Clinician Wellness During the COVID-19 Pandemic: Extraordinary Times and Unusual Challenges for the Allergist/Immunologist
Identifieur interne : 000613 ( Main/Exploration ); précédent : 000612; suivant : 000614Clinician Wellness During the COVID-19 Pandemic: Extraordinary Times and Unusual Challenges for the Allergist/Immunologist
Auteurs : Priya Bansal ; Theresa A. Bingemann [États-Unis] ; Matthew Greenhawt ; Giselle Mosnaim ; Anil Nanda [États-Unis] ; John Oppenheimer [États-Unis] ; Hemant Sharma [États-Unis] ; David Stukus [États-Unis] ; Marcus Shaker [États-Unis]Source :
- The Journal of Allergy and Clinical Immunology. in Practice [ 2213-2198 ] ; 2020.
Abstract
The global spread of coronavirus disease 2019 (COVID-19) has caused sudden and dramatic societal changes. The allergy/immunology community has quickly responded by mobilizing practice adjustments and embracing new paradigms of care to protect patients and staff from severe acute respiratory syndrome coronavirus 2 exposure. Social distancing is key to slowing contagion but adds to complexity of care and increases isolation and anxiety. Uncertainty exists across a new COVID-19 reality, and clinician well-being may be an underappreciated priority. Wellness incorporates mental, physical, and spiritual health to protect against burnout, which impairs both coping and caregiving abilities. Understanding the stressors that COVID-19 is placing on clinicians can assist in recognizing what is needed to return to a point of wellness. Clinicians can leverage easily accessible tools, including the Strength-Focused and Meaning-Oriented Approach to Resilience and Transformation approach, wellness apps, mindfulness, and gratitude. Realizing early warning signs of anxiety, depression, substance abuse, and posttraumatic stress disorder is important to access safe and confidential resources. Implementing wellness strategies can improve flexibility, resilience, and outlook. Historical parallels demonstrate that perseverance is as inevitable as pandemics and that we need not navigate this unprecedented time alone.
Url:
DOI: 10.1016/j.jaip.2020.04.001
PubMed: 32259628
PubMed Central: 7129776
Affiliations:
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type="main">Clinician Wellness During the COVID-19 Pandemic: Extraordinary Times and Unusual Challenges for the Allergist/Immunologist</title><author><name sortKey="Bansal, Priya" sort="Bansal, Priya" uniqKey="Bansal P" first="Priya" last="Bansal">Priya Bansal</name><affiliation><nlm:aff id="aff1">Asthma and Allergy Wellness Center, St Charles, Ill</nlm:aff><wicri:noCountry code="subfield">Ill</wicri:noCountry></affiliation></author><author><name sortKey="Bingemann, Theresa A" sort="Bingemann, Theresa A" uniqKey="Bingemann T" first="Theresa A." last="Bingemann">Theresa A. Bingemann</name><affiliation wicri:level="2"><nlm:aff id="aff2">University of Rochester Division of Allergy, Immunology and Rheumatology, Rochester, NY</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>University of Rochester Division of Allergy, Immunology and Rheumatology, Rochester</wicri:cityArea></affiliation></author><author><name sortKey="Greenhawt, Matthew" sort="Greenhawt, Matthew" uniqKey="Greenhawt M" first="Matthew" last="Greenhawt">Matthew Greenhawt</name><affiliation><nlm:aff id="aff3">Section of Allergy/Immunology, Children's Hospital Colorado, Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colo</nlm:aff><wicri:noCountry code="subfield">Colo</wicri:noCountry></affiliation></author><author><name sortKey="Mosnaim, Giselle" sort="Mosnaim, Giselle" uniqKey="Mosnaim G" first="Giselle" last="Mosnaim">Giselle Mosnaim</name><affiliation><nlm:aff id="aff4">Division of Pulmonary, Allergy and Critical Care, Department of Medicine, NorthShore University HealthSystem, Evanston, Ill</nlm:aff><wicri:noCountry code="subfield">Ill</wicri:noCountry></affiliation></author><author><name sortKey="Nanda, Anil" sort="Nanda, Anil" uniqKey="Nanda A" first="Anil" last="Nanda">Anil Nanda</name><affiliation wicri:level="2"><nlm:aff id="aff5">Asthma and Allergy Center, Lewisville and Flower Mound, Texas</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Asthma and Allergy Center, Lewisville and Flower Mound</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="aff6">Division of Allergy and Immunology, University of Texas Southwestern Medical Center, Dallas, Texas</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Division of Allergy and Immunology, University of Texas Southwestern Medical Center, Dallas</wicri:cityArea></affiliation></author><author><name sortKey="Oppenheimer, John" sort="Oppenheimer, John" uniqKey="Oppenheimer J" first="John" last="Oppenheimer">John Oppenheimer</name><affiliation wicri:level="2"><nlm:aff id="aff7">UMDMJ Rutgers University School of Medicine, Newark, NJ</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">New Jersey</region></placeName><wicri:cityArea>UMDMJ Rutgers University School of Medicine, Newark</wicri:cityArea></affiliation></author><author><name sortKey="Sharma, Hemant" sort="Sharma, Hemant" uniqKey="Sharma H" first="Hemant" last="Sharma">Hemant Sharma</name><affiliation wicri:level="2"><nlm:aff id="aff8">Children's National Hospital, George Washington University School of Medicine and Health Sciences, Washington, DC</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">District