Serveur d'exploration Stress et Covid

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Clinician Wellness During the COVID-19 Pandemic: Extraordinary Times and Unusual Challenges for the Allergist/Immunologist

Identifieur interne : 000929 ( Pmc/Curation ); précédent : 000928; suivant : 000930

Clinician 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 :

RBID : PMC:7129776

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

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Priya Bansal
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Matthew Greenhawt
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Giselle Mosnaim
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Le document en format XML

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</TEI>
<pmc article-type="review-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Allergy Clin Immunol Pract</journal-id>
<journal-id journal-id-type="iso-abbrev">J Allergy Clin Immunol Pract</journal-id>
<journal-title-group>
<journal-title>The Journal of Allergy and Clinical Immunology. in Practice</journal-title>
</journal-title-group>
<issn pub-type="ppub">2213-2198</issn>
<issn pub-type="epub">2213-2201</issn>
<publisher>
<publisher-name>American Academy of Allergy, Asthma & Immunology</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">32259628</article-id>
<article-id pub-id-type="pmc">7129776</article-id>
<article-id pub-id-type="publisher-id">S2213-2198(20)30327-5</article-id>
<article-id pub-id-type="doi">10.1016/j.jaip.2020.04.001</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Clinician Wellness During the COVID-19 Pandemic: Extraordinary Times and Unusual Challenges for the Allergist/Immunologist</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" id="au1">
<name>
<surname>Bansal</surname>
<given-names>Priya</given-names>
</name>
<degrees>MD</degrees>
<xref rid="aff1" ref-type="aff">a</xref>
</contrib>
<contrib contrib-type="author" id="au2">
<name>
<surname>Bingemann</surname>
<given-names>Theresa A.</given-names>
</name>
<degrees>MD</degrees>
<xref rid="aff2" ref-type="aff">b</xref>
</contrib>
<contrib contrib-type="author" id="au3">
<name>
<surname>Greenhawt</surname>
<given-names>Matthew</given-names>
</name>
<degrees>MD, MBA, MSc</degrees>
<xref rid="aff3" ref-type="aff">c</xref>
</contrib>
<contrib contrib-type="author" id="au4">
<name>
<surname>Mosnaim</surname>
<given-names>Giselle</given-names>
</name>
<degrees>MD, MS</degrees>
<xref rid="aff4" ref-type="aff">d</xref>
</contrib>
<contrib contrib-type="author" id="au5">
<name>
<surname>Nanda</surname>
<given-names>Anil</given-names>
</name>
<degrees>MD</degrees>
<xref rid="aff5" ref-type="aff">e</xref>
<xref rid="aff6" ref-type="aff">f</xref>
</contrib>
<contrib contrib-type="author" id="au6">
<name>
<surname>Oppenheimer</surname>
<given-names>John</given-names>
</name>
<degrees>MD</degrees>
<xref rid="aff7" ref-type="aff">g</xref>
</contrib>
<contrib contrib-type="author" id="au7">
<name>
<surname>Sharma</surname>
<given-names>Hemant</given-names>
</name>
<degrees>MD</degrees>
<xref rid="aff8" ref-type="aff">h</xref>
</contrib>
<contrib contrib-type="author" id="au8">
<name>
<surname>Stukus</surname>
<given-names>David</given-names>
</name>
<degrees>MD</degrees>
<xref rid="aff9" ref-type="aff">i</xref>
</contrib>
<contrib contrib-type="author" id="au9">
<name>
<surname>Shaker</surname>
<given-names>Marcus</given-names>
</name>
<degrees>MD, MSc</degrees>
<email>marcus.shaker@dartmouth.edu</email>
<xref rid="aff10" ref-type="aff">j</xref>
<xref rid="cor1" ref-type="corresp"></xref>
</contrib>
</contrib-group>
<aff id="aff1">
<label>a</label>
Asthma and Allergy Wellness Center, St Charles, Ill</aff>
<aff id="aff2">
<label>b</label>
University of Rochester Division of Allergy, Immunology and Rheumatology, Rochester, NY</aff>
<aff id="aff3">
<label>c</label>
Section of Allergy/Immunology, Children's Hospital Colorado, Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colo</aff>
<aff id="aff4">
<label>d</label>
Division of Pulmonary, Allergy and Critical Care, Department of Medicine, NorthShore University HealthSystem, Evanston, Ill</aff>
<aff id="aff5">
<label>e</label>
Asthma and Allergy Center, Lewisville and Flower Mound, Texas</aff>
<aff id="aff6">
<label>f</label>
Division of Allergy and Immunology, University of Texas Southwestern Medical Center, Dallas, Texas</aff>
<aff id="aff7">
<label>g</label>
UMDMJ Rutgers University School of Medicine, Newark, NJ</aff>
<aff id="aff8">
<label>h</label>
Children's National Hospital, George Washington University School of Medicine and Health Sciences, Washington, DC</aff>
<aff id="aff9">
<label>i</label>
Division of Allergy and Immunology, Nationwide Children's Hospital, The Ohio State University School of Medicine, Columbus, Ohio</aff>
<aff id="aff10">
<label>j</label>
Geisel School of Medicine and Dartmouth-Hitchcock Medical Center, Lebanon, NH</aff>
<author-notes>
<corresp id="cor1">
<label></label>
Corresponding author: Marcus Shaker, MD, MSc, Dartmouth-Hitchcock Medical Center, Section of Allergy and Immunology, Dartmouth Geisel School of Medicine, 1 Medical Center Dr, Lebanon, NH 03756.
<email>marcus.shaker@dartmouth.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="pmc-release">
<day>4</day>
<month>4</month>
<year>2020</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="epub">
<day>4</day>
<month>4</month>
<year>2020</year>
</pub-date>
<history>
<date date-type="received">
<day>1</day>
<month>4</month>
<year>2020</year>
</date>
<date date-type="accepted">
<day>1</day>
<month>4</month>
<year>2020</year>
</date>
</history>
<permissions>
<copyright-statement>© 2020 American Academy of Allergy, Asthma & Immunology.</copyright-statement>
<copyright-year>2020</copyright-year>
<copyright-holder>American Academy of Allergy, Asthma & Immunology</copyright-holder>
<license>
<license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
</license>
</permissions>
<abstract id="abs0010">
<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>
</abstract>
<kwd-group id="kwrds0010">
<title>Key words</title>
<kwd>Wellness</kwd>
<kwd>Physician wellness</kwd>
<kwd>SARS-CoV-2</kwd>
<kwd>COVID-19</kwd>
<kwd>Pandemic</kwd>
<kwd>Social distancing</kwd>
<kwd>Burnout</kwd>
<kwd>Depression</kwd>
<kwd>Grief</kwd>
<kwd>Mindfulness</kwd>
</kwd-group>
<kwd-group id="kwrds0015">
<title>Abbreviations used</title>
<kwd>CFR, Case-fatality rate</kwd>
<kwd>COVID-19, Coronavirus disease 2019</kwd>
<kwd>PPE, Personal protective equipment</kwd>
<kwd>SARS-CoV-2, Severe acute respiratory syndrome coronavirus 2</kwd>
<kwd>TB, Tuberculosis</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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