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10.1093/cid/ciaa1311

http://scihub22266oqcxt.onion/10.1093/cid/ciaa1311
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32877508!7499503!32877508
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suck abstract from ncbi


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pmid32877508      Clin+Infect+Dis 2021 ; 72 (10): e566-e576
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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 #MMPMID32877508
  • Sharma M; Creutzfeldt CJ; Lewis A; Patel PV; Hartog C; Jannotta GE; Blissitt P; Kross EK; Kassebaum N; Greer DM; Curtis JR; Wahlster S
  • Clin Infect Dis 2021[May]; 72 (10): e566-e576 PMID32877508show ga
  • 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.
  • |*COVID-19[MESH]
  • |*Pandemics[MESH]
  • |Critical Care[MESH]
  • |Humans[MESH]
  • |Perception[MESH]
  • |SARS-CoV-2[MESH]
  • |Surveys and Questionnaires[MESH]


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