scholarly journals Sources of Resilience in Frontline Health Professionals during COVID-19

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1699
Author(s):  
Lydia Brown ◽  
Simon Haines ◽  
Hermioni L. Amonoo ◽  
Cathy Jones ◽  
Jeffrey Woods ◽  
...  
Keyword(s):  
Health Professionals ◽  
Healthcare Workers ◽  
Well Being ◽  
Phenomenological Approach ◽  
Structured Interviews ◽  
Support Teams ◽  
Personal Support ◽  
Relational Resilience ◽  
Personal Resilience ◽  
Frontline Healthcare Workers

Background: While the challenges for psychological well-being for Australian healthcare workers have been documented, there has been a dearth of qualitative research on the sources of resilience that sustained workers during the COVID-19 pandemic. This study identified sources of resilience that clinicians used to cope with frontline challenges during the COVID-19 pandemic. Methods: Semi-structured interviews were conducted with 20 frontline health professionals, across five Australian hospitals, between October 2020 and April 2021. The interviews were recorded and transcribed, and the results were analysed using thematic analysis based on a phenomenological approach. Results: Three sources of resilience were identified by respondents: personal, relational, and organisational. A positive mindset, sense of purpose, and self-care behaviours emerged as key sources of personal resilience. Teamwork, altruism, and social support from family and friends contributed to relational resilience. Leadership, effective communication, and effective implementation of COVID-19 policies were associated with resilience at the organisational level. Frontline healthcare workers also voiced the need for the implementation of further strategies to support personal resilience whilst nurturing resilience within clinical teams and across entire healthcare organisations. Conclusions: Trust in healthcare systems, organisation leaders, colleagues, and personal support teams was an overarching theme supporting resilience.

scholarly journals Job Demands and Job Resources of Academics in Higher Education

2021 ◽  
Vol 12 ◽  
Author(s):  
Mineshree Naidoo-Chetty ◽  
Marieta du Plessis
Keyword(s):  
Higher Education ◽  
Academic Staff ◽  
Job Demands ◽  
Meaningful Work ◽  
Well Being ◽  
Phenomenological Approach ◽  
Job Resources ◽  
Limited Information ◽  
Structured Interviews ◽  
Personal Support

Too many job demands and not enough job resources can negatively influence the well-being of employees. Currently, limited information exists surrounding the job demands and resources as experienced by academic employees in the higher education sector. Therefore, the aim of this study was to identify the job demands and job resources experienced by academic employees using qualitative methods. Semi-structured interviews were conducted with 23 academic employees, using an Interpretative Phenomenological Approach. Thematic analysis, specifically template analysis was used to categorize the themes. Job demands were divided into three categories: quantitative (publication pressure, overburdened with the load, and competing time demands), qualitative (work/home balance, complexity of student support, organizational politics, and lack of mental health support) and organizational demands (using technology-mediated learning and lack of structural resources). Job resources were organized into two categories: organizational (social support) and personal resources (autonomy, meaningful work, and personal support). Participant experiences are highlighted to provide a better understanding of the job demands and job resources encountered. The framework of job demands and job resources gleaned from the study could be used for further research to manage and monitor motivational processes for academic staff, and to reduce strain due to high job demands.

Experience of Burnout Syndrome In Resident Physicians

2016 ◽  
Vol 33 (S1) ◽  
pp. S488-S488
Author(s):  
P. Cigarroa-Vázquez ◽  
I. Vargas-Huicochea
Keyword(s):  
Basic Needs ◽  
Well Being ◽  
Phenomenological Approach ◽  
Public Hospitals ◽  
Burnout Syndrome ◽  
Medical Residents ◽  
Human Beings ◽  
Structured Interviews ◽  
Competing Interest ◽  
The Impact

Medical residents, as a population that is in formation and that represents the workforce in public hospitals, are in a particularly vulnerable situation for the development of burnout syndrome (BOS), defined as a psychosocial disease in response to chronic stress in the work environment. This study analyzed the impact of BOS on a personal level, residents’ ways of coping, and the perceived needs to prevent it.ObjectivesTo analyze the experience of BOS in medical residents of Mexico City.MethodsQualitative design with a phenomenological approach. Semi-structured interviews were conducted. Participants were medical residents in training who agreed to participate. Data analysis was based meaning categorization and condensation, as well as some elements of discourse analysis.ResultsWe had interviews with residents of gynaecology, otorhinolaryngology, family medicine and psychiatry. We have found that there are some specific aspects that contribute to the development BOS:– the hidden curriculum that has become evident through unnecessary punishments;– various roles to be met simultaneously by residents;– the basic needs like sleeping and eating right are not being met due to excessive workload.– impact in general health.ConclusionsIt is necessary to make visible the complexity of the BOS and its impact on trainees to prevent deterioration in the quality of life and overall health status. It would be to achieve the satisfaction of basic needs as essential conditions for physical and mental well-being of all human beings, and more so for those whose task is to contribute to the health of others.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Social discrimination and stigma on the community of health professionals during the Covid-19 pandemic. An ethnographic approach

