1
|
Taylor RM, Hughes L, Fern LA, Hogg J, Petrella A. Evaluation of the impact of redeployment during the COVID-19 pandemic: results from a multi-centre survey. J Res Nurs 2023; 28:401-415. [PMID: 38144964 PMCID: PMC10741270 DOI: 10.1177/17449871231206916] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2023] Open
Abstract
Background The COVID-19 pandemic brought unprecedented upheaval for healthcare systems globally. Rapid changes in the way nurses were asked to work brought about many challenges, especially with the requirement for nurses to move into intensive care and high dependency areas to deliver care for the increasing number of critically ill patients. Aim The purpose of this evaluation was to assess the impact of these changes on nurses who were redeployed during the first acute phase of the pandemic and explore factors associated with burnout. Methods A redeployment survey, containing 42 items in four domains (preparation for redeployment, safety and support, perceived competence, reflections and emotional impact) was administered online to nurses who had been redeployed in two hospitals in England, one urban and one rural. Bivariate correlations and a multiple linear regression model were conducted to explore associations between perceptions of leadership, training, communication and feeling valued with levels of emotional exhaustion. Results Valid responses were received from 240/618 (39%) nurses. The majority of respondents felt it was their duty to work where they were asked (79%), were prepared to work where needed (72%) and were consulted on changes to their working hours (55%). However, nurses were nervous about the new role (75%) and felt they had a lack of choice regarding redeployment (66%) and the way it was implemented (50%). Multiple regression analysis showed that lack of training (β = 0.18) and feeling undervalued (β = 0.48) was positively associated with emotional exhaustion, which accounted for 38% of the variance among redeployed nurses. Conclusions To mitigate the risk of nurses developing burnout as a result of redeployment, there is a need for training to upskill them so they feel competent in doing the changed role. Additionally, nursing leadership needs to support nurses feeling valued as individuals in their role.
Collapse
Affiliation(s)
- Rachel M Taylor
- Director of the Centre for Nurse, Midwife and Allied Health Profession Led Research (CNMAR), University College London Hospitals NHS Foundation Trust, UK
| | - Luke Hughes
- Research Facilitator, Cancer Clinical Trials Unit, University College London Hospitals NHS Foundation Trust, UK
| | - Lorna A Fern
- Senior Research Fellow, Cancer Clinical Trials Unit, University College London Hospitals NHS Foundation Trust, UK
| | - Julie Hogg
- Chief Nurse, Corporate Nursing, University Hospitals of Leicester NHS Trust, Leicestershire, UK
| | - Anika Petrella
- Research Associate, Cancer Clinical Trials Unit, University College London Hospitals NHS Foundation Trust, UK
| |
Collapse
|
2
|
Sathyanarayana T, Thrishulamurthy CJ, Kaur J, Prakash VA, Jagadeesh KM, Ahmed HS. The Effects of an Increased Workload in Cataract Surgery Since the Pandemic in a Tertiary Care Clinic. Rom J Ophthalmol 2023; 67:354-361. [PMID: 38239424 PMCID: PMC10793368 DOI: 10.22336/rjo.2023.56] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/04/2023] [Indexed: 01/22/2024] Open
Abstract
