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Trainee doctors’ experiences of learning and well-being while working in intensive care during the COVID-19 pandemic: a qualitative study using appreciative inquiry

OBJECTIVES: Concern about trainee work-related well-being has been raised in recent years and is the subject of several reviews, reports and research studies. This study aimed to understand the experiences of trainees working in a large intensive care unit during the first surge of the COVID-19 pand...

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Autores principales: Warren, Jennifer, Plunkett, Emma, Rudge, James, Stamoulis, Christina, Torlinski, Tomasz, Tarrant, Carolyn, Mullhi, Randeep
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8154293/
https://www.ncbi.nlm.nih.gov/pubmed/34035110
http://dx.doi.org/10.1136/bmjopen-2021-049437
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author Warren, Jennifer
Plunkett, Emma
Rudge, James
Stamoulis, Christina
Torlinski, Tomasz
Tarrant, Carolyn
Mullhi, Randeep
author_facet Warren, Jennifer
Plunkett, Emma
Rudge, James
Stamoulis, Christina
Torlinski, Tomasz
Tarrant, Carolyn
Mullhi, Randeep
author_sort Warren, Jennifer
collection PubMed
description OBJECTIVES: Concern about trainee work-related well-being has been raised in recent years and is the subject of several reviews, reports and research studies. This study aimed to understand the experiences of trainees working in a large intensive care unit during the first surge of the COVID-19 pandemic from an educational and operational perspective in order to highlight what worked and what could be improved. DESIGN: A qualitative study using peer-to-peer semistructured interviews, developed using appreciative inquiry methodology, was conducted during July 2020. Responses were analysed using a thematic analysis technique. SETTING: A large, tertiary intensive care unit in the UK. PARTICIPANTS: All trainees in anaesthesia and intensive care working on the intensive care unit during the first surge were invited to participate. RESULTS: Forty interviews were conducted and four over-arching themes were identified. These were: feeling safe and supported; physical demands; the emotional burden of caring; and a sense of fulfilment, value and personal development. Positive aspects of the organisational response to the pandemic included communication, personal protective equipment supply, team working and well-being support. Suggestions for improvement focused on rest facilities, rota patterns and hierarchies, creating opportunities for reflection and ensuring continued educational and training opportunities despite operational demands. CONCLUSIONS: Trainees described opportunities for learning and fulfilment, as well as challenges, in working through a pandemic. Trainees described their needs and how well these were met during the pandemic. Ideas for improvement most frequently related to basic needs including safety and fatigue, but suggestions also related to supporting learning and development. The appreciative inquiry methodology of the project facilitated effective reflection on positive aspects of trainee experiences.
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spelling pubmed-81542932021-06-02 Trainee doctors’ experiences of learning and well-being while working in intensive care during the COVID-19 pandemic: a qualitative study using appreciative inquiry Warren, Jennifer Plunkett, Emma Rudge, James Stamoulis, Christina Torlinski, Tomasz Tarrant, Carolyn Mullhi, Randeep BMJ Open Intensive Care OBJECTIVES: Concern about trainee work-related well-being has been raised in recent years and is the subject of several reviews, reports and research studies. This study aimed to understand the experiences of trainees working in a large intensive care unit during the first surge of the COVID-19 pandemic from an educational and operational perspective in order to highlight what worked and what could be improved. DESIGN: A qualitative study using peer-to-peer semistructured interviews, developed using appreciative inquiry methodology, was conducted during July 2020. Responses were analysed using a thematic analysis technique. SETTING: A large, tertiary intensive care unit in the UK. PARTICIPANTS: All trainees in anaesthesia and intensive care working on the intensive care unit during the first surge were invited to participate. RESULTS: Forty interviews were conducted and four over-arching themes were identified. These were: feeling safe and supported; physical demands; the emotional burden of caring; and a sense of fulfilment, value and personal development. Positive aspects of the organisational response to the pandemic included communication, personal protective equipment supply, team working and well-being support. Suggestions for improvement focused on rest facilities, rota patterns and hierarchies, creating opportunities for reflection and ensuring continued educational and training opportunities despite operational demands. CONCLUSIONS: Trainees described opportunities for learning and fulfilment, as well as challenges, in working through a pandemic. Trainees described their needs and how well these were met during the pandemic. Ideas for improvement most frequently related to basic needs including safety and fatigue, but suggestions also related to supporting learning and development. The appreciative inquiry methodology of the project facilitated effective reflection on positive aspects of trainee experiences. BMJ Publishing Group 2021-05-25 /pmc/articles/PMC8154293/ /pubmed/34035110 http://dx.doi.org/10.1136/bmjopen-2021-049437 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Intensive Care
Warren, Jennifer
Plunkett, Emma
Rudge, James
Stamoulis, Christina
Torlinski, Tomasz
Tarrant, Carolyn
Mullhi, Randeep
Trainee doctors’ experiences of learning and well-being while working in intensive care during the COVID-19 pandemic: a qualitative study using appreciative inquiry
title Trainee doctors’ experiences of learning and well-being while working in intensive care during the COVID-19 pandemic: a qualitative study using appreciative inquiry
title_full Trainee doctors’ experiences of learning and well-being while working in intensive care during the COVID-19 pandemic: a qualitative study using appreciative inquiry
title_fullStr Trainee doctors’ experiences of learning and well-being while working in intensive care during the COVID-19 pandemic: a qualitative study using appreciative inquiry
title_full_unstemmed Trainee doctors’ experiences of learning and well-being while working in intensive care during the COVID-19 pandemic: a qualitative study using appreciative inquiry
title_short Trainee doctors’ experiences of learning and well-being while working in intensive care during the COVID-19 pandemic: a qualitative study using appreciative inquiry
title_sort trainee doctors’ experiences of learning and well-being while working in intensive care during the covid-19 pandemic: a qualitative study using appreciative inquiry
topic Intensive Care
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8154293/
https://www.ncbi.nlm.nih.gov/pubmed/34035110
http://dx.doi.org/10.1136/bmjopen-2021-049437
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