The Influence of the COVID-19 Pandemic on Intensivists’ Well-Being

Vranas, Kelly C.; Golden, Sara E.; Nugent, Shannon M.; Valley, Thomas S.; Schutz, Amanda; Duggal, Abhijit; Seitz, Kevin P.; Chang, Steven Y.; Slatore, Christopher G.; Sullivan, Donald R.; Hough, Catherine L.; Mathews, Kusum S.

doi:10.1016/j.chest.2022.05.003

Cited by 20 publications

(16 citation statements)

References 40 publications

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“…Burnout is common among critical care clinicians, and its prevalence has increased during the COVID-19 pandemic. 11 , 12 Implementation of a TCC service may reduce burnout among brick-and-mortar ICU providers by allowing for uninterrupted sleep and improved quality of life. 13 One explanation for these results could be that all faculty were surveyed during the COVID-19 pandemic, and TCC may have allowed for patient management and communication with bedside staff and families without the constant worry for personal safety.…”

Section: Discussionmentioning

confidence: 99%

Physician and Trainee Perceptions of Telecritical Care Practice and Education: Results of a Programmatic Survey

Sharifpour

Buchman

Hiddleson

et al. 2022

Telemedicine Reports

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Background: Telecritical care (TCC) as a telehealth modality seeks to remedy contemporary shortfalls in staffing and experience at the bedside. Physician and physician trainee perceptions of TCC practice and education can help inform programmatic and curricular decisions. The perceptions of TCC and a formalized structured TCC rotation from faculty and trainees are unknown. Objective: To evaluate perceptions of TCC practice and education among participating physicians and trainees. Methods: Survey of physicians and trainees participating in the Emory Critical Care Center's TCC unit from 2017 to 2021 was conducted, after implementation of a structured TCC educational curriculum. Items were developed with a 5-point Likert scale. Results: The overall response rate was 71% (43 of 61). Most respondents felt their knowledge was used appropriately and that their recommendations were well received at the bedside. The majority perceived that the TCC program improved continuity, quality, and safety of patient care. More than half of respondents would practice TCC in the future, and most would advocate for it. Most fellows were comfortable providing patient care remotely after their rotation. The majority of respondents felt TCC did not add to their level of burnout. Conclusions: This programmatic evaluation identified perceived improvements in patient care. Implementation of a TCC rotation does not seem to negatively impact the educational experience of trainees.

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Section: Discussionmentioning

confidence: 99%

Physician and Trainee Perceptions of Telecritical Care Practice and Education: Results of a Programmatic Survey

Sharifpour

Buchman

Hiddleson

et al. 2022

Telemedicine Reports

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“…For example, one recent European-wide study, undertaken during the pandemic, estimated a prevalence of self-reported burnout of over 50% in ICU clinicians [ 10 ]. Specific mechanisms for these psychological sequelae include the impact of managing personal safety, the delivery of palliative care and the challenges associated with family visitation restrictions [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Clinician perceptions of the impact of ICU family visiting restrictions during the COVID-19 pandemic: an international investigation

et al. 2023

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Purpose To guarantee the safety of the public, clinicians and patients during the COVID-19 pandemic, hospital visits were severely restricted internationally. There are limited data on the precise impact of these visiting restrictions on Intensive Care Unit clinicians. Our objectives therefore were to explore the impact of family visitation restrictions on clinicians and care delivery and describe innovation alongside areas for potential improvement. Methods A qualitative approach using focus groups was employed. We recruited members of the multi-disciplinary team from Spain, France and the UK. Framework analysis was used to synthesize and interpret data. Results In total, 28 staff from multiple international sites contributed to data across six focus groups: 12 from the UK, 9 from France and 7 from Spain. In relation to the key aims, we derived four themes: the emergence of new technologies, relationships and rapport establishment, communication challenges and end-of-life care provision. Across each theme, the overarching concepts of clinician emotional exhaustion and emotional distress emerged alongside the negative impact on job satisfaction. Conclusion The impact of COVID-19 family visitation restrictions is far reaching. Future research should examine the wider impact of family presence in the ICU.

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“…Asimismo, en un estudio en profesionales de salud mental determinó niveles de estrés en un 56% y solo una cuarta parte refería estar satisfecho en su trabajo (17) . Un estudio cualitativo indico que el personal intensivista presenta frecuentemente síntomas de agotamiento a causa de largas jornadas de trabajo, cercanía con la muerte y déficit de compañerismo (18) . Además, en un estudio en médicos especialistas se determino que existe una prevalencia de 35,7% de burnout sobre todo en áreas quirúrgicas y urgencias.…”

Section: Introductionunclassified

Burnout en el personal sanitario del área crítica COVID de un hospital nacional

Barrientos

2022

Cuidado y Salud Pública

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Objetivos: Determinar el nivel de Burnout en el personal sanitario del área critica covid de un Hospital Nacional, 2021. Materiales y métodos: Este estudio fue de diseño no experimental, cuantitativo, descriptivo y prospectivo. Se trabajo con la población finita de 70 trabajadores de salud del área critica covid de un Hospital Nacional. La técnica de recolección de datos fue la encuesta y el instrumento de recolección de datos fue el cuestionario Maslach Burnout Inventory (MBI), el cual está conformado por 22 ítems y tres dimensiones: despersonalización, agotamiento emocional y falta de realización personal. Resultados: En cuanto al Síndrome de Burnout predominó el nivel medio con 80% (n=56), seguido del nivel alto con 1,8% (n=13) y bajo 1,2% (n=1). Con relación a sus dimensiones los resultados fueron: agotamiento emocional predominó el nivel alto con 68,5% (n=48), falta de realización personal predominó el nivel alto con el 48,6% (n=34) y finalmente en la despersonalización predominó el nivel bajo con 44,3% (n=31). Conclusiones: En cuanto al Síndrome de Burnout predominó el nivel alto; en relación con sus dimensiones, la dimensión mas afectada fue el agotamiento emocional con un nivel alto.

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The Influence of the COVID-19 Pandemic on Intensivists’ Well-Being

Cited by 20 publications

References 40 publications

Physician and Trainee Perceptions of Telecritical Care Practice and Education: Results of a Programmatic Survey

Physician and Trainee Perceptions of Telecritical Care Practice and Education: Results of a Programmatic Survey

Clinician perceptions of the impact of ICU family visiting restrictions during the COVID-19 pandemic: an international investigation

Burnout en el personal sanitario del área crítica COVID de un hospital nacional

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