Journal article
Wellness and Coping of Physicians Who Worked in ICUs During the Pandemic: A Multicenter Cross-Sectional North American Survey
Critical care medicine, Vol.50(12), pp.1689-1700
12/01/2022
DOI: 10.1097/CCM.0000000000005674
PMCID: PMC9668381
PMID: 36300945
Abstract
Few surveys have focused on physician moral distress, burnout, and professional fulfilment. We assessed physician wellness and coping during the COVID-19 pandemic.
Cross-sectional survey using four validated instruments.
Sixty-two sites in Canada and the United States.
Attending physicians (adult, pediatric; intensivist, nonintensivist) who worked in North American ICUs.
None.
We analysed 431 questionnaires (43.3% response rate) from 25 states and eight provinces. Respondents were predominantly male (229 [55.6%]) and in practice for 11.8 ± 9.8 years. Compared with prepandemic, respondents reported significant intrapandemic increases in days worked/mo, ICU bed occupancy, and self-reported moral distress (240 [56.9%]) and burnout (259 [63.8%]). Of the 10 top-ranked items that incited moral distress, most pertained to regulatory/organizational ( n = 6) or local/institutional ( n = 2) issues or both ( n = 2). Average moral distress (95.6 ± 66.9), professional fulfilment (6.5 ± 2.1), and burnout scores (3.6 ± 2.0) were moderate with 227 physicians (54.6%) meeting burnout criteria. A significant dose-response existed between COVID-19 patient volume and moral distress scores. Physicians who worked more days/mo and more scheduled in-house nightshifts, especially combined with more unscheduled in-house nightshifts, experienced significantly more moral distress. One in five physicians used at least one maladaptive coping strategy. We identified four coping profiles (active/social, avoidant, mixed/ambivalent, infrequent) that were associated with significant differences across all wellness measures.
Despite moderate intrapandemic moral distress and burnout, physicians experienced moderate professional fulfilment. However, one in five physicians used at least one maladaptive coping strategy. We highlight potentially modifiable factors at individual, institutional, and regulatory levels to enhance physician wellness.
Details
- Title: Subtitle
- Wellness and Coping of Physicians Who Worked in ICUs During the Pandemic: A Multicenter Cross-Sectional North American Survey
- Creators
- Karen E A Burns - St. Michael's HospitalMarc Moss - University of Colorado - Anschutz Medical Campus and Children's Hospital of Colorado, Aurora, COEdmund Lorens - University of TorontoElizabeth Karin Ann Jose - Royal College of Surgeons in Ireland - BahrainClaudio M Martin - London Health Sciences CentreElizabeth M Viglianti - University of MichiganAlison Fox-Robichaud - McMaster UniversityKusum S Mathews - Icahn School of Medicine at Mount SinaiKathleen Akgun - VA Connecticut Healthcare SystemSnigdha Jain - Section of Pulmonary, Critical Care, and Sleep Medicine, Yale School of Medicine, New Haven, CTHayley Gershengorn - University of MiamiSangeeta Mehta - Sinai Health, Toronto, ON, CanadaJenny E Han - Emory UniversityGregory S Martin - Emory UniversityJanice M Liebler - Division of Pulmonary, Critical Care and Sleep Medicine, University of Southern California, Los Angeles, CARenee D Stapleton - University of VermontPolina Trachuk - NYU Langone HealthKelly C Vranas - Oregon Health & Science UniversityAbigail Chua - Stony Brook SchoolJennifer L Y Tsang - Niagara Health SystemMargaret S Herridge - University of TorontoMichelle Biehl - Cleveland ClinicEllen L Burnham - Montefiore Medical CenterJen-Ting Chen - Harborview Medical CenterEngi F Attia - Harborview Medical CenterAmira Mohamed - Montefiore Medical CenterMichelle S Harkins - University of New MexicoSheryll M Soriano - OSF Medical Group Pulmonary and Critical Care Division, Order of St Francis (OSF) Healthcare, Peoria, ILAline Maddux - Children's Hospital ColoradoJulia C West - Dartmouth–Hitchcock Medical CenterAndrew R Badke - Intermountain HealthcareSean M Bagshaw - University of AlbertaAlexandra Binnie - William Osler Health SystemW Graham Carlos - Indiana UniversityBaşak Çoruh - University of WashingtonKristina Crothers - VA Puget Sound Health Care SystemFrederick D'Aragon - Department of Anesthesia, University de Sherbrooke, Sherbrooke, QC, CanadaJoshua Lee Denson - Tulane UniversityJohn W Drover - Queen's UniversityGregg Eschun - University of ManitobaAnna Geagea - North York General HospitalDonald Griesdale - University of British ColumbiaRachel Hadler - University of Iowa, AnesthesiaJennifer Hancock - Dalhousie UniversityJovan Hasmatali - Health Sciences CentreBhavika Kaul - University of California SystemMeeta Prasad Kerlin - University of PennsylvaniaRachel Kohn - University of PennsylvaniaD James Kutsogiannis - University of AlbertaScott M Matson - University of KansasPeter E Morris - University of KentuckyBojan Paunovic - University of ManitobaIthan D Peltan - Intermountain HealthcareDominique Piquette - Sunnybrook Health Science CentreMina Pirzadeh - University of MichiganKrishna Pulchan - Horizon Health NetworkLynn M Schnapp - University of Wisconsin–MadisonCurtis N Sessler - Department of Medicine, Section of Critical Care, Virginia Commonwealth University Health System, Richmond, VAHeather Smith - Grace Hospital, Winnipeg, MB, CanadaEric Sy - Regina General HospitalSubarna Thirugnanam - Markham Stouffville HospitalRachel K McDonald - Washington University in St. LouisKatie A McPherson - Vanderbilt University Medical CenterMonica Kraft - University of ArizonaMichelle Spiegel - Medical University of South CarolinaPeter M Dodek - St. Paul's HospitalDiversity-Related Research Committee of the Women in Critical Care (WICC) Interest Group of the American Thoracic Society
- Resource Type
- Journal article
- Publication Details
- Critical care medicine, Vol.50(12), pp.1689-1700
- DOI
- 10.1097/CCM.0000000000005674
- PMID
- 36300945
- PMCID
- PMC9668381
- NLM abbreviation
- Crit Care Med
- ISSN
- 0090-3493
- eISSN
- 1530-0293
- Grant note
- T32 AG019134 / NIA NIH HHS K23 GM129661 / NIGMS NIH HHS K23 HD096018 / NICHD NIH HHS K23 HL129888 / NHLBI NIH HHS P30 AG021342 / NIA NIH HHS K23 HL146894 / NHLBI NIH HHS R03 AG078942 / NIA NIH HHS UL1 TR001863 / NCATS NIH HHS IK2 HX003005 / HSRD VA
- Language
- English
- Date published
- 12/01/2022
- Academic Unit
- Anesthesia
- Record Identifier
- 9984425352102771
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