新冠肺炎大流行期间医生对不确定性的不容忍和医疗决策的系统搜索和范围界定综述:文献综述和未来研究方向。

IF 1.6 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Journal of Clinical Psychology in Medical Settings Pub Date : 2024-06-01 Epub Date: 2023-11-06 DOI:10.1007/s10880-023-09974-0
Helmut Appel, Samineh Sanatkar
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引用次数: 0

摘要

与流行病相关的不确定性和对不确定性的不容忍(IU)可能会对医生的健康和功能产生负面影响,与痛苦经历和有问题的决策过程有关。为了总结医生在新冠肺炎期间的IU和决策不确定性及其相关问题的可用定量和定性证据,进行了系统搜索,以确定所有描述医生在新冠肺炎大流行条件下医疗决策和健康方面的不确定性的相关文章。检索了医学、心理学和预印本数据库。10篇文章符合所有资格标准,其中8篇描述了定量研究结果,2篇描述了定性研究结果,主要在欧洲地区通过在线调查进行评估。IU与不良心理健康症状和心理健康风险因素之间的关联很普遍,但出现了不一致的情况。定性研究强调决策的不确定性是医生的压力源,定量研究表明,这可能促进了更多未经证实的治疗选择。虽然新冠肺炎条件下医生不确定性的流行率和影响需要进一步调查,但现有文献表明,IU与精神健康状况不佳的经历相吻合,至少在大流行开始时,IU愿意支持未经证实的治疗方法。减少医生不确定性相关问题的努力似乎是必要的,例如,通过规范不确定性体验,或通过保持开放和及时的沟通渠道减少可避免的不确定性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Systematic Search and Scoping Review of Physicians' Intolerance of Uncertainty and Medical Decision-Making Uncertainties During the COVID-19 Pandemic: A Summary of the Literature and Directions for Future Research.

Pandemic-related uncertainties and intolerance of uncertainty (IU) could negatively affect physicians' well-being and functioning, being associated with experiences of distress and problematic decision-making processes. To summarize the available quantitative and qualitative evidence of physicians' IU and decisional uncertainty during COVID-19 and problems associated with it, a systematic search was conducted to identify all relevant articles describing physician uncertainty with regard to medical decision making and well-being in COVID-19 pandemic conditions. Medical, psychological, and preprint databases were searched. Ten articles met all eligibility criteria, with eight describing quantitative and two describing qualitative research outcomes, assessed primarily in European regions and via online surveys. Associations between IU and symptoms of poor mental health and mental health risk factors were widespread, but inconsistencies emerged. Qualitative studies emphasized decisional uncertainty as a stressor for physicians, and quantitative studies suggest it may have fostered more unproven treatment choices. While the prevalence and impact of physician uncertainty under COVID-19 conditions requires further investigation, sighting available literature indicates that IU coincided with experiences of poor mental health and, at least towards the beginning of the pandemic, with willingness to endorse unproven treatments. Efforts to reduce uncertainty-related problems for physicians seem warranted, for example, through normalizing experiences of uncertainty or reducing avoidable uncertainty through maintaining open and timely communication channels.

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来源期刊
CiteScore
4.00
自引率
4.50%
发文量
93
期刊介绍: Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.
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