COVID-19-Related Stress on Physicians

The Final Frontier: Palliative Care in Space is an Inevitability

As space exploration becomes increasingly common, palliative care for astronauts will require greater consideration. All aspects of palliative care need to be specifically adapted for astronauts. For example, addressing additional circumstances such as inability to see loved ones from Earth will be an important part of meeting their psychological and spiritual needs. A different approach to pharmacological management of end-of-life symptoms is also warranted due to changes in human physiology and pharmacokinetics in space.

Did the Long-Term Care Physician Workforce Change During the Pandemic? Describing MRP Trends in Ontario, Canada

OBJECTIVES

To examine the practice patterns and trends of long-term care (LTC) physicians between 2019 and 2021 in Ontario, Canada.

DESIGN

Population-level descriptive time trend study.

SETTING AND PARTICIPANTS

Most responsible physicians (MRPs) of LTC residents of publicly funded LTC homes in Ontario, Canada, from September 2019 to December 2021.

METHODS

We examined the number of MRPs in publicly regulated Ontario LTC homes before and during the COVID-19 pandemic using population-level administrative databases. Characteristics of MRPs and practice patterns were generated at baseline and across distinct time periods of the pandemic in descriptive tables. We created a Sankey diagram to visualize MRP practice changes over time.

RESULTS

More than one-quarter of pre-pandemic MRPs were no longer MRPs by the end of 2021, although most continued to practice in non-LTC settings. There was a decrease from 1444 to 1266 MRPs over time. Other characteristics of MRPs remained stable over the pandemic time periods. At baseline, LTC physicians were MRP for an average of 57.3 residents. By the end of 2021, this caseload decreased to 53.3 residents per MRP. MRPs increasingly billed monthly management compensation fees over the fee-for-service model across the pandemic time periods. The number of MRPs working in an LTC home shifted to fewer MRPs per home.

CONCLUSIONS AND IMPLICATIONS

MRP demographic characteristics did not change over the course of the pandemic. The observed shifts in practice patterns showed a reduction in the overall LTC MRP workforce, who delivered care to fewer residents on average in LTC homes with fewer colleagues to rely on. Future work can study how changes to LTC MRPs' practice patterns impact physician coverage, access and continuity of care, and health services and quality outcomes among residents.

Empathy for a Black Woman Victim of Police Sexual Violence: The Roles of Crime-Related Stress and Stereotype Attributions

Police sexual violence has been ranked as the second most common form of misconduct among police officers. Moreover, there is evidence that Black women are at heightened risk of being victims of such police violence. A report titled Say Her Name: Resisting Police Brutality Against Black Women has brought international attention to the minimal empirical focus on such police violence toward Black women. To address this lacuna in the literature, using an incident of police sexual assault of a woman, we assessed whether victim's race and participants' level of crime-related stress (i.e., stress due to crime victimization) would influence empathic responding toward the victim. Prolific participants (N = 411) first completed a measure of crime-related stress. They then read an article describing a White police officer's sexual assault of a Black or White woman. Next, participants completed a racial stereotype-related measure (i.e., Black women's higher sexual proclivity) and a stereotype-unrelated measure (i.e., perceived victim untrustworthiness), and reported their victim-directed empathic responding. At high stress levels, participants reported less empathy for the Black (relative to White) victim. At low stress levels, there was greater Black victim-directed empathy. The race effects on empathy were mediated by heightened attribution of Black women-related stereotypical beliefs to the Black victim at high stress levels and by diminished attribution at low stress levels. In sum, we addressed the lacuna in the literature on police sexual violence against Black women while providing evidence that stress can play a critical role in the occurrence of the oft-cited outgroup-directed empathy deficit.

Effects of the COVID 19 Pandemic on School Nurses' Resiliency and Ability to Cope: A Mixed Methods Study in the State of Hawaii

This mixed-method study examined school nurses' experiences during the Coronavirus Disease 2019 pandemic related to role change, psychological feelings, and coping/resiliency in the State of Hawaii. A total of 30 school nurses completed a Brief Resilience Coping Scale plus a series of open-ended questions in January 2022. On the coping scale, over 40% of participants scored high, 52% scored medium, and 7% scored a low resilient/coping level. We did not identify any association between coping level and participant characteristics. Three qualitative themes emerged: 1) school nurses experience chronic negative emotions related to the pandemic, 2) school nurses demonstrate attributes of resilience, and 3) school nurses utilize positive coping techniques. The pandemic created significant stresses and negative emotions among school nurses. Yet, school nurses reported effective coping strategies and demonstrated strength/resilience. Support and open communication between school nurses, their employers, and other school-based stakeholders is needed to provide continued support for school nurses.