de Columbia</region></placeName><wicri:cityArea>Children's National Hospital, George Washington University School of Medicine and Health Sciences, Washington</wicri:cityArea></affiliation></author><author><name sortKey="Stukus, David" sort="Stukus, David" uniqKey="Stukus D" first="David" last="Stukus">David Stukus</name><affiliation wicri:level="2"><nlm:aff id="aff9">Division of Allergy and Immunology, Nationwide Children's Hospital, The Ohio State University School of Medicine, Columbus, Ohio</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Division of Allergy and Immunology, Nationwide Children's Hospital, The Ohio State University School of Medicine, Columbus</wicri:cityArea></affiliation></author><author><name sortKey="Shaker, Marcus" sort="Shaker, Marcus" uniqKey="Shaker M" first="Marcus" last="Shaker">Marcus Shaker</name><affiliation wicri:level="2"><nlm:aff id="aff10">Geisel School of Medicine and Dartmouth-Hitchcock Medical Center, Lebanon, NH</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">New Hampshire</region></placeName><wicri:cityArea>Geisel School of Medicine and Dartmouth-Hitchcock Medical Center, Lebanon</wicri:cityArea></affiliation></author></analytic><series><title level="j">The Journal of Allergy and Clinical Immunology. in Practice</title><idno type="ISSN">2213-2198</idno><idno type="eISSN">2213-2201</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The global spread of coronavirus disease 2019 (COVID-19) has caused sudden and dramatic societal changes. The allergy/immunology community has quickly responded by mobilizing practice adjustments and embracing new paradigms of care to protect patients and staff from severe acute respiratory syndrome coronavirus 2 exposure. Social distancing is key to slowing contagion but adds to complexity of care and increases isolation and anxiety. Uncertainty exists across a new COVID-19 reality, and clinician well-being may be an underappreciated priority. Wellness incorporates mental, physical, and spiritual health to protect against burnout, which impairs both coping and caregiving abilities. Understanding the stressors that COVID-19 is placing on clinicians can assist in recognizing what is needed to return to a point of wellness. Clinicians can leverage easily accessible tools, including the Strength-Focused and Meaning-Oriented Approach to Resilience and Transformation approach, wellness apps, mindfulness, and gratitude. Realizing early warning signs of anxiety, depression, substance abuse, and posttraumatic stress disorder is important to access safe and confidential resources. Implementing wellness strategies can improve flexibility, resilience, and outlook. Historical parallels demonstrate that perseverance is as inevitable as pandemics and that we need not navigate this unprecedented time alone.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Del Rio, C" uniqKey="Del Rio C">C. Del Rio</name></author><author><name sortKey="Malani, P N" uniqKey="Malani P">P.N. Malani</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Wu, Z" uniqKey="Wu Z">Z. Wu</name></author><author><name sortKey="Mcgoogan, J M" uniqKey="Mcgoogan J">J.M. McGoogan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shaker, M S" uniqKey="Shaker M">M.S. 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Goulia</name></author><author><name sortKey="Mantas, C" uniqKey="Mantas C">C. Mantas</name></author><author><name sortKey="Dimitroula, D" uniqKey="Dimitroula D">D. Dimitroula</name></author><author><name sortKey="Mantis, D" uniqKey="Mantis D">D. Mantis</name></author><author><name sortKey="Hyphantis, T" uniqKey="Hyphantis T">T. Hyphantis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mcluhan, A" uniqKey="Mcluhan A">A. McLuhan</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>District de Columbia</li><li>New Hampshire</li><li>New Jersey</li><li>Ohio</li><li>Texas</li><li>État de New York</li></region></list><tree><noCountry><name sortKey="Bansal, Priya" sort="Bansal, Priya" uniqKey="Bansal P" first="Priya" last="Bansal">Priya Bansal</name><name sortKey="Greenhawt, Matthew" sort="Greenhawt, Matthew" uniqKey="Greenhawt M" first="Matthew" last="Greenhawt">Matthew Greenhawt</name><name sortKey="Mosnaim, Giselle" sort="Mosnaim, Giselle" uniqKey="Mosnaim G" first="Giselle" last="Mosnaim">Giselle Mosnaim</name></noCountry><country name="États-Unis"><region name="État de New York"><name sortKey="Bingemann, Theresa A" sort="Bingemann, Theresa A" uniqKey="Bingemann T" first="Theresa A." last="Bingemann">Theresa A. Bingemann</name></region><name sortKey="Nanda, Anil" sort="Nanda, Anil" uniqKey="Nanda A" first="Anil" last="Nanda">Anil Nanda</name><name sortKey="Nanda, Anil" sort="Nanda, Anil" uniqKey="Nanda A" first="Anil" last="Nanda">Anil Nanda</name><name sortKey="Oppenheimer, John" sort="Oppenheimer, John" uniqKey="Oppenheimer J" first="John" last="Oppenheimer">John Oppenheimer</name><name sortKey="Shaker, Marcus" sort="Shaker, Marcus" uniqKey="Shaker M" first="Marcus" last="Shaker">Marcus Shaker</name><name sortKey="Sharma, Hemant" sort="Sharma, Hemant" uniqKey="Sharma H" first="Hemant" last="Sharma">Hemant Sharma</name><name sortKey="Stukus, David" sort="Stukus, David" uniqKey="Stukus D" first="David" last="Stukus">David Stukus</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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