Experiences of junior doctors who shielded during the COVID-19 pandemic

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2023-10-27 DOI:10.1111/tct.13685
Amy Martin
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Abstract

Background

Shielding was introduced to protect clinically extremely vulnerable people during the COVID-19 pandemic. For junior doctors who had to shield, this meant pausing in-person clinical duties to protect their health. There is limited literature regarding this, and the available evidence is predominantly surveys or blogs that describe mainly negative experiences including guilt, isolation, inadequate support and Return To Work (RTW) concerns. Exploring the experiences of this group is valuable to understand the impact on them, and their support needs moving forward.

Methods

This was a qualitative study using individual semi-structured interviews. Three junior doctors were recruited using volunteer and snowball sampling. Interview transcripts were analysed using thematic analysis.

Findings

Seven themes were finalised: (1) Professional value, (2) Threatened autonomy, (3) Self-motivated, (4) Educational impact, (5) Mental health, (6) Inadequate support and (7) Return To Work concerns.

Discussion

Participant experiences largely reflected the evidence base including increased skill and knowledge acquisition, alongside guilt, isolation and inadequate support whilst shielding and upon RTW. These findings add valuable qualitative data to a scarcity of literature. However, caution should be applied when transferring these findings to other junior doctors, noting the small sample and regional setting. A small research grant has been secured for further research with a larger sample size incorporating the supervisor perspective.

Conclusion

These findings demonstrate that shielding was a challenging experience for these junior doctors including impacts on mental health and insufficient support. This lack of support requires further attention to refine and strengthen available support structures.

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新冠肺炎大流行期间进行防护的初级医生的经验。
背景:在新冠肺炎大流行期间,引入屏蔽是为了保护临床上极易受感染的人群。对于那些必须进行防护的初级医生来说,这意味着暂停亲自履行临床职责以保护他们的健康。关于这方面的文献有限,可用的证据主要是调查或博客,这些调查或博客主要描述了负面经历,包括内疚、孤立、支持不足和重返工作岗位(RTW)的担忧。探索这一群体的经历对于了解对他们的影响以及他们未来的支持需求是很有价值的。方法:这是一项使用个体半结构化访谈的定性研究。三名初级医生通过志愿者和滚雪球抽样被招募。访谈记录采用专题分析法进行分析。研究结果:最终确定了七个主题:(1)职业价值,(2)受威胁的自主性,(3)自我激励,(4)教育影响,(5)心理健康,(6)支持不足和(7)重返工作岗位的担忧。讨论:参与者的经历在很大程度上反映了证据基础,包括技能和知识获取的增加,以及在屏蔽和RTW时的内疚、孤立和支持不足。这些发现为文献的匮乏增加了有价值的定性数据。然而,在将这些发现转移给其他初级医生时应谨慎,注意样本小且区域性强。已经获得了一笔小额研究拨款,用于进一步研究,样本量更大,纳入了主管的观点。结论:这些发现表明,屏蔽对这些初级医生来说是一种具有挑战性的经历,包括对心理健康的影响和支持不足。这种缺乏支助的情况需要进一步注意完善和加强现有的支助结构。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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