Objective: To evaluate the progress of cataract surgery in a training institution providing tertiary care since the removal of pandemic restrictions. To evaluate ocular and demographic characteristics of cataract cases in a tertiary care teaching institution since the lifting of pandemic restrictions. Methods: Patients who underwent cataract surgery in our clinic in the pre-pandemic period September 2019-March 2020 (group 1, n=353) and in the post-pandemic period September 2021-March 2022 (group 2, n=459) were retrospectively screened. The cases were operated by two educator ophthalmologists and residents. The main parameters evaluated were cataract morphology, surgical parameters, and posterior capsular rupture complications. Results: The case rate increased by 30% in group 2 once pandemic restrictions were relaxed. Preoperative best corrected visual acuity (BCVA) in groups 1 and 2 was 0.840±0.63 and 1.26±0.75 log MAR, respectively (p<0.001). The percentage of mature cataracts was 15.3% in group 1 and 31.2% in group 2 (p<0.001). Significantly higher cumulative dissipated energy (CDE), total aspiration time, and fluid amount (p<0.001 for all) were found in group 2. During the training phase, 25.2% of the cases in group 1 and 24.6% in group 2 were performed by resident doctors (p=0.870). Residents in groups 1 and 2 had mature cataract case rates of 6.7% and 13.3%, respectively (p<0.001). The incidences of posterior capsule rupture in the instances of residents was 3.4% in group 1 and 4.4% in group 2 (p=0.498). A negative correlation (r=-0.424, p<0.001) between CDE and BCVA and a positive correlation (r=0.40, p<0.001) between cataract hardness and CDE were both found. Conclusions: The number of cataract surgeries increased after the COVID-19 pandemic. Poor vision and increasing rates of mature cataracts are other effects of this backlog. Residents have to deal with challenging cases. Our results are just the tip of the iceberg. Urgent planning is needed to deal with the remaining cases. Abbreviations: COVID-19 = coronavirus infection, PCR = posterior capsular rupture, BCVA = best corrected visual acuity, IOP = intraocular pressure, CDE = cumulative dissipated energy, TAT = total aspiration time, ZD = zonular separation.
Collapse
Affiliation(s)
| | | | - Jasleen Kaur
- Department of Ophthalmology, Bangalore Medical College and Research Institute, India
| | | | | | - H Shafeeq Ahmed
- Department of Ophthalmology, Bangalore Medical College and Research Institute, India
| |
Collapse
|
3
|
Booth S, Verrier W, Naylor S, Strudwick R, Harvey-Lloyd J. Interprofessional practice in the Intensive Treatment Unit during the Covid-19 pandemic; the reflections of an Advanced Practitioner Radiographer. JOURNAL OF INTERPROFESSIONAL EDUCATION & PRACTICE 2022; 29:100561. [PMID: 36247715 PMCID: PMC9547690 DOI: 10.1016/j.xjep.2022.100561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/03/2022] [Revised: 07/27/2022] [Accepted: 10/06/2022] [Indexed: 11/12/2022]
Abstract
Background The onset of the Covid-19 pandemic in March 2020 posed significant challenges to the National Health Service (NHS) in the United Kingdom (UK). Existing workforce shortages were further exacerbated with staff absence, and the need to redeploy staff into frontline clinical areas became a necessity. Purpose The exploration of the experiences of an Advanced Practitioner Radiographer volunteering in the Intensive Treatment Unit (ITU) during the Covid-19 pandemic. Method Interview using Microsoft Teams© involving one participant facilitated by two researchers using a semi-structured interview schedule. Discussion Redeployment to ITU has allowed individuals to work outside of their normal scope of practice. The non-hierarchical structure within teams, focussed minds and demonstrated interprofessional collaboration at its best, ensuring the best patient care was delivered to those critically affected by the virus. Conclusion The interprofessional practice demonstrated in ITU during the pandemic should be applied to future learning and training opportunities, to develop individuals and prepare for future pandemics.