2021 ◽  
Author(s):  
Alexandros Argyriadis ◽  
Athina Patelarou ◽  
Vasiliki Kitsona ◽  
Alexandra Trivli ◽  
Evridiki Patelarou ◽  
...  
Keyword(s):  
Social Environment ◽  
Interpersonal Relationships ◽  
Family Environment ◽  
Health Professionals ◽  
Interpersonal Relations ◽  
Well Being ◽  
Social Discrimination ◽  
Structured Interviews ◽  
Ethnographic Approach ◽  
The Government

Severe Acute Respiratory Syndrome Coronavirus Type 2 (SARS-CoV-2) that caused the pandemic since March 2020, has affected among others, health professionals who work in covid-19 units by facing social discrimination. The aim of this study was to record the experiences of health professionals working in the first line of treatment of the pandemic, to analyse the effects of the pandemic on the interpersonal relationships of health professionals, and to ask about the stigma they faced during their work with people with covid-19. This is a qualitative study with an ethnographic approach based on 160 semi-structured interviews with health professionals living and working in the Epirus Region, Greece. For the data collection we used semi-structured interviews, discussions and participatory observation. Specifically, the interviews were conducted on health professionals and more specifically doctors, nurses, rescuers, physiotherapists and administrative staff, working in covid-19 units at the University General Hospital of Ioannina (Reference hospital for Ioannina, in Epirus), which assists in the treatment of patients with covid-19, and in the branch of the rescue department of Ioannina. The data were analysed in four thematic units based on their common characteristics: a) emotions and experiences of health professionals, b) interpersonal relations of health professionals, c) social exclusion and discrimination, and d) health professionals as patients. The results showed that the main emotions that health professionals experienced when they were moved to covid-19 clinics were fear, anxiety, distress, anger and insecurity. These feelings worsened when their family environment treated them with fear and hesitancy. Their social environment tended to avoid them, leading to a state of self-isolation. To conclude, health professionals faced discriminating behaviors and stigma both from their families and social environment, and from other health professionals. The government struggled to handle the situation in keeping a balance between both the security and well-being of health professionals as it was not prepared for a pandemic like this.

Living with myalgic encephalomyelitis/chronic fatigue syndrome: Experiences of occupational disruption for adults in Australia

2021 ◽  
pp. 030802262110206
Author(s):  
Chelsea Bartlett ◽  
Julie L Hughes ◽  
Laura Miller
Keyword(s):  
Chronic Fatigue Syndrome ◽  
Lived Experience ◽  
Well Being ◽  
Chronic Fatigue ◽  
Health Condition ◽  
Myalgic Encephalomyelitis ◽  
Structured Interviews ◽  
Personal Support ◽  
Fatigue Syndrome ◽  
Occupational Participation

Introduction Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a poorly understood, highly stigmatised health condition that has widespread impacts on the individual. Currently, there is limited understanding of the ME/CFS experience from an occupational perspective within Australia. This study aimed to explore the lived experience of ME/CFS and subsequent disruption to occupational participation for adults living in Australia. Methods Using descriptive case study design, five participants with ME/CFS in Australia completed semi-structured interviews. Reflexive thematic analysis was used to analyse the qualitative data. Findings Themes identified were organised using the Person-Environment-Occupation model. Participants reported systemic changes to previous levels of physical, cognitive and affective functioning, resulting in significant occupational disruption and poor well-being. Occupational prioritisation was followed by a loss of occupations starting with leisure, then productivity and eventually self-care. Environmental barriers to participation included stigma and misunderstanding of ME/CFS, financial hardship, lack of appropriate health services and strains on personal support networks and relationships. Conclusion Changes to occupational performance following the onset of ME/CFS caused significant occupational disruption and resulted in limited participation which narrowed over time. There is a clear role for occupational therapy to intervene early to prevent significant negative impacts on occupational participation for people with ME/CFS.

scholarly journals Communication in Home Care: The Experiences of Formal Caregivers in Communicating with Persons Living with Dementia

