“Watching the tsunami come”: A case study of female healthcare provider experiences during the COVID‐19 pandemic

Austin, Elizabeth; Blacker, Alexandria; Kalia, Isha

doi:10.1111/aphw.12269

Cited by 6 publications

(26 citation statements)

References 43 publications

(40 reference statements)

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“…Similar to our quantitative data, Austin et al [ 18 ], in a small qualitative study, reported the conflicting feelings of female healthcare professionals while providing care, managing information and decisions, and balancing roles, coping and well-being. Also comparable to our investigation, high stress levels in 32% of general practitioners were reported by Dutour et al [ 19 ].…”

Section: Discussionsupporting

confidence: 86%

Decision Conflicts in Clinical Care during COVID-19: A Multi-Perspective Inquiry

et al. 2022

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The early COVID-19-pandemic was characterized by changes in decision making, decision-relevant value systems and the related perception of decisional uncertainties and conflicts resulting in decisional burden and stress. The vulnerability of clinical care professionals to these decisional dilemmas has not been characterized yet. Methods: A cross-sectional questionnaire study (540 patients, 322 physicians and 369 nurses in 11 institutions throughout Germany) was carried out. The inclusion criterion was active involvement in clinical treatment or decision making in oncology or psychiatry during the first year of COVID-19. The questionnaires covered five decision dimensions (conflicts and uncertainty, resources, risk perception, perception of consequences for clinical processes, and the perception of consequences for patients). Data analysis was performed using ANOVA, Pearson rank correlations, and the Chi²-test, and for inferential analysis, nominal logistic regression and tree classification were conducted. Results: Professionals reported changes in clinical management (27.5%) and a higher workload (29.2%), resulting in decisional uncertainty (19.2%) and decisional conflicts (22.7%), with significant differences between professional groups (p < 0.005), including anxiety, depression, loneliness and stress in professional subgroups (p < 0.001). Nominal regression analysis targeting “Decisional Uncertainty” provided a highly significant prediction model (LQ p < 0.001) containing eight variables, and the analysis for “Decisional Conflicts” included six items. The classification rates were 64.4% and 92.7%, respectively. Tree analysis confirmed three levels of determinants. Conclusions: Decisional uncertainty and conflicts during the COVID-19 pandemic were independent of the actual pandemic load. Vulnerable professional groups for the perception of a high number of decisional dilemmas were characterized by individual perception and the psychological framework. Coping and management strategies should target vulnerability, enable the handling of the individual perception of decisional dilemmas and ensure information availability and specific support for younger professionals.

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Section: Discussionsupporting

confidence: 86%

Decision Conflicts in Clinical Care during COVID-19: A Multi-Perspective Inquiry

et al. 2022

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“…Findings from this study may shed light into the influence of organisational culture on the expression and awareness of emotions. Moreover, the transition to telehealth during the pandemic also increased social isolation which may pose a risk to HCPs’ psychological well-being by decreasing social supports that were more abundant prepandemic 38. The aforementioned factors highlight the need to reduce potential stigma regarding mental health in healthcare settings and increase social support across a range of healthcare settings.…”

Section: Discussionmentioning

confidence: 99%

Compassion fatigue in healthcare providers during the COVID-19 pandemic: a scoping review protocol

Hui,

Garnett,

Oleynikov

et al. 2023

BMJ Open

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IntroductionThe COVID-19 pandemic has negatively impacted the psychological health and well-being of healthcare providers. An amplification in chronic stressors, workload and fatalities may have increased the risk of compassion fatigue and disrupted the quality of patient care. Although current studies have explored the general psychological status of healthcare providers during the COVID-19 pandemic, few have focused on compassion fatigue. The purpose of this review is to explore the impacts of the COVID-19 pandemic on compassion fatigue in healthcare providers and the repercussions of compassion fatigue on patient care.Methods and analysisThis scoping review will follow Joanna Briggs Institute and Arksey and O’Malley scoping review methodology. Comprehensive searches will be conducted in the following relevant databases: MEDLINE (Ovid), PsycINFO (Ovid), Embase (Ovid), CINAHL, Scopus, Web of Science. To expand the search, reference lists of included studies will be handsearched for additional relevant studies. Included studies must report on the impact of COVID-19 pandemic on compassion fatigue in healthcare providers and have been published in English since January 2020.Ethics and disseminationThis review does not require research ethics board approval. By examining the impacts of the COVID-19 pandemic on compassion fatigue in healthcare providers, this scoping review can offer important insight into the possible risks, protective factors and strategies to support healthcare providers’ psychological health and patient care amidst persisting stressful conditions.

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“…While it is unclear exactly why this is, some researchers hypothesize this may be due to the gendered design of PPE to fit larger body types, which are less likely to fit women HCWs. A 2021 study noted that women HCWs also face the challenge of managing multiple roles, such as HCW, partner, parent, and academic while working during the pandemic ( Austin et al, 2021 ). While many of the traditional household responsibilities often fell on women before the pandemic, Austin et al (2021) found that this imbalance of gender roles has increased significantly during the COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 99%

“…A 2021 study noted that women HCWs also face the challenge of managing multiple roles, such as HCW, partner, parent, and academic while working during the pandemic ( Austin et al, 2021 ). While many of the traditional household responsibilities often fell on women before the pandemic, Austin et al (2021) found that this imbalance of gender roles has increased significantly during the COVID-19 pandemic. This gender divide may also lead to long term implications for future career potential as this HCW described the negative impact on her role as an academic during COVID-19:…”

Section: Discussionmentioning

confidence: 99%

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The lived experience of healthcare professionals working frontline during the 2003 SARS epidemic, 2009 H1N1 pandemic, 2012 MERS outbreak, and 2014 EVD epidemic: A qualitative systematic review

Chahley

Reel

Taylor

2021

SSM - Qualitative Research in Health

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Objective To synthesize qualitative literature exploring the lived experience of healthcare workers (HCWs) who cared for patients during the following infectious disease outbreaks (IDOs): the 2003 SARS epidemic, 2009 H1N1 pandemic, 2012 MERS outbreak, and 2014 EVD epidemic. We aim to reveal the collective experience of HCWs during these four IDOs and to create a reference for comparison of current and future IDOs. Methods Three electronic databases were searched, yielding 823 results after duplicates were removed. Forty qualitative and mixed-methods studies met the criteria for full file review. Fourteen studies met the inclusion and exclusion criteria. The data from the Results or Findings sections were manually coded and themes were conceptualized using thematic analysis. Results Of the 14 studies, 28.6% focused on SARS, 21.4% on H1N1, 21.4% on MERS, and 28.6% on EVD. Studies occurred in six different countries and included physicians, nurses, paramedics, and emergency medical technicians as participants. Five themes were conceptualized: Uncertainty, Adapting to Change, Commitment, Sacrifice, and Resilience. Conclusion This review identified the collective experience of HCWs caring for patients during four 21st century IDOs. This qualitative systematic review offers a reference to compare similarities and differences of other IDOs, including the COVID-19 pandemic.

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“Watching the tsunami come”: A case study of female healthcare provider experiences during the COVID‐19 pandemic

Cited by 6 publications

References 43 publications

Decision Conflicts in Clinical Care during COVID-19: A Multi-Perspective Inquiry

Decision Conflicts in Clinical Care during COVID-19: A Multi-Perspective Inquiry

Compassion fatigue in healthcare providers during the COVID-19 pandemic: a scoping review protocol

The lived experience of healthcare professionals working frontline during the 2003 SARS epidemic, 2009 H1N1 pandemic, 2012 MERS outbreak, and 2014 EVD epidemic: A qualitative systematic review

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