A survey among physicians in surgery and anesthesiology departments after the first surge of SARS-CoV-2 infections in Germany : Preparing for further challenges ahead.


Journal

Wiener klinische Wochenschrift
ISSN: 1613-7671
Titre abrégé: Wien Klin Wochenschr
Pays: Austria
ID NLM: 21620870R

Informations de publication

Date de publication:
May 2022
Historique:
received: 09 07 2021
accepted: 21 12 2021
pubmed: 22 1 2022
medline: 20 5 2022
entrez: 21 1 2022
Statut: ppublish

Résumé

The SARS-CoV‑2 pandemic has extensively challenged healthcare systems all over the world. Many elective operations were postponed or cancelled, changing priorities and workflows in surgery departments. The primary aim of this cross-sectional study was to assess the workload and psychosocial burden of surgeons and anesthesiologists, working in German hospitals during the first wave of SARS-CoV‑2 infections in 2020. Quantitative online survey on the workplace situation including psychosocial and work-related stress factors among resident and board-certified surgeons and anesthesiologists. Physicians in German hospitals across all levels of healthcare were contacted via departments, professional associations and social media posts. Among 154 total study participants, 54% of respondents stated a lack of personal protective equipment in their own wards and 56% reported increased staff shortages since the onset of the pandemic. While routine practice was reported as fully resumed in 71% of surgery departments at the time of the survey, work-related dissatisfaction among responding surgeons and anesthesiologists increased from 24% before the pandemic to 36% after the first wave of infections. As a countermeasure, 94% of participants deemed the establishment of action plans to increase pandemic preparedness and strengthening German public health systems a useful measure to respond to current challenges. The aftermath of the first wave of SARS-CoV‑2 infections in Germany has left the surgical staff strained, despite temporarily decreased workloads. Overall, a critical review of the altered conditions is indispensable to identify and promote effective solutions and prudent action plans required to address imminent challenges.

Sections du résumé

BACKGROUND BACKGROUND
The SARS-CoV‑2 pandemic has extensively challenged healthcare systems all over the world. Many elective operations were postponed or cancelled, changing priorities and workflows in surgery departments.
AIMS OBJECTIVE
The primary aim of this cross-sectional study was to assess the workload and psychosocial burden of surgeons and anesthesiologists, working in German hospitals during the first wave of SARS-CoV‑2 infections in 2020.
METHODS METHODS
Quantitative online survey on the workplace situation including psychosocial and work-related stress factors among resident and board-certified surgeons and anesthesiologists. Physicians in German hospitals across all levels of healthcare were contacted via departments, professional associations and social media posts.
RESULTS RESULTS
Among 154 total study participants, 54% of respondents stated a lack of personal protective equipment in their own wards and 56% reported increased staff shortages since the onset of the pandemic. While routine practice was reported as fully resumed in 71% of surgery departments at the time of the survey, work-related dissatisfaction among responding surgeons and anesthesiologists increased from 24% before the pandemic to 36% after the first wave of infections. As a countermeasure, 94% of participants deemed the establishment of action plans to increase pandemic preparedness and strengthening German public health systems a useful measure to respond to current challenges.
CONCLUSION CONCLUSIONS
The aftermath of the first wave of SARS-CoV‑2 infections in Germany has left the surgical staff strained, despite temporarily decreased workloads. Overall, a critical review of the altered conditions is indispensable to identify and promote effective solutions and prudent action plans required to address imminent challenges.

Identifiants

pubmed: 35061080
doi: 10.1007/s00508-021-02000-z
pii: 10.1007/s00508-021-02000-z
pmc: PMC8780051
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

361-370

Informations de copyright

© 2022. The Author(s).

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Auteurs

Anna Grishina (A)

Department of Pediatrics I, University Medicine Essen, University of Duisburg-Essen, Essen, Germany.

Fabian Link (F)

University Hospital Halle (Saale), Halle, Germany.

Arne Arend (A)

Martin-Luther-University Halle (Saale), Halle, Germany.

Florentine Kleemann (F)

Medical Faculty, Greifswald University Hospital, Greifswald, Germany.

Pinkus Tober-Lau (P)

Department of Infectious Diseases and Respiratory Medicine, Charité-Universitätsmedizin Berlin, Berlin, Germany.

Dominik Andree (D)

Faculty of Arts and Social Sciences, Open University, Milton Keynes, UK.

Friederike Münn (F)

Department of Infectious Diseases and Respiratory Medicine, Charité-Universitätsmedizin Berlin, Berlin, Germany.

Magdalena Gruendl (M)

Department of Sport and Health Sciences, Chair of Epidemiology, Technical University Munich, Munich, Germany.

Markus Quante (M)

Department of General, Visceral and Transplant Surgery, University Hospital Tübingen, Tübingen, Germany, Hoppe-Seyler-Str. 3, 72076.

Hans Lederhuber (H)

Department of Colorectal Surgery, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.

Markus Albertsmeier (M)

Department of General, Visceral and Transplantation Surgery, LMU University Hospital, Ludwig-Maximilians-University (LMU) Munich, Munich, Germany.

Florian Struller (F)

Department of Surgery, University Hospital Erlangen, Erlangen, Germany.

Robert Grützmann (R)

Department of Surgery, University Hospital Erlangen, Erlangen, Germany.

Alfred Königsrainer (A)

Department of General, Visceral and Transplant Surgery, University Hospital Tübingen, Tübingen, Germany, Hoppe-Seyler-Str. 3, 72076.
Cluster of Excellence iFIT (EXC2180) "Image-Guided and Functionally Instructed Tumor Therapies", University of Tübingen, Tübingen, Germany.

Markus W Löffler (MW)

Department of General, Visceral and Transplant Surgery, University Hospital Tübingen, Tübingen, Germany, Hoppe-Seyler-Str. 3, 72076. Markus.Loeffler@med.uni-tuebingen.de.
Cluster of Excellence iFIT (EXC2180) "Image-Guided and Functionally Instructed Tumor Therapies", University of Tübingen, Tübingen, Germany. Markus.Loeffler@med.uni-tuebingen.de.
Department of Immunology, Interfaculty Institute for Cell Biology, University of Tübingen, Tübingen, Germany. Markus.Loeffler@med.uni-tuebingen.de.
Department of Clinical Pharmacology, University Hospital Tübingen, Tübingen, Germany. Markus.Loeffler@med.uni-tuebingen.de.

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Classifications MeSH