Collapse
Affiliation(s)
- Sarah Booth
- University of Salford, Allerton Building, Frederick Road, Manchester, M6 6PU, United Kingdom,Corresponding author
| | - William Verrier
- Colchester General Hospital, East Suffolk and North Essex Foundation Trust, Turner Road, Colchester, CO4 5JL, United Kingdom
| | - Sarah Naylor
- Nottingham University Hospitals NHS Trust, Hucknall Road, Nottingham, BG5 1PB, United Kingdom
| | - Ruth Strudwick
- University of Suffolk, 19 Neptune Quay, Ipswich, IP4 1QJ, United Kingdom
| | - Jane Harvey-Lloyd
- University of Suffolk, 19 Neptune Quay, Ipswich, IP4 1QJ, United Kingdom
| |
Collapse
|
4
|
Samreen F, Nagi S, Naseem R, Gul H. COVID-19-Induced Downsizing and Survivors' Syndrome: The Moderating Role of Transformational Leadership. Front Psychol 2022; 13:833116. [PMID: 35465558 PMCID: PMC9029381 DOI: 10.3389/fpsyg.2022.833116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2021] [Accepted: 02/14/2022] [Indexed: 11/16/2022] Open
Abstract
Downsizing due to COVID-19 (COV-DS) and its consequences on laid-off employees has attracted the attention of many researchers, around the globe. However, the underlying mechanisms that explain the effects of COVID-19 downsizing (COV-DS) on the employees who have survived cutoffs remain underexplored. Grounded in the conservation of resources theory, this manuscript aims to study the causal path through which COV-DS reduces the survivors' affective commitment. The current study proposes the mediation of survivors' job uncertainty, stress, and organizational identification between COV-DS and survivors' affective commitment. This study also posits the moderating role of transformational leadership between COV-DS and both the mediators. The extant study has employed WARPED partial least square WARP PLS 7 and Hayes Process Macro to test the hypothesized relationships. Using the sample of 274 employees from the private sector of Pakistan, it was found that job uncertainty's stress strongly mediates the relationship between COV-DS and survivors' affective commitment. While mediation of survivors' organizational identification was not proven to be significant. However, with the moderation of transformational leadership, both the mediators were proven to be significant.
Collapse
Affiliation(s)
- Farah Samreen
- Institute of Business and Management, University of Engineering and Technology, Lahore, Pakistan
| | - Sadaf Nagi
- Department of Business Administration, Federal Urdu University of Arts, Sciences and Technology, Islamabad, Pakistan
| | - Rabia Naseem
- Institute of Business and Management, University of Engineering and Technology, Lahore, Pakistan
| | - Habib Gul
- School of Graduate Studies MBA Department, Kardan University, Kabul, Afghanistan
| |
Collapse
|
5
|
Vu AF, Kodati S, Lin P, Bodaghi B, Emami-Naeini P. Impact of the COVID-19 pandemic on uveitis patient care. Br J Ophthalmol 2022; 107:790-794. [PMID: 35074784 PMCID: PMC8804303 DOI: 10.1136/bjophthalmol-2021-320368] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2021] [Accepted: 01/11/2022] [Indexed: 12/16/2022]
Abstract
Background The COVID-19 pandemic has significantly changed practice of medicine and patient care worldwide. The impact of the pandemic on patients with uveitis is unknown. We developed the COVID-19 Practice Patterns Study Group to evaluate the effect of the pandemic on uveitis patient care. Methods This is a multicentre, cross-sectional survey of uveitis specialists practising worldwide. A web-based survey was distributed through the mailing lists of international uveitis societies to assess modifications in patient care, and use of immunomodulatory therapies (IMTs),aswell as considerations regarding COVID-19 vaccination. Results A diverse group consisting of 187 uveitis specialists from six continents participated in this survey. Most of these experts noted a disruption in clinical management of patients, including clinic closures or decrease in volume, patients missing in-person visits due to the fear of infection and difficulties obtaining laboratory testing. Most participants initiated (66.8%) and continued (93.3%) IMTs based on clinical presentation and did not modify their use of immunosuppressives. In cases of reported exposure to COVID-19 infection, most participants (65.3%) recommended no change in IMTs. However, 73.0% of the respondents did recommend holding all or select IMTs in case of COVID-19 infection. COVID-19 vaccine was recommended universally by almost all the specialists and 52% stated that they would counsel patients regarding the decreased immunogenicity and effectiveness of the vaccine in immunocompromised patients. Conclusions Uveitis patient care has changed significantly since the beginning of the pandemic. The recommendations will continue to evolve as new data on IMTs and vaccination become available.
