Beyond PPE: a mixed qualitative–quantitative study capturing the wider issues affecting doctors’ well-being during the COVID-19 pandemic

Objectives To understand the wider factors influencing and impacting upon hospital doctors’ well-being during the COVID-19 pandemic in England.Design Cross-sectional survey and mixed quantitative–qualitative analysis.Setting Acute National Health Service (NHS) Foundation Trust in England.Participant...

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Main Authors: Lyndsey Jayne Cubitt, Yu Ri Im, Ciaran James Scott, Louise Claire Jeynes, Paul David Molyneux
Format: Article
Language:English
Published: BMJ Publishing Group 2021-03-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/11/3/e050223.full
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author Lyndsey Jayne Cubitt
Yu Ri Im
Ciaran James Scott
Louise Claire Jeynes
Paul David Molyneux
author_facet Lyndsey Jayne Cubitt
Yu Ri Im
Ciaran James Scott
Louise Claire Jeynes
Paul David Molyneux
author_sort Lyndsey Jayne Cubitt
collection DOAJ
description Objectives To understand the wider factors influencing and impacting upon hospital doctors’ well-being during the COVID-19 pandemic in England.Design Cross-sectional survey and mixed quantitative–qualitative analysis.Setting Acute National Health Service (NHS) Foundation Trust in England.Participants An online survey was circulated in early June 2020 to all 449 doctors employed by the Trust. 242 doctors completed the survey (54% response rate).Primary outcome measures Questions assessed occupational details, self-reported changes in physical and mental health, satisfaction with working hours and patterns, availability of personal protective equipment (PPE), medication and facilities, communication and sought to identify areas seen as having a significant effect on doctors’ well-being.Results 96% of respondents requiring PPE were able to access it. Nearly half of the respondents felt that their mental health had deteriorated since the start of the pandemic. Over a third stated that their physical health had also declined. Issues identified as having a negative impact on doctors included increased workload, redeployment, loss of autonomy, personal issues affecting family members, anxiety around recovery plans, inadequate access to changing and storage facilities and to rest areas that allow for social distancing. Doctors appreciated access to ‘calm rooms’ that were made available for staff, access to clinical psychology support, free drinks and free car parking on site.Conclusion The emerging themes are suggestive of increased burnout risk among doctors during the COVID-19 pandemic and encompass factors well beyond shortage of PPE. Small organisational initiatives and the implementation of changes suggested by survey respondents can have a positive impact on doctors’ well-being.
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spelling doaj-art-3d6c8b0472b045ebbdbfab4c522a37d82024-11-20T17:25:08ZengBMJ Publishing GroupBMJ Open2044-60552021-03-0111310.1136/bmjopen-2021-050223Beyond PPE: a mixed qualitative–quantitative study capturing the wider issues affecting doctors’ well-being during the COVID-19 pandemicLyndsey Jayne Cubitt0Yu Ri Im1Ciaran James Scott2Louise Claire Jeynes3Paul David Molyneux4Dept of Anaesthetics, West Suffolk NHS Foundation Trust, Bury Saint Edmunds, UK1 The Francis Crick Institute, London, UKDept of Anaesthetics, West Suffolk NHS Foundation Trust, Bury Saint Edmunds, UKDept of Anaesthetics, West Suffolk NHS Foundation Trust, Bury Saint Edmunds, UKNeurology, West Suffolk NHS Foundation Trust, Bury Saint Edmunds, UKObjectives To understand the wider factors influencing and impacting upon hospital doctors’ well-being during the COVID-19 pandemic in England.Design Cross-sectional survey and mixed quantitative–qualitative analysis.Setting Acute National Health Service (NHS) Foundation Trust in England.Participants An online survey was circulated in early June 2020 to all 449 doctors employed by the Trust. 242 doctors completed the survey (54% response rate).Primary outcome measures Questions assessed occupational details, self-reported changes in physical and mental health, satisfaction with working hours and patterns, availability of personal protective equipment (PPE), medication and facilities, communication and sought to identify areas seen as having a significant effect on doctors’ well-being.Results 96% of respondents requiring PPE were able to access it. Nearly half of the respondents felt that their mental health had deteriorated since the start of the pandemic. Over a third stated that their physical health had also declined. Issues identified as having a negative impact on doctors included increased workload, redeployment, loss of autonomy, personal issues affecting family members, anxiety around recovery plans, inadequate access to changing and storage facilities and to rest areas that allow for social distancing. Doctors appreciated access to ‘calm rooms’ that were made available for staff, access to clinical psychology support, free drinks and free car parking on site.Conclusion The emerging themes are suggestive of increased burnout risk among doctors during the COVID-19 pandemic and encompass factors well beyond shortage of PPE. Small organisational initiatives and the implementation of changes suggested by survey respondents can have a positive impact on doctors’ well-being.https://bmjopen.bmj.com/content/11/3/e050223.full
spellingShingle Lyndsey Jayne Cubitt
Yu Ri Im
Ciaran James Scott
Louise Claire Jeynes
Paul David Molyneux
Beyond PPE: a mixed qualitative–quantitative study capturing the wider issues affecting doctors’ well-being during the COVID-19 pandemic
BMJ Open
title Beyond PPE: a mixed qualitative–quantitative study capturing the wider issues affecting doctors’ well-being during the COVID-19 pandemic
title_full Beyond PPE: a mixed qualitative–quantitative study capturing the wider issues affecting doctors’ well-being during the COVID-19 pandemic
title_fullStr Beyond PPE: a mixed qualitative–quantitative study capturing the wider issues affecting doctors’ well-being during the COVID-19 pandemic
title_full_unstemmed Beyond PPE: a mixed qualitative–quantitative study capturing the wider issues affecting doctors’ well-being during the COVID-19 pandemic
title_short Beyond PPE: a mixed qualitative–quantitative study capturing the wider issues affecting doctors’ well-being during the COVID-19 pandemic
title_sort beyond ppe a mixed qualitative quantitative study capturing the wider issues affecting doctors well being during the covid 19 pandemic
url https://bmjopen.bmj.com/content/11/3/e050223.full
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