Billions of people are free to publicly share their opinions on COVID-19 across various social platforms. A systematic review and meta-analysis, Mindfulness, self-compassion, and empathy among health care professionals: a review of the literature, Mindfulness-based stress reduction and mindfulness-based cognitive therapy: a systematic review of randomized controlled trials, A systematic review and meta-analysis of workplace mindfulness training randomized controlled trials, Mindfulness-based cognitive therapy for prevention of recurrence of suicidal behavior, Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies: republished article, An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results, Differential effects of mindful breathing, progressive muscle relaxation, and loving-kindness meditation on decentering and negative reactions to repetitive thoughts, Effectiveness of online mindfulness-based interventions in improving mental health: a review and meta-analysis of randomised controlled trials. This study aimed to synthesize evidence for the role and response of palliative care and hospice teams to viral epidemics/pandemics and inform the COVID-19 pandemic response. Doctors experience high levels of work stress even under normal circumstances, but many would be reluctant to disclose mental health difficulties or seek help for them, with stigma an often-cited reason. and Saha, Gautam Cantone, Damiano Barello, Serena The literature shows that, although healthcare professionals place high value on provision of training and equipment during such pandemics, effective leadership and managerial support for clinicians and their families are also highly protective against negative psychological outcomes. And it is particularly frustrating now that we have a potential end to the pandemic in sight with vaccines, and knowing that the doubting of scientifically-based behavior by a large segment of the public may make it more difficult to temporize the spread of infection until they can be deployed, or may otherwise discourage people from believing that they are a safe and effective way to ultimately return to a semblance of normal. 6 Indeed, during the global pandemic, thousands of healthcare workers have died with COVID-19 succumbed to the disease. And that this faith is based on trust – trust that doctors are acting in the best interests of those they serve, and most importantly, that they provide accurate information when making medical recommendations for both the health of individuals and the well-being of our communities and the country. It develops and emphasises the already established function of appraisal to support doctors in their professional development. Paschetto, Andrea Jagiwala, MukheshP Simultaneously, the behavior of many, based on misinformation, has almost certainly increased their own risk for infection or otherwise thwarted our collective efforts to control the pandemic. 3 Thus, developing strategies to prevent and support mental health … König, Alexandra Tolotti, Angela Mucci, Nicola and Why won’t unproven COVID treatments go away? Before agreeing to redeployment, doctors should seek an occupational health assessment if they are pregnant or have health conditions which could place them at additional risk. Workplace interventions that reduce mental health stigma and promote sharing and support for colleagues with psychological difficulties might improve help-seeking behaviour and attitudes. COVID-19 coronavirus, And this includes the responsibility to counter the misinformation that can lead individuals and society to make negative health decisions. Callus, Edward Kumar, Vinay However, compared to pandemics of the past, medical science has made remarkable strides in our understanding of the novel coronavirus, its mechanisms and clinical manifestations, and in developing evidence-based preventive strategies and increasingly effective methods of care as well as a range of therapeutic interventions (including multiple vaccines) in a remarkably short period of time. Total loading time: 0.743 Mohd Haris, Ahmad Firdaus Resool, Shko and 8 COVID-19 has been transmitted within the hospital setting to infect healthcare workers, inpatients and visitors. Javakhishvili, Jana Darejan Cool, Paul It requires that we understand why our patients and communities believe what they do with sensitivity to the personal beliefs and values that many hold, even if they are based on inaccurate or distorted information. Doctors form an essential part of an effective response to the COVID-19 pandemic. "metricsAbstractViews": false, Wutich, Amber Recognize the Trump that lies within each of us and try to heal him. And while many of these factors were present before the onset of this pandemic, their impact has dramatically escalated over the past year, amplified by the historically new effects of focused, narrow information sources and social media, leaving much of the general public highly susceptible to misinformation that can profoundly alter their world view and personal decision making. }. However, our professional and personal commitment as truth-tellers compels us to do what needs to be done to