Collapse
Affiliation(s)
- Alexander F Vu
- Department of Ophthalmology & Vision Science, University of California Davis, Sacramento, California, USA
| | - Shilpa Kodati
- National Eye Institute, National Institutes of Health, Bethesda, Maryland, USA
| | - Phoebe Lin
- Casey Eye Institute, Oregon Health & Science University, Portland, Oregon, USA
| | | | - Parisa Emami-Naeini
- Department of Ophthalmology & Vision Science, University of California, Davis, Sacramento, California, USA
| |
Collapse
|
6
|
Vera San Juan N, Clark SE, Camilleri M, Jeans JP, Monkhouse A, Chisnall G, Vindrola-Padros C. Training and redeployment of healthcare workers to intensive care units (ICUs) during the COVID-19 pandemic: a systematic review. BMJ Open 2022; 12:e050038. [PMID: 34996785 PMCID: PMC8753114 DOI: 10.1136/bmjopen-2021-050038] [Citation(s) in RCA: 35] [Impact Index Per Article: 17.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/08/2021] [Accepted: 12/09/2021] [Indexed: 12/11/2022] Open
Abstract
OBJECTIVES The rapid influx of patients with COVID-19 to intensive care at a rate that exceeds pre-existing staff capacity has required the rapid development of innovative redeployment and training strategies, which considered patient care and infection control. The aim of this study was to provide a detailed understanding of redeployment and training during the first year of the COVID-19 pandemic by capturing and considering the merit of the strategies enlisted and the experiences and needs of redeployed healthcare workers (HCWs). DESIGN The review involved a systematic search of key terms related to intensive care AND training AND redeployment AND healthcare workers within nine databases (Medline, CINAHL, PsychINFO, MedRxiv, Web of Science, The Health Management Consortium database, Social Science Research Network, OpenGrey and TRIP), which took place on 16 July 2021. Analysis consisted of a synthesis of quantitative study outputs and framework-based thematic analysis of qualitative study outputs and grey literature. These results were then combined applying an interpretative synthesis. We followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses, and the review protocol was available online. RESULTS Forty papers were analysed. These took place primarily in the UK (n=15, 37.5%) and USA (n=17, 42.5%). Themes presented in the results are redeployment: implementation strategies and learning; redeployed HCWs' experience and strategies to address their needs; redeployed HCWs' learning needs; training formats offered and training evaluations; and future redeployment and training delivery. Based on this, key principles for successful redeployment and training were proposed. CONCLUSIONS The COVID-19 pandemic presents unique challenges to develop flexible redeployment strategies and deliver training promptly while following infection control recommendations. This review synthesises original approaches to tackle these challenges, which are relevant to inform the development of targeted and adaptative training and redeployment plans considering the needs of HCWs.
Collapse
Affiliation(s)
- Norha Vera San Juan
- Rapid Research Evaluation and Appraisal Lab (RREAL), University College London, London, UK
- Health Service and Population Research, King's College London Institute of Psychiatry Psychology and Neuroscience, London, UK
| | | | - Matthew Camilleri
- 33N Ltd, London, UK
- University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
| | - John Paul Jeans
- 33N Ltd, London, UK
- London North West University Healthcare NHS Trust, London, UK
| | - Alexandra Monkhouse
- 33N Ltd, London, UK
- Anaesthetics Department, St Bartholomew's Hospital, London, UK
| | - Georgia Chisnall
- Rapid Research Evaluation and Appraisal Lab (RREAL), University College London, London, UK
| | | |
Collapse
|
7
|
Barr-Keenan R, Fay T, Radulovic A, Shetty S. Identifying positive change within the NHS as a result of the COVID-19 pandemic. Future Healthc J 2021; 8:e671-e675. [PMID: 34888463 DOI: 10.7861/fhj.2021-0079] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Objective We aimed to identify positive change within the NHS as a result of the COVID-19 pandemic by assessing staff views on re-deployment, wellbeing and workplace satisfaction. Design An anonymous questionnaire was sent out to medical staff working across four major NHS trusts using SurveyMonkey. Setting We surveyed staff working in NHS trusts across London and the surrounding areas. Participants We used a randomly selected range of medical, nursing and dental staff across multiple specialties, including those who were redeployed and those who were not. Main outcome measure We reviewed positive and negative responses to binary questions.Staff surveyed felt a greater sense of workplace camaraderie and fellowship, and generally more appreciated as NHS caregivers than they had prior to the COVID-19 pandemic. It is clear that the pandemic has been a catalyst for reflection, as a majority of staff (71.43%) felt there was more mental health and wellbeing support accessible in their workplace now than there was a year ago, and 75.63% felt that COVID-19 had influenced their perspective on work-life balance. Conclusion The first wave of the pandemic engendered positive change, and positive staff attitudes persisted in the face of a second wave due to ascribed support, appreciation, and co-worker camaraderie and fellowship.