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 899-899
Author(s):  
Pabiththa Kamalraj ◽  
Marie Savundranayagam ◽  
J B Orange ◽  
Marita Kloseck
Keyword(s):  
Home Care ◽  
Care Home ◽  
Personal Space ◽  
Phenomenological Approach ◽  
Structured Interviews ◽  
Term Care ◽  
Caregiver Support ◽  
Formal Caregivers ◽  
Personal Support ◽  
Hermeneutic Phenomenological

Abstract There is limited literature on formal caregivers’ communication with persons living with dementia (PLWD) in home settings. Most research comes from studies of long-term care home settings or informal home care contexts. Yet, there are expected needs and rising demands for formal caregiver support within home care. The aim of this study was to understand better the lived experiences of personal support workers (PSWs) regarding their communication with PLWD in home settings. A hermeneutic phenomenological approach guided this research. Semi-structured interviews were conducted with 15 PSW participants. Three major themes were identified through thematic analysis: (1) challenged by dementia-related impairments; (2) valuing communication in care; and (3) home is a personal space. PSWs experienced difficulties in their communication with PLWD despite recognizing the importance of communication in providing optimal home care. This suggests that while PSWs possess good intentions, they do not possess the skills necessary to ensure effective interactions. Dementia-specific education and training are recommended to improve PSWs’ communication skills and to enhance quality of care. Findings highlight further the uniqueness of the personal home space itself on PSWs experiences with communication. Aspects of the home care environment can enable, but also complicate, successful communication between PSWs and PLWD. Consequently, findings also have implications for family members of PLWD and home care employers regarding optimizing practice and improving care.

scholarly journals High levels of psychosocial distress among Australian frontline healthcare workers during the COVID-19 pandemic: a cross-sectional survey

2021 ◽  
Vol 34 (5) ◽  
pp. e100577
Author(s):  
Natasha Smallwood ◽  
Leila Karimi ◽  
Marie Bismark ◽  
Mark Putland ◽  
Douglas Johnson ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Healthcare Workers ◽  
Allied Health ◽  
Well Being ◽  
Health Staff ◽  
Mental Health Symptoms ◽  
Psychological Well Being ◽  
Health Symptoms ◽  
Frontline Healthcare Workers

BackgroundThe coronavirus disease 2019 (COVID-19) pandemic has had a profound and prolonged impact on healthcare services and healthcare workers.AimsThe Australian COVID-19 Frontline Healthcare Workers Study aimed to investigate the severity and prevalence of mental health issues, as well as the social, workplace and financial disruptions experienced by Australian healthcare workers during the COVID-19 pandemic.MethodsA nationwide, voluntary, anonymous, single timepoint, online survey was conducted between 27 August and 23 October 2020. Individuals self-identifying as frontline healthcare workers in secondary or primary care were invited to participate. Participants were recruited through health organisations, professional associations or colleges, universities, government contacts and national media. Demographics, home and work situation, health and psychological well-being data were collected.ResultsA total of 9518 survey responses were received; of the 9518 participants, 7846 (82.4%) participants reported complete data. With regard to age, 4110 (52.4%) participants were younger than 40 years; 6344 (80.9%) participants were women. Participants were nurses (n=3088, 39.4%), doctors (n=2436, 31.1%), allied health staff (n=1314, 16.7%) or in other roles (n=523, 6.7%). In addition, 1250 (15.9%) participants worked in primary care. Objectively measured mental health symptoms were common: mild to severe anxiety (n=4694, 59.8%), moderate to severe burnout (n=5458, 70.9%) and mild to severe depression (n=4495, 57.3%). Participants were highly resilient (mean (SD)=3.2 (0.66)). Predictors for worse outcomes on all scales included female gender; younger age; pre-existing psychiatric condition; experiencing relationship problems; nursing, allied health or other roles; frontline area; being worried about being blamed by colleagues and working with patients with COVID-19.ConclusionsThe COVID-19 pandemic is associated with significant mental health symptoms in frontline healthcare workers. Crisis preparedness together with policies and practices addressing psychological well-being are needed.

scholarly journals Parental Challenges in Promoting the Well-being of Talented Youths in Indonesia: A Phenomenological Study

2021 ◽  
Vol 11 (2) ◽  
pp. 244-254
Author(s):  
Nur Setiawati Dewi ◽  
Piyanuch Jittanoon ◽  
Wantanee Wiroonpanich
Keyword(s):  
Financial Constraints ◽  
Phenomenological Study ◽  
Well Being ◽  
Phenomenological Approach ◽  
Structured Interviews ◽  
Oppositional Behavior ◽  
The Family ◽  
Field Notes ◽  
Gender Based ◽  
Children's Activities

