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Posttraumatic Growth in Radiation Medicine During the COVID-19 Outbreak

PURPOSE: It has been reported that adversarial growth during traumatic events potentially enhances coping with sequelae. The purpose of this work was to assess posttraumatic growth (PTG) among radiation medicine staff members at the individual level as well as changes in perceptions of departmental...

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Autores principales: Kapur, Ajay, Rudin, Brett, Potters, Louis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9014650/
https://www.ncbi.nlm.nih.gov/pubmed/35464494
http://dx.doi.org/10.1016/j.adro.2022.100975
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author Kapur, Ajay
Rudin, Brett
Potters, Louis
author_facet Kapur, Ajay
Rudin, Brett
Potters, Louis
author_sort Kapur, Ajay
collection PubMed
description PURPOSE: It has been reported that adversarial growth during traumatic events potentially enhances coping with sequelae. The purpose of this work was to assess posttraumatic growth (PTG) among radiation medicine staff members at the individual level as well as changes in perceptions of departmental culture after the COVID-19 pandemic. METHODS AND MATERIALS: An anonymous PTG inventory (PTGI) survey comprising 21 indicators was disseminated to all 213 members of our multicenter radiation department to measure perceptions of change in personal, interpersonal-relationship, and philosophy of life factors using principal-factor analysis. Additionally, 8 department safety-culture indicators from the National Hospital Patient Safety Culture Survey developed by the Agency for Healthcare Research and Quality were included to assess changes in department safety-culture perceptions verses a prepandemic survey. The survey was repeated 15 months later to assess longitudinal trends. RESULTS: With a 56.3% survey-response rate, PTGI factor analysis yielded Cronbach's alpha values exceeding 0.90 for the 3 aforementioned PTG factors. The average growth per indicator was 2.3 (out of 5.0), which fell between small and moderate. The values were 2.4 (personal), 2.1 (interpersonal), and 1.6 (philosophy) for the 3 factors. The total PTGI score (47.7 ± 28.3 out of 105 points) was lower for masked, patient-facing, frontline workers members (41.8 ± 28.4) compared with others (53.1 ± 27.3, P value .001). For the Agency for Healthcare Research and Quality survey there was an improvement of 15% in perceptions of department safety culture, and 7 of the 8 indicators showed improvements compared with baseline. The follow-up survey demonstrated overall sustained findings, albeit with a trend toward declining PTG scores for nonfrontline workers, notably in interpersonal relationships (47.4 ± 27.0, P value .05). CONCLUSIONS: A fair-to-moderate degree of PTG was observed in personal and interpersonal relationship factors whereas least growth was noted in spiritual and religious beliefs. Perceptions of department patient-safety culture improved substantially. Sustained improvements were thus perceived at the individual and department levels.
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spelling pubmed-90146502022-04-18 Posttraumatic Growth in Radiation Medicine During the COVID-19 Outbreak Kapur, Ajay Rudin, Brett Potters, Louis Adv Radiat Oncol Scientific Article PURPOSE: It has been reported that adversarial growth during traumatic events potentially enhances coping with sequelae. The purpose of this work was to assess posttraumatic growth (PTG) among radiation medicine staff members at the individual level as well as changes in perceptions of departmental culture after the COVID-19 pandemic. METHODS AND MATERIALS: An anonymous PTG inventory (PTGI) survey comprising 21 indicators was disseminated to all 213 members of our multicenter radiation department to measure perceptions of change in personal, interpersonal-relationship, and philosophy of life factors using principal-factor analysis. Additionally, 8 department safety-culture indicators from the National Hospital Patient Safety Culture Survey developed by the Agency for Healthcare Research and Quality were included to assess changes in department safety-culture perceptions verses a prepandemic survey. The survey was repeated 15 months later to assess longitudinal trends. RESULTS: With a 56.3% survey-response rate, PTGI factor analysis yielded Cronbach's alpha values exceeding 0.90 for the 3 aforementioned PTG factors. The average growth per indicator was 2.3 (out of 5.0), which fell between small and moderate. The values were 2.4 (personal), 2.1 (interpersonal), and 1.6 (philosophy) for the 3 factors. The total PTGI score (47.7 ± 28.3 out of 105 points) was lower for masked, patient-facing, frontline workers members (41.8 ± 28.4) compared with others (53.1 ± 27.3, P value .001). For the Agency for Healthcare Research and Quality survey there was an improvement of 15% in perceptions of department safety culture, and 7 of the 8 indicators showed improvements compared with baseline. The follow-up survey demonstrated overall sustained findings, albeit with a trend toward declining PTG scores for nonfrontline workers, notably in interpersonal relationships (47.4 ± 27.0, P value .05). CONCLUSIONS: A fair-to-moderate degree of PTG was observed in personal and interpersonal relationship factors whereas least growth was noted in spiritual and religious beliefs. Perceptions of department patient-safety culture improved substantially. Sustained improvements were thus perceived at the individual and department levels. Elsevier 2022-04-18 /pmc/articles/PMC9014650/ /pubmed/35464494 http://dx.doi.org/10.1016/j.adro.2022.100975 Text en © 2022 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Scientific Article
Kapur, Ajay
Rudin, Brett
Potters, Louis
Posttraumatic Growth in Radiation Medicine During the COVID-19 Outbreak
title Posttraumatic Growth in Radiation Medicine During the COVID-19 Outbreak
title_full Posttraumatic Growth in Radiation Medicine During the COVID-19 Outbreak
title_fullStr Posttraumatic Growth in Radiation Medicine During the COVID-19 Outbreak
title_full_unstemmed Posttraumatic Growth in Radiation Medicine During the COVID-19 Outbreak
title_short Posttraumatic Growth in Radiation Medicine During the COVID-19 Outbreak
title_sort posttraumatic growth in radiation medicine during the covid-19 outbreak
topic Scientific Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9014650/
https://www.ncbi.nlm.nih.gov/pubmed/35464494
http://dx.doi.org/10.1016/j.adro.2022.100975
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