Clinician Wellness During the COVID-19 Pandemic: Extraordinary Times and Unusual Challenges for the Allergist/Immunologist.
Identifieur interne : 000107 ( PubMed/Corpus ); précédent : 000106; suivant : 000108Clinician Wellness During the COVID-19 Pandemic: Extraordinary Times and Unusual Challenges for the Allergist/Immunologist.
Auteurs : Priya Bansal ; Theresa A. Bingemann ; Matthew Greenhawt ; Giselle Mosnaim ; Anil Nanda ; John Oppenheimer ; Hemant Sharma ; David Stukus ; Marcus ShakerSource :
- The journal of allergy and clinical immunology. In practice [ 2213-2201 ] ; 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.
DOI: 10.1016/j.jaip.2020.04.001
PubMed: 32259628
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Bingemann</name><affiliation><nlm:affiliation>University of Rochester Division of Allergy, Immunology and Rheumatology, Rochester, NY.</nlm:affiliation></affiliation></author><author><name sortKey="Greenhawt, Matthew" sort="Greenhawt, Matthew" uniqKey="Greenhawt M" first="Matthew" last="Greenhawt">Matthew Greenhawt</name><affiliation><nlm:affiliation>Section of Allergy/Immunology, Children's Hospital Colorado, Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colo.</nlm:affiliation></affiliation></author><author><name sortKey="Mosnaim, Giselle" sort="Mosnaim, Giselle" uniqKey="Mosnaim G" first="Giselle" last="Mosnaim">Giselle Mosnaim</name><affiliation><nlm:affiliation>Division of Pulmonary, Allergy and Critical Care, Department of Medicine, NorthShore University HealthSystem, Evanston, Ill.</nlm:affiliation></affiliation></author><author><name sortKey="Nanda, Anil" sort="Nanda, Anil" uniqKey="Nanda A" first="Anil" last="Nanda">Anil Nanda</name><affiliation><nlm:affiliation>Asthma and Allergy Center, Lewisville and Flower Mound, Texas; Division of Allergy and Immunology, University of Texas Southwestern Medical Center, Dallas, Texas.</nlm:affiliation></affiliation></author><author><name sortKey="Oppenheimer, John" sort="Oppenheimer, John" uniqKey="Oppenheimer J" first="John" last="Oppenheimer">John Oppenheimer</name><affiliation><nlm:affiliation>UMDMJ Rutgers University School of Medicine, Newark, NJ.</nlm:affiliation></affiliation></author><author><name sortKey="Sharma, Hemant" sort="Sharma, Hemant" uniqKey="Sharma H" first="Hemant" last="Sharma">Hemant Sharma</name><affiliation><nlm:affiliation>Children's National Hospital, George Washington University School of Medicine and Health Sciences, Washington, DC.</nlm:affiliation></affiliation></author><author><name sortKey="Stukus, David" sort="Stukus, David" uniqKey="Stukus D" first="David" last="Stukus">David Stukus</name><affiliation><nlm:affiliation>Division of Allergy and Immunology, Nationwide Children's Hospital, The Ohio State University School of Medicine, Columbus, Ohio.</nlm:affiliation></affiliation></author><author><name sortKey="Shaker, Marcus" sort="Shaker, Marcus" uniqKey="Shaker M" first="Marcus" last="Shaker">Marcus Shaker</name><affiliation><nlm:affiliation>Geisel School of Medicine and Dartmouth-Hitchcock Medical Center, Lebanon, NH. 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Bingemann</name><affiliation><nlm:affiliation>University of Rochester Division of Allergy, Immunology and Rheumatology, Rochester, NY.</nlm:affiliation></affiliation></author><author><name sortKey="Greenhawt, Matthew" sort="Greenhawt, Matthew" uniqKey="Greenhawt M" first="Matthew" last="Greenhawt">Matthew Greenhawt</name><affiliation><nlm:affiliation>Section of Allergy/Immunology, Children's Hospital Colorado, Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colo.</nlm:affiliation></affiliation></author><author><name sortKey="Mosnaim, Giselle" sort="Mosnaim, Giselle" uniqKey="Mosnaim G" first="Giselle" last="Mosnaim">Giselle Mosnaim</name><affiliation><nlm:affiliation>Division of Pulmonary, Allergy and Critical Care, Department of Medicine, NorthShore University HealthSystem, Evanston, Ill.</nlm:affiliation></affiliation></author><author><name sortKey="Nanda, Anil" sort="Nanda, Anil" uniqKey="Nanda A" first="Anil" last="Nanda">Anil Nanda</name><affiliation><nlm:affiliation>Asthma and Allergy Center, Lewisville and Flower Mound, Texas; Division of Allergy and Immunology, University of Texas Southwestern Medical Center, Dallas, Texas.