The Psychosocial Impact of Treating Patients with COVID-19 on Psychiatry Residents in a Community Hospital: a Qualitative Study.
Humans
Qualitative Research
Hospitals, Community
COVID-19
/ mortality
Inpatients
Internship and Residency
Physicians
/ psychology
Internal Medicine
Interviews as Topic
Fear
Anxiety
Uncertainty
Adaptation, Psychological
Psychiatry
Personal Protective Equipment
Self-Help Groups
Safety
Male
Female
Adult
Middle Aged
Burnout, Professional
Hospital Administration
Burnout
COVID-19 [supplementary concept]
Internship and residency
Pandemics
Physicians
Journal
Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry
ISSN: 1545-7230
Titre abrégé: Acad Psychiatry
Pays: United States
ID NLM: 8917200
Informations de publication
Date de publication:
Jun 2023
Jun 2023
Historique:
received:
03
07
2022
accepted:
28
02
2023
medline:
21
6
2023
pubmed:
15
4
2023
entrez:
14
4
2023
Statut:
ppublish
Résumé
The authors explored the experiences of psychiatry residents caring for patients during the COVID-19 pandemic on a medical unit. From June 2020 through December 2020, structured, individual interviews were conducted with psychiatry residents deployed to internal medicine wards in a community hospital to provide medical care to COVID-19 patients for greater than or equal to 1 week. Interviews were recorded, transcribed verbatim, and analyzed using thematic analytical methods. Psychiatry residents (n = 16) were interviewed individually for approximately 45 min each. During the interviews, many residents described emotions of fear, anxiety, uncertainty, lack of preparedness, and difficulty coping with high patient mortality rates. Many of the residents expressed concerns regarding insufficient personal protective equipment, with the subsequent worries of their own viral exposure and transmission to loved ones. Multiple residents expressed feeling ill-equipped to care for COVID-19 patients, in some cases stating that utilizing their expertise in mental health would have better addressed the mental health needs of colleagues and patients' families. Participants also described the benefits of processing emotions during supportive group sessions with their program director. The COVID-19 pandemic represents a public health crisis with potential negative impacts on patient care, professionalism, and physicians' well-being and safety. The psychiatry residents and fellows described the overwhelmingly negative impact on their training. The knowledge gained from this study will help establish the role of the psychiatrist not only in future crises but in healthcare as a whole.
Identifiants
pubmed: 37059966
doi: 10.1007/s40596-023-01763-z
pii: 10.1007/s40596-023-01763-z
pmc: PMC10104691
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
251-257Informations de copyright
© 2023. The Author(s), under exclusive licence to American Association of Chairs of Departments of Psychiatry, American Association of Directors of Psychiatric Residency Training, Association for Academic Psychiatry and Association of Directors of Medical Student Education in Psychiatry.
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