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Health-care Professionals' Perceptions of Critical Care Resource Availability and Factors Associated With Mental Well-being During Coronavirus Disease 2019 (COVID-19): Results from a US Survey
- Source :
- Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America, Clinical Infectious Diseases
- Publication Year :
- 2020
-
Abstract
- Background Assessing the impact of coronavirus disease 2019 (COVID-19) on intensive care unit (ICU) providers’ perceptions of resource availability and evaluating the factors associated with emotional distress/burnout can inform interventions to promote provider well-being. Methods Between 23 April and 7 May 2020, we electronically administered a survey to physicians, nurses, respiratory therapists (RTs), and advanced practice providers (APPs) caring for COVID-19 patients in the United States. We conducted a multivariate regression to assess associations between concerns, a reported lack of resources, and 3 outcomes: a primary outcome of emotional distress/burnout and 2 secondary outcomes of (1) fear that the hospital is unable to keep providers safe; and (2) concern about transmitting COVID-19 to their families/communities. Results We included 1651 respondents from all 50 states: 47% were nurses, 25% physicians, 17% RTs, and 11% APPs. Shortages of intensivists and ICU nurses were reported by 12% and 28% of providers, respectively. The largest supply restrictions reported were for powered air purifying respirators (56% reporting restricted availability). Provider concerns included worries about transmitting COVID-19 to their families/communities (66%), emotional distress/burnout (58%), and insufficient personal protective equipment (PPE; 40%). After adjustment, emotional distress/burnout was significantly associated with insufficient PPE access (adjusted relative risk [aRR], 1.43; 95% confidence interval [CI], 1.32–1.55), stigma from community (aRR, 1.32; 95% CI, 1.24–1.41), and poor communication with supervisors (aRR, 1.13; 95% CI, 1.06–1.21). Insufficient PPE access was the strongest predictor of feeling that the hospital is unable to keep providers safe and worries about transmitting infection to their families/communities. Conclusions Addressing insufficient PPE access, poor communication from supervisors, and community stigma may improve provider mental well-being during the COVID-19 pandemic.
- Subjects :
- Microbiology (medical)
medicine.medical_specialty
Social stigma
Critical Care
medicine.medical_treatment
Respiratory therapist
Psychological intervention
Stigma (botany)
Burnout
03 medical and health sciences
0302 clinical medicine
Surveys and Questionnaires
Health care
medicine
Humans
030212 general & internal medicine
Personal protective equipment
Pandemics
burnout
business.industry
SARS-CoV-2
COVID-19
Mental health
emotional well-being
United States
Editorial Commentary
Infectious Diseases
AcademicSubjects/MED00290
healthcare providers
Family medicine
Perception
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 15376591
- Volume :
- 72
- Issue :
- 10
- Database :
- OpenAIRE
- Journal :
- Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
- Accession number :
- edsair.doi.dedup.....6553754c204023e6318054248d9230d5