Transformative learning in early-career child and adolescent psychiatry in the pandemic

Kaku, Sowmyashree Mayur; Moscoso, Ana; Sibéoni, Jordan; Sravanti, Lakshmi

doi:10.1016/s2215-0366(20)30524-1

Cited by 8 publications

(9 citation statements)

References 4 publications

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“…As mentioned earlier, the healthcare providers, who are working as the frontliners during the pandemic, are perceived to be overwhelmed and experiencing burnout, even posttraumatic stress disorder (PTSD), from the deluge of COVID-19 cases they have been handling. 6,7 Sixty percent of healthcare providers such as physicians, nurses, and pharmacists are reported to have experienced burnout. [8][9][10][11][12][13] Their heavy workloads affect their ability to cope with the demands of their work and to derive a sense of fulfillment from ensuring patients' safety and providing people with high-quality care.…”

Section: Introductionmentioning

confidence: 99%

Healthcare Workers’ Burdens During the COVID-19 Pandemic: A Qualitative Systematic Review

Koontalay¹,

Suksatan²,

Prabsangob³

et al. 2021

JMDH

157

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Background:The global healthcare system is continuing to confront major challenges during the current COVID-19 pandemic, with the second wave the deadliest one to date. This study aimed to identify and explore the challenges and burdens of frontline healthcare workers during the current pandemic, and to help prepare workforce support plans for them now and in the future. Methods: A qualitative systematic review method involving thematic synthesis without meta-analysis was used to analyze relevant studies from five databases from November 2020 to February 2021: MEDLINE via PubMed, CINAHL Complete, Embase through Ovid, Scopus, and Web of Science. The quality of the studies was evaluated using the Critical Appraisal Skills Program Qualitative Research Checklist appraisal tools. This systematic review was conducted in accordance with the PRISMA statement. The informants are healthcare workers working at the frontlines and providing care to COVID-19 patients. Results: Ten studies revealed the burden of healthcare providers during the COVID-19 pandemic, with having the related challenges experienced by 498 participants (doctors, nurses, pediatric nurses, paramedical staff, support staff, and physiotherapists). Our findings fell into four main themes as follows: inadequate preparedness; emotional challenges; insufficient equipment and information; and work burnout. Conclusion:The study results demonstrate that the COVID-19 pandemic has had an impact on all aspects of life, especially for healthcare providers, who work on the frontlines. The pandemic has affected the frontline workers' physical and psychological health, causing them to experience emotional distress such as fear, anxiety, depression, and stress. In addition, the pandemic can increase posttraumatic stress disorder, leading to burnout and discontinuity of healthcare workloads to ensure the patients' safety and the high quality of care provided to the patients.

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Section: Introductionmentioning

confidence: 99%

Healthcare Workers’ Burdens During the COVID-19 Pandemic: A Qualitative Systematic Review

Koontalay¹,

Suksatan²,

Prabsangob³

et al. 2021

JMDH

157

View full text Add to dashboard Cite

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“…It is also possible that majority of families rely on television and newspapers for news and daily updates in which child mental health support is barely discussed. This digital divide has been reported from low and middle income countries as well as high-income countries (Kaku et al, 2021;Watts, 2020).…”

Section: Slightly More Than Usualmentioning

confidence: 87%

“…In particular, the mental health of children and adolescents is of concern considering the impact of the pandemic at multiple levels such as developmental age, comorbid medical conditions, behavioral comorbidities, and belonging to a lower socioeconomic group with greater risk for infection and lesser access to health care (Frankova, 2020;Singh et al, 2020). Many hospitals and therapy centers have resorted to telemedicine online services and consultations for families and particularly adolescents in India and across the world (Ameis et al, 2020;Colizzi et al, 2020;Frankova, 2020;Kaku et al, 2021;Singh et al, 2020). But families from low-income settings definitely will face the problems of the digital divide as discussed earlier.…”

Section: Discussionmentioning

confidence: 99%

Mental health of children with neurodevelopmental disorders during COVID-19: A brief report of family experiences from a low and middle income country

Kaku¹

2021

Clin Child Psychol Psychiatry

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COVID-19 has grossly impacted lives of people across the globe. In particular, children have also been affected due to closure of schools, therapy, and day care centers. Families have been challenged with new circumstances, and mental health professionals are coming up with novel ways to help these families who have children with mental health issues. This article describes experiences of families who have children with a diagnosed neurodevelopmental disorder with comorbid mental health difficulties and their ways of coping with the pandemic challenges. The series will throw light on ground level experiences of families during the pandemic, give insights into their ways of adapting, and brings out problem areas which healthcare professionals must work on, to design novel ways of care. The case series is novel and a similar report has probably not been presented from India or other low and middle income countries.

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“…We have found it more difficult to develop therapeutic alliance (i.e., the clinician-client working relationship) when conducting telemedicine with autistic clients and their families have than in-person, particularly for risk assessment and management. We have struggled with being unable to connect directly with children via telehealth and having restricted face-to-face time with families due to COVID-19 (Kaku et al, 2021). For many of us, we have had to carefully negotiate shared office and home spaces to maintain client confidentiality via telehealth.…”

Section: Clinical Servicesmentioning

confidence: 99%

Experiences of student and trainee autism researchers during the COVID‐19 pandemic

et al. 2021

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Circumstances surrounding the COVID-19 pandemic have resulted in significant personal and professional adjustments. Students and trainees, including those in autism research, face unique challenges to accomplishing their training and career goals during this unprecedented time. In this commentary, we, as members of the International Society for Autism Research Student and Trainee Committee, describe our personal experiences, which may or may not align with those of other students and trainees. Our experiences have varied both in terms of the ease (or lack thereof) with which we adapted and the degree to which we were supported in the transition to online research and clinical practice. We faced and continue to adjust to uncertainties about future training and academic positions, for which opportunities have been in decline and have subsequently negatively impacted our mental health. Students and trainees' prospects have been particularly impacted compared to more established researchers and faculty. In addition to the challenges we have faced, however, there have also been unexpected benefits in our training during the pandemic, which we describe here. We have learned new coping strategies which, we believe, have served us well. The overarching goal of this commentary is to describe these experiences and strategies in the hope that they will benefit the autism research community moving forward. Here, we provide a set of recommendations for faculty, especially mentors, to support students and trainees as well as strategies for students and trainees to bolster their selfadvocacy, both of which we see as crucial for our future careers.Lay Summary: The COVID-19 pandemic has affected students and trainees, including those in autism research, in different ways. Here, we describe our personal experiences. These experiences include challenges. For example, it has been difficult to move from in-person to online work. It has also been difficult to keep up with work and training goals. Moreover, working from home has made it hard to connect with our supervisors and mentors. As a result, many of us have felt unsure about how to make the best career choices. Working in clinical services and getting to know and support our patients online has also been challenging. Overall, the pandemic has made us feel more isolated and some of us have struggled to cope with that. On the other hand, our experiences have also included benefits. For example, by working online, we have been able to join meetings all over the world. Also, the pandemic has pushed us to learn new skills. Those include

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Transformative learning in early-career child and adolescent psychiatry in the pandemic

Cited by 8 publications

References 4 publications

Healthcare Workers’ Burdens During the COVID-19 Pandemic: A Qualitative Systematic Review

Healthcare Workers’ Burdens During the COVID-19 Pandemic: A Qualitative Systematic Review

Mental health of children with neurodevelopmental disorders during COVID-19: A brief report of family experiences from a low and middle income country

Experiences of student and trainee autism researchers during the COVID‐19 pandemic

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