</nlm:affiliation></affiliation></author><author><name sortKey="Oppenheimer, John" sort="Oppenheimer, John" uniqKey="Oppenheimer J" first="John" last="Oppenheimer">John Oppenheimer</name><affiliation><nlm:affiliation>UMDMJ Rutgers University School of Medicine, Newark, NJ.</nlm:affiliation></affiliation></author><author><name sortKey="Sharma, Hemant" sort="Sharma, Hemant" uniqKey="Sharma H" first="Hemant" last="Sharma">Hemant Sharma</name><affiliation><nlm:affiliation>Children's National Hospital, George Washington University School of Medicine and Health Sciences, Washington, DC.</nlm:affiliation></affiliation></author><author><name sortKey="Stukus, David" sort="Stukus, David" uniqKey="Stukus D" first="David" last="Stukus">David Stukus</name><affiliation><nlm:affiliation>Division of Allergy and Immunology, Nationwide Children's Hospital, The Ohio State University School of Medicine, Columbus, Ohio.</nlm:affiliation></affiliation></author><author><name sortKey="Shaker, Marcus" sort="Shaker, Marcus" uniqKey="Shaker M" first="Marcus" last="Shaker">Marcus Shaker</name><affiliation><nlm:affiliation>Geisel School of Medicine and Dartmouth-Hitchcock Medical Center, Lebanon, NH. Electronic address: marcus.shaker@dartmouth.edu.</nlm:affiliation></affiliation></author></analytic><series><title level="j">The journal of allergy and clinical immunology. In practice</title><idno type="eISSN">2213-2201</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32259628</PMID><DateRevised><Year>2020</Year><Month>04</Month><Day>21</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">2213-2201</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Apr</Month><Day>04</Day></PubDate></JournalIssue><Title>The journal of allergy and clinical immunology. In practice</Title><ISOAbbreviation>J Allergy Clin Immunol Pract</ISOAbbreviation></Journal><ArticleTitle>Clinician Wellness During the COVID-19 Pandemic: Extraordinary Times and Unusual Challenges for the Allergist/Immunologist.</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">S2213-2198(20)30327-5</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jaip.2020.04.001</ELocationID><Abstract><AbstractText>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.</AbstractText><CopyrightInformation>Copyright © 2020 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bansal</LastName><ForeName>Priya</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Asthma and Allergy Wellness Center, St Charles, Ill.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bingemann</LastName><ForeName>Theresa A</ForeName><Initials>TA</Initials><AffiliationInfo><Affiliation>University of Rochester Division of Allergy, Immunology and Rheumatology, Rochester, NY.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Greenhawt</LastName><ForeName>Matthew</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Section of Allergy/Immunology, Children's Hospital Colorado, Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colo.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mosnaim</LastName><ForeName>Giselle</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Division of Pulmonary, Allergy and Critical Care, Department of Medicine, NorthShore University HealthSystem, Evanston, Ill.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nanda</LastName><ForeName>Anil</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Asthma and Allergy Center, Lewisville and Flower Mound, Texas; Division of Allergy and Immunology, University of Texas Southwestern Medical Center, Dallas, Texas.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Oppenheimer</LastName><ForeName>John</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>UMDMJ Rutgers University School of Medicine, Newark, NJ.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sharma</LastName><ForeName>Hemant</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Children's National Hospital, George Washington University School of Medicine and Health Sciences, Washington, DC.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stukus</LastName><ForeName>David</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Division of Allergy and Immunology, Nationwide Children's Hospital, The Ohio State University School of Medicine, Columbus, Ohio.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shaker</LastName><ForeName>Marcus</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Geisel School of Medicine and Dartmouth-Hitchcock Medical Center, Lebanon, NH. 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