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The Workplace and Psychosocial Experiences of Australian Senior Doctors during the COVID-19 Pandemic: A Qualitative Study

Author

Listed:
  • Jonathan Tran

    (The Melbourne Medical School, The University of Melbourne, Parkville, VIC 3010, Australia)

  • Karen Willis

    (Public Health, College of Health and Biomedicine, Victoria University, Footscray Park, Melbourne, VIC 3011, Australia
    Division of Critical Care and Investigative Services, Royal Melbourne Hospital, Grattan Street, Parkville, VIC 3050, Australia)

  • Margaret Kay

    (General Practice Clinical Unit, Level 8 Health Sciences Building, Royal Brisbane and Women’s Hospital, Herston, QLD 4029, Australia)

  • Kathryn Hutt

    (Doctors’ Health Advisory Service, Suite 207, 69 Christie Street, St Leonards, NSW 2065, Australia)

  • Natasha Smallwood

    (Department of Respiratory Medicine, The Alfred Hospital, Prahan, VIC 3004, Australia
    Department of Allergy, Immunology and Respiratory Medicine, Central Clinical School, The Alfred Hospital, Monash University, Melbourne, VIC 3004, Australia)

Abstract

The coronavirus disease 2019 (COVID-19) pandemic has had significant mental health impacts among healthcare workers (HCWs), related to resource scarcity, risky work environments, and poor supports. Understanding the unique challenges experienced by senior doctors and identifying strategies for support will assist doctors facing such crises into the future. A cross-sectional, national, online survey was conducted during the second wave of the Australian COVID-19 pandemic. Inductive content analysis was used to examine data reporting workplace and psychosocial impacts of the pandemic. Of 9518 responses, 1083 senior doctors responded to one or more free-text questions. Of the senior doctors, 752 were women and 973 resided in Victoria. Four themes were identified: (1) work-life challenges; (2) poor workplace safety, support, and culture; (3) poor political leadership, planning and support; and (4) media and community responses. Key issues impacting mental health included supporting staff wellbeing, moral injury related to poorer quality patient care, feeling unheard and undervalued within the workplace, and pandemic ill-preparedness. Senior doctors desired better crisis preparedness, HCW representation, greater leadership, and accessible, authentic psychological wellbeing support services from workplace organisations and government. The pandemic has had significant impacts on senior doctors. The sustainability of the healthcare system requires interventions designed to protect workforce wellbeing.

Suggested Citation

  • Jonathan Tran & Karen Willis & Margaret Kay & Kathryn Hutt & Natasha Smallwood, 2022. "The Workplace and Psychosocial Experiences of Australian Senior Doctors during the COVID-19 Pandemic: A Qualitative Study," IJERPH, MDPI, vol. 19(5), pages 1-16, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:5:p:3079-:d:764996
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    References listed on IDEAS

    as
    1. Natasha Smallwood & Amy Pascoe & Leila Karimi & Karen Willis, 2021. "Moral Distress and Perceived Community Views Are Associated with Mental Health Symptoms in Frontline Health Workers during the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(16), pages 1-15, August.
    2. Benjamin Saunders & Julius Sim & Tom Kingstone & Shula Baker & Jackie Waterfield & Bernadette Bartlam & Heather Burroughs & Clare Jinks, 2018. "Saturation in qualitative research: exploring its conceptualization and operationalization," Quality & Quantity: International Journal of Methodology, Springer, vol. 52(4), pages 1893-1907, July.
    3. Natasha Smallwood & Amy Pascoe & Leila Karimi & Marie Bismark & Karen Willis, 2021. "Occupational Disruptions during the COVID-19 Pandemic and Their Association with Healthcare Workers’ Mental Health," IJERPH, MDPI, vol. 18(17), pages 1-14, September.
    4. Stella E. Hines & Katherine H. Chin & Danielle R. Glick & Emerson M. Wickwire, 2021. "Trends in Moral Injury, Distress, and Resilience Factors among Healthcare Workers at the Beginning of the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(2), pages 1-11, January.
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