Differential Impacts of the COVID-19 Pandemic on Mental Health Symptoms and Working Conditions for Senior and Junior Doctors in Australian Hospitals

Pascoe, Amy; Paul, Eldho; Putland, Mark; Willis, Karen; Smallwood, Natasha

doi:10.1097/jom.0000000000002505

Cited by 9 publications

(21 citation statements)

References 48 publications

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“…The questionnaire was designed to assess three main types of information: sociodemographic, self-ratings of the residents' physical and mental health, and the use of UGSs. In the first part, sociodemographic information was collected to map the personal situation of the residents to connect with the information that follows [1,36,37]. In the second part, the self-rated questionnaire was used to capture the physical and mental health status of the participants, and then the results were classified and analyzed [36,38].…”

Section: Questionnaire Surveymentioning

confidence: 99%

Change of Residents’ Attitudes and Behaviors toward Urban Green Space Pre- and Post- COVID-19 Pandemic

Chen

Liu

et al. 2022

Land

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The COVID-19 pandemic has changed and influenced people’s attitudes and behaviors toward visiting green spaces. This paper aims to explore the association between residents’ health and urban green spaces (UGS) through an in-depth study of changes in residents’ use of UGS under the influence of the COVID-19 pandemic. The Wuhan East Lake Greenway Park was selected as the location for the field survey and in-depth interviews. At the same time, an online survey was also conducted (total number = 302) regarding participants’ physical and mental health and their attitude and behavior toward the UGS. A paired sample t-test and binary logistic regression were performed to investigate the association between participants’ health and UGS during COVID-19. The results show that: (1) the COVID-19 pandemic has primarily changed the leisure patterns of parks, with potential impacts on the physical and mental health of participants; (2) the purpose, frequency, timing, and preferred areas of participants’ park visits have changed to varying degrees after the pandemic, highlighting the important role and benefits of UGSs; (3) the physical and mental health of participants and urban development issues reflected by UGS use are prominent. This study reveals that awareness of the construction and protection of UGSs is an important prerequisite for ensuring the health of urban residents.

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Section: Questionnaire Surveymentioning

confidence: 99%

Change of Residents’ Attitudes and Behaviors toward Urban Green Space Pre- and Post- COVID-19 Pandemic

Chen

Liu

et al. 2022

Land

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“…Ethiopia, South Africa, Egypt, Morocco), 34,56,65,67 2 in Australia, 18,21 14 in North America (US, 11;…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Physician PTSD During COVID-19 Pandemic residents, and fellows),21,23,29,32,[36][37][38][39]42,56,65,66 2 (12.5%) by trainees or residents,19,31 and 2 (12.5%) by level of physicians 54,59. Prevalence of PTSD among trainees ranged from 19.2% to 46.0% (mean, 31.0%) and attendings ranged from 12.2% to 42.5% (mean, 24.7%).…”