fulfill our obligation to serve our patients and society. Yet, we are now in the midst of a third pandemic surge bigger and more expansive than the previous two, with exponentially rising case rates, hospitalizations, and COVID-19-related deaths. Most people don’t tend to approach the world in the “scientific” manner that we as physicians are accustomed to, including attempting to objectively evaluate the information for its validity, weigh additional data, and compare the evidence’s strengths and weaknesses to make informed decisions. We provide evidence of delayed attention and inaction in response to COVID-19 in countries that did not experience SARS in 2003. Mulrain, Jill Lusignani, Maura Makhashvili, Nino It outlines historical and contemporary evidence of inequalities in pandemics— drawing on international research into the Spanish "relatedCommentaries": true, The mental health of doctors during the COVID-19 pandemic, The mental health challenges faced by doctors during the COVID-19 crisis, Managing doctors’ stress at the organisational level during the outbreak, Stress management at the individual level, Department of Psychology, University of Wolverhampton, UK, Department of Psychiatry, Queen's University, Providence Care Hospital, Kingston, Ontario, Canada, Reference Aiken, Clarke, Sloane, Sochalski and Silber, Reference Buddeberg-Fischer, Klaghofer, Stamm, Siegrist and Buddeberg, Reference Coomber, Todd, Park, Baxter, Firth-Cozens and Shore, Reference Lindeman, Läärä, Hakko and Lönnqvist, Reference Brooks, Gendel, Early and Gundersen, Reference Hassan, Ahmed, White and Galbraith, Reference Hassan, Sikander, Mazhar, Munshi, Galbraith and Groll, Reference White, Shiralkar, Hassan, Galbraith and Callaghan, Reference Shanafelt, Balch, Dyrbye, Bechamps, Russell and Satele, Reference Henderson, Brooks, del Busso, Chalder, Harvey and Hotopf, Reference Chen, Lee, Barr, Lin, Goh and Lee, Reference Lietz, Westermann, Nienhaus and Schablon, Reference Bhadelia, Sonti, McCarthy, Vorenkamp, Jia and Saiman, Reference Wong, Yau, Chan, Kwong, Ho and Lau, Reference Ma, Qiao, Qu, Wang, Huang and Cheng, Reference Styra, Hawryluck, Robinson, Kasapinovic, Fones and Gold, Reference Maunder, Lancee, Balderson, Bennett, Borgundvaag and Evans, Reference Su, Lien, Yang, Su, Wang and Tsai, Reference Maunder, Lancee, Rourke, Hunter, Goldbloom and Balderson, Reference Bai, Lin, Lin, Chen, Chue and Chou, Reference Goulia, Mantas, Dimitroula, Mantis and Hyphantis, Reference Wong, Wong, Lee, Cheung and Griffiths, Reference Khalid, Khalid, Qabajah, Barnard and Qushmaq, Reference Webster, Liu, Karimullina, Hall, Amlôt and Rubin, Reference Litz, Stein, Delaney, Lebowitz, Nash and Silva, Reference Greenberg, Docherty, Gnanapragasam and Wessely, Reference Damery, Draper, Wilson, Greenfield, Ives and Parry, Reference Imai, Matsuishi, Ito, Mouri, Kitamura and Akimoto, Reference Aiello, Young-Eun Khayeri, Raja, Peladeau, Romano and Leszcz, Reference Cates, Gomes, Krasilovsky, Hewlitt and Murthy, Reference Halpern, Gurevich, Schwartz and Brazeau, Reference Hanisch, Twomey, Szeto, Birner, Nowak and Sabariego, Reference Ruotsalainen, Verbeek, Mariné and Serra, Reference Burton, Burgess, Dean, Koutsopoulou and Hugh-Jones, Reference Williams, Duggan, Crane and Fennell, Reference Spijkerman, Pots and Bohlmeijer, Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction, Stress, anxiety, and depression in hospital consultants, general practitioners, and senior health service managers, Work stress and reduced health in young physicians: prospective evidence from Swiss residents, Emotional labour, training stress, burnout, and depressive symptoms in junior doctors, Suicide rates among physicians: a quantitative and gender assessment (meta-analysis), A systematic review on gender-specific suicide mortality in medical doctors, Suicide in medical doctors and nurses: an analysis of the Queensland Suicide Register, When doctors struggle: current stressors and evaluation recommendations for physicians contemplating suicide, A postal survey of doctors’ attitudes to becoming mentally ill, Canadian psychiatrists’ attitudes to becoming mentally ill, ‘I wouldn't want it on my CV or their records’: medical students’ experiences of help-seeking for mental health problems, Barriers to mental healthcare for psychiatrists, Special report: suicidal ideation among American surgeons, Confronting depression and suicide in physicians: a consensus statement, Experts address risk of physician suicide, Shame! One of the major positive outcomes of the COVID-19 pandemic is the worldwide appreciation for all healthcare workers who continue to place themselves in harm’s way to relieve the … COVID-19 Strains in UK, South Africa, Nigeria Sour Post-Pandemic Hopes Since the emergence of the UK strain last week, South Africa and Nigeria have reported new mutations of the virus Climate change, cardiac arrest, and the price of inaction [PODCAST], Delivering health care at a retail clinic isn’t something to be proud of. Galbraith et al. Bondanini, Giorgia Alessio, Federico COVID-19 has required a paradigm shift in healthcare utilisation. Lung ultrasound is a