Collapse
Affiliation(s)
| | - Tayla Fay
- University College London Hospitals NHS Foundation Trust, London, UK
| | | | - Sanjana Shetty
- Portsmouth Hospitals University NHS Trust, Portsmouth, UK
| |
Collapse
|
8
|
Shaker NM, Sabry N, Alkasaby MA, Rabie M. Predictors of stress among a sample of Egyptian healthcare providers during the COVID-19 pandemic. MIDDLE EAST CURRENT PSYCHIATRY 2021. [PMCID: PMC8596091 DOI: 10.1186/s43045-021-00164-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
The COVID-19 pandemic had a tremendous effect on people’s mental health. Healthcare workers were on the front lines in response to this crisis; therefore, they were among the most affected by the pandemic. The study aims to assess the stress perceived by healthcare workers and possible factors contributing to it, hoping that more efforts will be exerted to support the well-being of healthcare workers during public health emergencies. A cross-sectional study using an online survey was conducted. Data were collected from 118 healthcare professionals working with COVID-19 patients during the peak of the first wave of the COVID-19 pandemic.
Results
Most of the respondents (75.2%) scored much higher stress levels than average, and 19.5% had slightly higher levels of stress. Most respondents were afraid of infecting their family and close ones (77.1 %), and about half of the respondents were afraid of getting infected (47.5%). Regression analysis revealed that the only significant independent variable predicting developing higher stress levels among the participants was assigning them to tasks outside their specialty.
Conclusions
Healthcare workers are at high risk of developing mental health problems during public health emergencies. Their well-being is essential for the quality of services they provide. More efforts are needed to ensure the well-being of healthcare workers and to prepare them for such emergencies. Preparing healthcare workers before redeployment through training and providing PPEs will help to reduce the negative impact of the COVID-19 pandemic on their physical and mental health.
Collapse
|
9
|
Swystun AG, Davey CJ. A prospective evaluation of the clinical safety and effectiveness of a COVID-19 Urgent Eyecare Service across five areas in England. Ophthalmic Physiol Opt 2021; 42:94-109. [PMID: 34761424 PMCID: PMC8662077 DOI: 10.1111/opo.12916] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2021] [Revised: 10/13/2021] [Accepted: 10/18/2021] [Indexed: 11/30/2022]
Abstract
Purpose Although urgent primary eye care schemes exist in some areas of England, their current safety is unknown. Accordingly, the aim of the present study was to quantify the clinical safety and effectiveness of a COVID‐19 Urgent Eyecare Service (CUES) across Luton, Bedford, Hull, East Riding of Yorkshire and Harrogate. Methods Consenting patients with acute onset eye problems who had accessed the service were contacted to ascertain what the optometrist's recommendation was, whether this worked, if they had to present elsewhere and how satisfied they were with the CUES. Results A total of 27% (170/629) and 6.3% (28/445) of patients managed virtually and in person, respectively, did not have their acute eye problem resolved. Regression analysis revealed that patients who attended a face‐to‐face consultation were 4.66 times more likely to be correctly managed [Exp (β) = 5.66], relative to those solely managed virtually. Optometrists' phone consultations failed to detect conditions such as stroke, intracranial hypertension, suspected space occupying lesions, orbital cellulitis, scleritis, corneal ulcer, wet macular degeneration, uveitis with macular oedema and retinal detachment. Of referrals to hospital ophthalmology departments, in total, 19% were false‐positives. Patients, however, were typically very satisfied with the service. Uptake was associated with socioeconomic status. Conclusion The present study found that a virtual assessment service providing optometrist tele‐consultations was not effective at resolving patients' acute‐onset eye problems. The range and number of pathologies missed by tele‐consultations suggests that the service model in the present study was detrimental to patient safety. To improve this, optometrists should follow evidence based guidance when attempting to manage patients virtually, or in person. For example, patients presenting with acute‐onset symptoms of flashing lights and/or floaters require an urgent dilated fundus examination. Robust data collection on service safety is required on an ongoing basis.