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confidence: 99%

Physician Posttraumatic Stress Disorder During COVID-19

Kamra,

Dhaliwal,

et al. 2024

JAMA Netw Open

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ImportanceThe COVID-19 pandemic placed many physicians in situations of increased stress and challenging resource allocation decisions. Insight into the prevalence of posttraumatic stress disorder in physicians and its risk factors during the COVID-19 pandemic will guide interventions to prevent its development.ObjectiveTo determine the prevalence of posttraumatic stress disorder (PTSD) among physicians during the COVID-19 pandemic and examine variations based on factors, such as sex, age, medical specialty, and career stage.Data SourcesA Preferred Reporting Items for Systematic Reviews and Meta-analyses–compliant systematic review was conducted, searching MEDLINE, Embase, and PsychInfo, from December 2019 to November 2022. Search terms included MeSH (medical subject heading) terms and keywords associated with physicians as the population and PTSD.Study SelectionPeer-reviewed published studies reporting on PTSD as a probable diagnosis via validated questionnaires or clinician diagnosis were included. The studies were reviewed by 6 reviewers.Data Extraction and SynthesisA random-effects meta-analysis was used to pool estimates of PTSD prevalence and calculate odds ratios (ORs) for relevant physician characteristics.Main Outcomes and MeasuresThe primary outcome of interest was the prevalence of PTSD in physicians, identified by standardized questionnaires.ResultsFifty-seven studies with a total of 28 965 participants and 25 countries were included (of those that reported sex: 5917 of 11 239 [52.6%] were male and 5322 of 11 239 [47.4%] were female; of those that reported career stage: 4148 of 11 186 [37.1%] were medical trainees and 7038 of 11 186 [62.9%] were attending physicians). The estimated pooled prevalence of PTSD was 18.3% (95% CI, 15.2%-22.8%; I2 = 97%). Fourteen studies (22.8%) reported sex, and it was found that female physicians were more likely to develop PTSD (OR, 1.93; 95% CI, 1.56-2.39). Of the 10 studies (17.5%) reporting age, younger physicians reported less PTSD. Among the 13 studies (22.8%) reporting specialty, PTSD was most common among emergency department doctors. Among the 16 studies (28.1%) reporting career stage, trainees were more prone to developing PTSD than attendings (OR, 1.33; 95% CI, 1.12-1.57).Conclusions and RelevanceIn this meta-analysis examining PTSD during COVID-19, 18.3% of physicians reported symptoms consistent with PTSD, with a higher risk in female physicians, older physiciansy, and trainees, and with variation by specialty. Targeted interventions to support physician well-being during traumatic events like pandemics are required.

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“…Longitudinal qualitative research provides researchers with the opportunity to study fluctuations and changes in participants’ accounts, which takes into consideration individuals’ ongoing, processual sense-making about their lived experiences, fluid identity constructions and life transitions [ 11 ]. The unique working conditions and pressures brought about by the context of the COVID-19 pandemic can be considered an occupational disruption to which the rapid workplace changes created an uncertain transitional or liminal period in the working lives of nurses in the UK [ 12 , 13 ]. Liminality is frequently viewed to be a state that denotes a position of ambiguity and uncertainty as an individual is betwixt and between [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

‘There was a pivotal moment’. The dynamics, transitions, adaptations and trajectories of nursing at the front-line in the UK during the COVID-19 pandemic

Conolly,

Maben,

Abrams

et al. 2024

PLoS ONE

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Using qualitative interview data (n = 142 interviews) generated with 50 nurses, over the course of the COVID-19 pandemic, this paper traces the trajectories of nurses in the UK and attempts to unpick the interplay between structure and agency in their narratives. Interviews were inductively analysed for themes and an additional narrative analysis was undertaken to preserve the form of each participant’s narrative. We argue that nurses’ pandemic trajectories occurred within the ‘psychological vulnerability-stigma nexus’ which operates within health and social care providers in the UK and whilst constraining nurses’ agency at times it could also provide an impetus to act agentically. We found that the nurses’ COVID-19 trajectories were characterised by: getting by, getting out (job-hopping) getting needs met and getting organised. We call for more considered systemic support to be generated and consistently provided to nurses to ensure retention of nurses and the security of society to avoid exacerbating existing workforce shortages.

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Differential Impacts of the COVID-19 Pandemic on Mental Health Symptoms and Working Conditions for Senior and Junior Doctors in Australian Hospitals

Cited by 9 publications

References 48 publications

Change of Residents’ Attitudes and Behaviors toward Urban Green Space Pre- and Post- COVID-19 Pandemic

Change of Residents’ Attitudes and Behaviors toward Urban Green Space Pre- and Post- COVID-19 Pandemic

Physician Posttraumatic Stress Disorder During COVID-19

‘There was a pivotal moment’. The dynamics, transitions, adaptations and trajectories of nursing at the front-line in the UK during the COVID-19 pandemic

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