non-invasive, rapid, repeatable, and sensitive bedside method to detect a range of pulmonary pathologies. Dalal, PK Amongst COVID-19 patients, those with low albumin levels have a poorer prognosis and low albumin levels are seen in 80% of the nonsurviving patients. Falcó-Pegueroles, Anna Because of their unpredictable occurrence, ubiquitous nature, and the fact that they present us with a previously unknown disease to learn and manage, pandemics have always posed a major threat to humankind. ICMJE forms are in the supplementary material, available online at https://doi.org/10.1192/bjb.2020.44. One of us (T.H.) 2020. Rudofsky, Gottfried Indeed, a recent review reported that physicians were at the highest risk of ‘infectious illness presenteeism’ when compared with a range of other occupational groups.Reference Webster, Liu, Karimullina, Hall, Amlôt and Rubin41, Having to balance their own safety with the needs of patients, family and employers and in the face of limited resources can lead to distressing ethical dilemmas for doctors and, potentially, to moral injury. | Role of media. Oetjen, Neele http://creativecommons.org/licenses/by/4.0/, https://www.time-to-change.org.uk/get-involved/get-your-workplace-involved/resources/activities. This can be facilitated by deliberately adding ‘healthcare staff mental health support process’ as an ongoing agenda item to high-level management planning meetings. Mindfulness practice has versatility and a strong evidence base in workplace stress reduction and is therefore a viable technique for groups or individual clinicians to manage stress during the COVID-19 outbreak. Another partner, Dr Sujatha Sangumani, says it is easier for doctors to relate to the fear during an epidemic, given that they understand the spread better. David Boyda, Senior Lecturer in Psychology, Department of Psychology, University of Wolverhampton, UK. Roberts, Bayard Clearly, one of the most significant factors hampering our societal response to the pandemic has been the widespread questioning, and even denial, of the very scientific facts that have led to these medical accomplishments and are also fundamental to ultimately guiding us through this health crisis. It is also angering to doctors and all health care workers who are willing to put themselves in harm’s way to care for patients. The coronavirus disease 2019 (COVID-19) crisis places additional pressure on doctors and on the healthcare system in general and research shows that such pressure brings a greater risk of psychological distress for doctors. And it has been rewarding to see how, with a few notable exceptions, the medical community has been able to provide direct witness to the pandemic’s realities and serve as a supportive, stabilizing, and reassuring voice to patients and society during these medically challenging times. COVID-19 – ROLE OF HOSPITALS & HEALTHCARE PROFESSIONALS World Health Organisation has declared COVID-19 a Pandemic. In recent US recessions, employment losses have been much larger for men than for women. 2020. This diminishing faith in scientific facts and medical guidance is perplexing to most physicians who are logically trying to apply the best of what is known to care for patients while attempting to rationally contain the spread of a dangerous infectious disease. Giorgi, Gabriele A guest column by the American College of Physicians, exclusive to KevinMD. Research has consistently shown that the healthcare professions experience higher levels of work stress than the general population, even under normal circumstances,Reference Aiken, Clarke, Sloane, Sochalski and Silber1,Reference Caplan2 and stress in doctors is associated with both physicalReference Buddeberg-Fischer, Klaghofer, Stamm, Siegrist and Buddeberg3 and mental health problems.Reference Coomber, Todd, Park, Baxter, Firth-Cozens and Shore4,Reference Rogers, Creed and Searle5 Healthcare professionals also have a higher likelihood of suicidality relative to other occupational groups,Reference Schernhammer and Colditz6,Reference Lindeman, Läärä, Hakko and Lönnqvist7 and work-related stress is a common factor in those who complete suicide.Reference Kõlves and De Leo8,Reference Brooks, Gendel, Early and Gundersen9, Studies have also shown that many doctors find it difficult to tell their colleagues or employers about their mental health difficulties.Reference Hassan, Ahmed, White and Galbraith10 The most commonly cited reasons are perceived stigma and anticipated damage to future career prospects.Reference Hassan, Sikander, Mazhar, Munshi, Galbraith and Groll11–Reference White, Shiralkar, Hassan, Galbraith and Callaghan13 Suicidal ideation in doctors can present particularly strong fears of stigmatisation.Reference Gerada14 Such concerns may be underpinned by feelings of shame and professional failure, and associated worries about fitness to practise and licence restrictions.Reference Shanafelt, Balch, Dyrbye, Bechamps, Russell and Satele15–Reference Hampton17, Not only do doctors find it difficult to share mental health concerns with colleagues, they are also often reluctant to get professional help. 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