Collapse
Affiliation(s)
- Alexander G Swystun
- School of Optometry and Vision Science, University of Bradford, Bradford, UK
| | - Christopher J Davey
- School of Optometry and Vision Science, University of Bradford, Bradford, UK
| |
Collapse
|
10
|
The Impact of the COVID-19 Pandemic on Ophthalmology Residents: A Narrative Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182111567. [PMID: 34770081 PMCID: PMC8583285 DOI: 10.3390/ijerph182111567] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/03/2021] [Revised: 10/29/2021] [Accepted: 11/01/2021] [Indexed: 12/31/2022]
Abstract
The ongoing outbreak of the coronavirus disease 2019 (COVID-19) pandemic has drastically affected medical societies. We aim to provide an overview and summarize the information published so far concerning the impact of the COVID-19 pandemic on ophthalmology residency programs and the mental wellbeing of trainees, and to establish factors to help maintain successful residency training to ensure high-quality, specialist ophthalmic training. A literature search was conducted in October 2021 of the PubMed database for articles assessing the impact of the COVID-19 pandemic on the mental health of ophthalmology trainees and on ophthalmology residency programs. Cross-sectional survey studies, editorials, articles in scientific journals, letters to editors, and commentaries were considered; finally, 19 studies were included after excluding abstract-only publications and conference posters. The studies’ demographic details, participant characteristics, interventions, outcomes, and limitations were extracted. Our summarized information showed the alarmingly significant impact of the COVID-19 pandemic on ophthalmology trainees’ mental health and the associated considerable changes in ophthalmic training programs. Thus, in future, virtual training and surgical simulators should be permanently introduced, in addition to traditional teaching, to complete successful ophthalmology residency programs. Additionally, we emphasize the need for a widely facilitated and encouraged access to psychological support programs for healthcare workers, including ophthalmologists.
Collapse
|
11
|
Wadoo O, Ouanes S, Al Siaghy A, Hassan MHMO, Zoghbi Y, Alabdulla M. Redeployment of psychiatrist trainees during the COVID-19 pandemic: evaluation of attitude and preparedness. Qatar Med J 2021; 2021:64. [PMID: 34888200 PMCID: PMC8627577 DOI: 10.5339/qmj.2021.64] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2021] [Accepted: 09/20/2021] [Indexed: 11/08/2022] Open
Abstract
Background: The coronavirus disease-2019 (COVID-19) pandemic has imposed an unprecedented strain on healthcare systems worldwide. In response, psychiatrist trainees were redeployed from their training sites to help manage patients with COVID-19. This study aimed to examine the attitude of psychiatrist trainees toward redeployment to COVID-19 sites and their perceived preparedness for managing physical health conditions during redeployment. Methods: A cross-sectional researcher-developed online survey was administered among psychiatrist trainees in May 2020 at the Department of Psychiatry, Hamad Medical Corporation, Qatar. Results: Of the 45 psychiatrist trainees, 40 (88.9%) responded to the survey. Most trainees reported being comfortable dealing with chronic medical conditions, but less so with acute life-threatening medical conditions. Half reported feeling anxious about redeployment, and most felt the need for additional training. We found that trainees' perceived redeployment preparedness was significantly associated with their level of postgraduate training and the time since and duration of their last medical or surgical training. Conclusion: Adequate preparation and training of psychiatrist trainees is important before redeployment to COVID-19 sites to ensure that they can effectively and safely manage patients with COVID-19.
