Impact of the COVID-19 Pandemic on Training, Morale and Well-Being Among the UK Renal Workforce

Beckwith, Hannah; Nimmo, Ailish; Savino, Manuela; Selvaskandan, Haresh; Graham-Brown, Matthew P M; Mu, James; Cockwell, Paul

doi:10.1016/j.ekir.2021.03.004

Cited by 9 publications

(15 citation statements)

References 5 publications

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“…The majority of participants reported experiencing heightened stress and anxiety since the start of the pandemic, which was more pronounced among patient-facing staff. Numerous studies have demonstrated similar trends [ 8 , 10 , 11 , 12 , 43 ]. This is a typical response to a prolonged and highly stressful event, known as collective trauma [ 44 ].…”

Section: Discussionmentioning

confidence: 81%

“…In addition, many survey responses were brief. However, reports based on larger and/or different samples of HCPs reveal similarities in themes [ 1 , 11 , 12 , 38 ]. With regard to the interviews, it was not possible to confirm data saturation due to the limited number of available participants.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

“…One study with kidney HCPs during and soon after the first global lockdown, highlighted that staff experienced multifaceted work-related stress [ 11 ] and although many showed resilience and felt supported by their department, they were at risk of emotional exhaustion [ 12 ]. A key protective factor minimizing the impact of work-related stress in HCPs is perceived organizational support [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

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Kidney Care during COVID-19 in the UK: Perspectives of Healthcare Professionals on Impacts on Care Quality and Staff Well-Being

Kanavaki

Lightfoot

Palmer

et al. 2021

IJERPH

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In light of the rapid changes in healthcare delivery due to COVID-19, this study explored kidney healthcare professionals’ (HCPs) perspectives on the impact of these changes on care quality and staff well-being. Fifty-nine HCPs from eight NHS Trusts across England completed an online survey and eight took part in complementary semi-structured interviews between August 2020 and January 2021. Free-text survey responses and interviews were analysed using inductive thematic analysis. Themes described the rapid adaptations, concerns about care quality, benefits from innovations, high work pressure, anxiety and mental exhaustion in staff and the team as a well-being resource. Long-term retention and integration of changes and innovations can improve healthcare access and efficiency, but specification of conditions for its use is warranted. The impact of prolonged stress on renal HCPs also needs to be accounted for in quality planning. Results are further interpreted into a theoretical socio-technical framework.

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Section: Discussionmentioning

confidence: 81%

Section: Strengths and Limitationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Kidney Care during COVID-19 in the UK: Perspectives of Healthcare Professionals on Impacts on Care Quality and Staff Well-Being

Kanavaki

Lightfoot

Palmer

et al. 2021

IJERPH

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“…16 17 The impact of the COVID-19 pandemic on clinical practice may have further reduced educational and research opportunities; previous studies have focused on the clinical effect on clinicians and the impact on research opportunities have not been specifically explored. [18][19][20][21] A cross-sectional survey of early-career clinicians working in nephrology from across the multidisciplinary spectrum in the UK was undertaken, as part of an evaluation of progress by the UK Kidney Research Consortium towards the 2016 paper's recommendations, 8 aiming to identify barriers and motivators to research involvement in the early-career British nephrology workforce. We report here the findings of this survey.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Research engagement by British early-career practitioners in nephrology: a multidisciplinary survey

et al. 2022

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ObjectivesTo establish barriers and motivators underlying research engagement among early-career practitioners in nephrology across the UK, in order to guide potential interventions to enhance research involvement in renal units.DesignCross-sectional online survey employing a range of free-text, Likert scale and binomial/multiple-choice responses, distributed via mailing lists and social media. Topics covered research experience, research involvement and barriers, impact of COVID-19 and strategies to improve research engagement. Thematic analysis was used to assess free-text responses.SettingRenal units throughout the UK.ParticipantsNon-consultant healthcare staff self-identifying as working in nephrology were included (n=211), with responses from non-UK respondents or consultant nephrologists excluded (n=12).ResultsResponses were received from across the multidisciplinary team (physicians (n=83) and nurses (n=83)) and other allied health professionals (n=45). Most were aware of ongoing local research, but under half of them were actively involved. Multivariate analysis indicated employment as a physician, protected time for research activity and provision of appropriate training were associated with greater research experience and output. There was general enthusiasm to undertake research, but perceived barriers included insufficient staffing, lack of time, funding and encouragement. COVID-19 was felt to have further impacted negatively upon opportunities. Among the suggested strategies to promote engagement, mentorship and an online research resource were felt to be of most interest.ConclusionsIn the first survey of this type in nephrology, we demonstrate differences across the multidisciplinary spectrum in perceived research experience and accessibility, which have been worsened by COVID-19. Our findings will guide strategies to broaden engagement in early-career practitioners and serve as a baseline to assess the impact of these interventions.

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“…3,4 Specialty-based studies have reported higher figures (7% in paediatrics through to 14% in renal trainees), suggesting that the number reported by HEE is likely to be an underestimate. 5,6 A more systemic collection of data does not exist beyond professional specialty silos.…”

Section: Introductionmentioning

confidence: 99%

Shielding during medical training: an exploration of effects, consequences and best practices

Slater

Round²

2022

Future Healthcare Journal

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BackgroundShielding during the COVID-19 pandemic impacted postgraduate medical training, likely affecting between 7% and 14% of trainees. We examine the burden of shielding on this cohort and provide strategies for future working practices. Methods Seventeen postgraduate doctors in training took part in nonincentivised, virtual focus groups or interviews. Focus group content underwent thematic analysis. Results were validated in subsequent focused interviews. ResultsShielding trainees reported guilt, limited support and occasionally stigmatisation. Rotational changes and returning to work were also difficult and led to contractual challenges. Departmental support, IT provision and proactivity were key to successful shielding. Early discussion with training bodies was deemed essential to plan objective onward progression. ConclusionAs we enter an era of endemic COVID-19, adjusted working practices will continue. Embedding successful working practices for shielding at national and local levels will minimise the long-term impact on postgraduate medical training.

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Impact of the COVID-19 Pandemic on Training, Morale and Well-Being Among the UK Renal Workforce

Cited by 9 publications

References 5 publications

Kidney Care during COVID-19 in the UK: Perspectives of Healthcare Professionals on Impacts on Care Quality and Staff Well-Being

Kidney Care during COVID-19 in the UK: Perspectives of Healthcare Professionals on Impacts on Care Quality and Staff Well-Being

Research engagement by British early-career practitioners in nephrology: a multidisciplinary survey

Shielding during medical training: an exploration of effects, consequences and best practices

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