Factors Related to Self-Reported Distress Experienced by Physicians During Their First COVID-19 Triage Decisions.
Disaster Med Public Health Prep
; : 1-8, 2021 Jun 07.
Article
in En
| MEDLINE
| ID: mdl-34096486
ABSTRACT
OBJECTIVE:
The aim of this study was to identify factors associated with distress experienced by physicians during their first coronavirus disease 2019 (COVID-19) triage decisions.METHODS:
An online survey was administered to physicians licensed in New York State.RESULTS:
Of the 164 physicians studied, 20.7% experienced severe distress during their first COVID-19 triage decisions. The mean distress score was not significantly different between physicians who received just-in-time training and those who did not (6.0 ± 2.7 vs 6.2 ± 2.8; P = 0.550) and between physicians who received clinical guidelines and those who did not (6.0 ± 2.9 vs 6.2 ± 2.7; P = 0.820). Substantially increased odds of severe distress were found in physicians who reported that their first COVID-19 triage decisions were inconsistent with their core values (adjusted odds ratio, 6.33; 95% confidence interval, 2.03-19.76) and who reported having insufficient skills and expertise (adjusted odds ratio 2.99, 95% confidence interval 0.91-9.87).CONCLUSION:
Approximately 1 in 5 physicians in New York experienced severe distress during their first COVID-19 triage decisions. Physicians with insufficient skills and expertise, and core values misaligned to triage decisions are at heightened risk of experiencing severe distress. Just-in-time training and clinical guidelines do not appear to alleviate distress experienced by physicians during their first COVID-19 triage decisions.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Type of study:
Guideline
/
Prognostic_studies
/
Qualitative_research
Language:
En
Journal:
Disaster Med Public Health Prep
Journal subject:
SAUDE PUBLICA
Year:
2021
Document type:
Article
Affiliation country:
United States