Background: Parenting talented youths is a challenging task since most talented youths experience role complexities in their lives. Thus, raising talented youths can lead to increased challenges of parenting.Purpose: This study aimed to explore the challenges faced by Javanese Muslim parents in promoting the well-being of talented youths.Methods: A descriptive phenomenological approach was chosen to guide this study. Thirteen Javanese Muslim parents of talented youth (nine men and three women) were recruited using snowball and purposive sampling techniques. The data were obtained by conducting semi-structured interviews and field notes. The collected data were transcribed using verbatim transcription and analyzed using Giorgi’s method of analysis.Results: Three themes were found after data analysis, i.e., challenges coming from the youths, challenges from the community, and the existence of financial constraints in the family. Challenges coming from the youth were related to the oppositional behavior of talented youths and difficulties in managing children’s activities as students and as talented youths. Challenges from the community included low commitment and belittling behavior from teachers or lecturers, ridicule from their neighbors, gender-based discrimination, and the absence of support from the organization. Another theme was related to financial constraints in the family which made it difficult for parents to finance their youth’s education and talent activities.Conclusion: Identifying the actual problems experienced by the talented youths’ parents could help nurses develop appropriate family programs, consider, and incorporate holistic aspects into the programs to obtain optimal results.

scholarly journals An exploration of engagement in community based creative activities as an occupation for older adults

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Luned Edwards ◽  
Bethan Owen-Booth
Keyword(s):  
Older Adults ◽  
National Policy ◽  
Occupational Therapists ◽  
Well Being ◽  
Phenomenological Approach ◽  
Ageing Population ◽  
Creative Arts ◽  
Structured Interviews ◽  
Community Based ◽  
Content Type

Purpose The purpose of this study was to explore the experiences of older adults (aged 60 and over) participating in community-based creative arts. With an ever increasing ageing population, understanding the benefits of leisure occupations such as community creative arts will be vital for Occupational Therapists in facilitating participation and active engagement. Design/methodology/approach An empirical qualitative research design with an interpretive phenomenological approach was undertaken. A purposive sampling method enlisted four older adult volunteers whose experiences of creative arts were explored through semi-structured interviews. Interview data were analysed thematically. Findings Participants identified many benefits of engaging in community creative arts. Four main themes were identified, namely, “personal benefits”, “choice” in their occupation, “encouragement” to and from others, with the environment facilitating “socialising”. These resulted in improved occupational performance and positive well-being outcomes. Originality/value The study complements national policy and extends evidence-based practice on the potential well-being benefits on older adults. In support of the preventative agenda, occupational therapists may apply these findings to increase social prescribing within practice.

scholarly journals Frontline Healthcare workers suffering from psychosomatic disorders during COVID-19 (a pandemic): A Systematic review

2021 ◽  
Author(s):  
Rhythm Joshi ◽  
Nidhi B. Agarwal ◽  
Dinesh Bhurani ◽  
Mohd. Ashif Khan
Keyword(s):  
Systematic Review ◽  
Organizational Support ◽  
Healthcare Workers ◽  
Well Being ◽  
Mental Condition ◽  
Psychosomatic Disorders ◽  
Cross Sectional ◽  
Newcastle Ottawa Scale ◽  
Frontline Healthcare Workers ◽  
The Impact

Purpose: The emergence of SARS CoV-2, has imposed high pressure on the healthcare system worldwide. As a consequence, frontline healthcare workers were impacted widely. The aim of this systematic review is to examine the impact of COVID-19 on mental status of FHW during pandemic. Methods: Databases such as PubMed, Scopus, google scholar were searched extensively from the date of inception till April 2021. All cross-sectional studies published in English assessing the mental condition and well-being of frontline caregivers during COVID-19 were included in the study. The quality assessment was done by Newcastle Ottawa scale. Results: Ten thousand eight hundred sixty-nine articles were found. After conscientious literature search, total 78 articles were included satisfying the objective of the review. The highest and lowest values for the rates of depression, anxiety and insomnia was found to be 99.51% & 6.07%, 85.7% & 73.6%, and 5.3% & 11.4%, respectively. Conclusion: It has been found that FHW were psychologically impacted by the pandemic. This could be due to lack of resources such as PPE, organizational support, inefficient relevant knowledge regarding the novel virus, its extremely indelible transmission rates, fear of contamination, stigmatization, and/or due to prevalence of ignorance by government and health policy makers. Prospero registration no- CRD42021244612 Key words; Mental disorders, Frontline healthcare workers, Psychosomatic disorders, psychological morbidities, COVID-19.

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