Collapse
Affiliation(s)
- Ovais Wadoo
- Department of Psychiatry, Hamad Medical Corporation, Doha, Qatar E-mail:
| | - Sami Ouanes
- Department of Psychiatry, Hamad Medical Corporation, Doha, Qatar E-mail:
| | - Areej Al Siaghy
- Department of Psychiatry, Hamad Medical Corporation, Doha, Qatar E-mail:
| | | | - Yuri Zoghbi
- Department of Psychiatry, Hamad Medical Corporation, Doha, Qatar E-mail:
| | - Majid Alabdulla
- Department of Psychiatry, Hamad Medical Corporation, Doha, Qatar E-mail:
| |
Collapse
|
12
|
Feyi-Waboso J, Donnelly B, Jakaityte I, Nagesh NM. UK's first socially distanced public engagement for National Eye Health Week 2020. Perspect Public Health 2021; 141:258-260. [PMID: 34431387 DOI: 10.1177/1757913920975799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
| | - B Donnelly
- University of Exeter Medical School, Exeter, UK
| | - I Jakaityte
- University of Exeter Medical School, Exeter, UK
| | | |
Collapse
|
13
|
Veerapen JD, Mckeown E. Exploration of the views and experiences of research healthcare professionals during their redeployment to clinical roles during the COVID-19 pandemic. J Adv Nurs 2021; 77:4862-4875. [PMID: 34347887 PMCID: PMC8447063 DOI: 10.1111/jan.14998] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2021] [Revised: 06/24/2021] [Accepted: 07/24/2021] [Indexed: 11/30/2022]
Abstract
Aim This study aimed to explore the views and experiences of research healthcare professionals towards their redeployment to frontline clinical roles during the COVID‐19 pandemic. Background Healthcare professionals working in research were redeployed during the COVID‐19 pandemic to support the delivery of clinical services across the National Health Service. They are experienced clinicians with research knowledge and skills, and specific working patterns. It is important to understand how these professionals were used and supported during their transition to clinical roles during the pandemic. Method Between July and September 2020, 15 research healthcare professionals were recruited into this qualitative study. Each participant completed a single semi‐structured interview lasting approximately 30–60 min, conducted remotely using a teleconferencing platform. Interviews were transcribed verbatim, and data analysed by the process of inductive thematic analysis with the assistance of NVivo 12.06 (Nov, 2019). Findings Four main themes were identified from analysis of the transcripts: (a) initial personal response to the pandemic (subthemes: of anxieties due to unknown disease impact and concern for others); (b) mobilization for clinical redeployment (subthemes: motivations for voluntary redeployment, the professional challenges, personal fears and the organization and preparedness for redeployment); (c) adaptive deployment to clinical roles (subthemes: adapting to new roles and responsibilities, challenges faced and coping mechanisms), (d) reflections and learnings (subthemes: reintegration to original roles and sense of achievement). Conclusion Research healthcare professionals are highly adaptable professionals equipped with core transferable skills. With the appropriate support, re‐familiarization and induction they are a valuable resource during the pandemic response. Implications to practice Research healthcare professionals are experienced practitioners with transferrable skills and strong sense of duty and resilience. Induction programmes to promote recalibration to clinical settings would improve their adaptability, foster confidence and emotional well‐being. Careful consideration is required prior to mass redeployment to ensure research continuity in both COVID‐19 and other health conditions.
