatively for a short period with orthoptic exercises, occlusion therapy, and prism glasses. The teleconsultation platform can provide primary eye care. Prolonging the use of smartphones for e-learning can lead to acute acquired comiche esotropia in children. Conclusion: According to global guidelines, it is imperative to establish more specifically the care of children with strabismus in the COVID-19 pandemic. Examination of children must be performed according to the protocol recommended by the guidelines. Strabismus can be treated conservatively for a short period with orthoptic exercises, occlusion therapy, and prism glasses.

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The impact of the COVID-19 shutdown on US pediatric ophthalmologists

Cited by 19 publications

References 5 publications

Exhausted and Burned Out: COVID-19 Emerging Impacts Threaten the Health of the Pediatric Advanced Practice Registered Nursing Workforce

Exhausted and Burned Out: COVID-19 Emerging Impacts Threaten the Health of the Pediatric Advanced Practice Registered Nursing Workforce

All India Ophthalmological Society Financial Impact Survey on ophthalmology practice in India during COVID-19

Major ophthalmological outcomes of the e-learning process in children and guidelines at COVID-19: a concise systematic review

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