Collapse
Affiliation(s)
- Jessry D Veerapen
- City, University of London, London, UK.,Barts Health NHS Trust, London, UK.,Queen Mary University of London, London, UK
| | | |
Collapse
|
14
|
ENT trainees' experience of redeployment during the coronavirus disease 2019 pandemic: a qualitative study. The Journal of Laryngology & Otology 2021; 135:391-395. [PMID: 33734060 PMCID: PMC8047395 DOI: 10.1017/s0022215121000840] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Background As a response to the acute strain placed on the National Health Service during the first wave of coronavirus disease 2019 in the UK, a number of junior doctors including ENT trainees were redeployed to other clinical specialties. This presented these trainees with novel challenges and opportunities. Methods A qualitative study was performed to explore these experiences, undertaking semi-structured interviews with ENT trainees between 17th and 30th July. Participants were recruited through purposeful sampling. Interview transcripts underwent thematic analysis using Dedoose software. Results Seven ENT trainees were interviewed, ranging from specialty trainee years four to eight (‘ST4’ to ‘ST8’) in grade. Six core themes were identified: organisation of redeployment, utilisation of skill set, emotional impact of redeployment, redeployed team dynamics, concerns about safety and impact on training. Conclusion The ENT trainees’ experiences of redeployment described highlight some important lessons and considerations for future redeployments.
Collapse
|
15
|
Alahmadi AS, Alhatlan HM, Bin Helayel H, Khandekar R, Al Habash A, Al-Shahwan S. Residents' Perceived Impact of COVID-19 on Saudi Ophthalmology Training Programs-A Survey. Clin Ophthalmol 2020; 14:3755-3761. [PMID: 33173273 PMCID: PMC7648533 DOI: 10.2147/opth.s283073] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2020] [Accepted: 10/15/2020] [Indexed: 01/03/2023] Open
Abstract
PURPOSE To evaluate the impact of the current pandemic on ophthalmology residency training in Saudi Arabia, focusing on its effects on clinical education, training, and the mental well-being of the trainees. METHODS An online self-administered questionnaire was distributed among residents in the Saudi ophthalmology training programs between July 7 and 14, 2020. In this study, we explored residents' opinions regarding training disruption and virtual education. The patient health questionnaire (PHQ-9) was used to assess the COVID-19 pandemic's impact on their mental health. We used descriptive statistics for data analysis. RESULTS Out of 183 registered ophthalmology residents, 142 participated in this study. Ninety-six participants (35.4%) were rotated at a specialized eye hospital during the COVID-19 pandemic, while 52 (19.2%) had rotations in the ophthalmology department at general hospitals. Those who rotated in both types of hospitals were 123 (45.4%). According to the participants, there was a significant decline in exposure to surgical and office-based procedures compared to emergency eye consultations (Friedman P <0.001). The COVID-19 pandemic's effect on mental health was reported by 100 (70.5%) participants. Eighty-five (55.4%) respondents were satisfied with the virtual method of education. CONCLUSION COVID-19 pandemic has disrupted residents' clinical and surgical training in the Saudi ophthalmology training programs. Additionally, we believe that COVID-19 may have a negative impact on trainees' mental health. Fortunately, the current pandemic provided an innovative education method that will likely be used even after the pandemic.
Collapse
Affiliation(s)
- Adel Salah Alahmadi
- Vitreoretinal Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia
- Department of Ophthalmology, MOH, Madinah, Saudi Arabia
| | - Hatlan M Alhatlan
- Department of Ophthalmology, King Fahad Hospital, MOH, Hofuf, Saudi Arabia
| | - Halah Bin Helayel
- Research Department, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia
| | - Rajiv Khandekar
- Research Department, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia
| | - Ahmed Al Habash
- Department of Ophthalmology, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Sami Al-Shahwan
- Glaucoma Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia
- Residency and Fellowship Office, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia
| |
Collapse
|