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运动训练师在 COVID-19 大流行期间的工作任务和现状:初步分析。

Athletic Trainers' Job Tasks and Status During the COVID-19 Pandemic: A Preliminary Analysis.

机构信息

Department of Exercise Science, University of South Carolina, Columbia.

Department of Applied Medicine and Rehabilitation, Indiana State University, Terre Haute.

出版信息

J Athl Train. 2021 Jan 1;56(1):20-30. doi: 10.4085/1062-6050-0275.20.

Abstract

CONTEXT

In December 2019, severe acute respiratory syndrome coronavirus 2, also known as the novel coronavirus disease 2019 (COVID-19), became a global public health crisis. Government officials in the United States subsequently responded by issuing lockdown orders that closed schools, terminated sports, and resulted in many people transitioning to working from home, immediately affecting the ability of athletic trainers (ATs) to practice clinically.

OBJECTIVE

To describe the job status, job duties, telemedicine use, and resiliency of ATs during the COVID-19 pandemic.

DESIGN

Cross-sectional study.

SETTING

Mixed-methods survey.

PATIENTS OR OTHER PARTICIPANTS

A total of 611 ATs (age = 32 ± 13 years).

MAIN OUTCOME MEASURE(S): The survey consisted of 6 demographic questions, a job status assessment (3 questions, 1 open-ended prompt), a telemedicine use assessment (5 questions, 2 open-ended prompts), and the 6-item Brief Resilience Scale. Qualitative analyses were completed using Text iQ technology and descriptive statistics, and cross-tabulations were conducted using follow-up χ2 comparisons of resiliency with job setting and telemedicine use.

RESULTS

Most ATs continued to work in some capacity throughout the COVID-19 pandemic and expressed optimism about the likelihood that their job status and setting would return. However, participants shared financial and mental health concerns because of reduced pay, stress, and uncertainty about the future. We also identified versatility within the profession, as ATs were serving in new roles related to COVID-19 or adopting telemedicine (n = 251, 41.1%). Athletic trainers were implementing all domains of clinical practice using telemedicine, yet most did not consult legal counsel on or have formal training in the delivery method before implementation. Finally, most ATs exhibited normal resilience that was not affected by job setting (χ2 = 26.901, P = .68) or the use of virtual health care (χ2 = 2.597, P = .27).

CONCLUSIONS

The COVID-19 pandemic has affected ATs' jobs, and in many cases, the ATs have demonstrated adaptability and value in assuming various roles in the larger health care system.

摘要

背景

2019 年 12 月,严重急性呼吸综合征冠状病毒 2,也被称为新型冠状病毒病 2019(COVID-19),成为全球公共卫生危机。美国政府官员随后发布了封锁令,关闭了学校,终止了体育赛事,导致许多人转为在家工作,这立即影响了运动训练师(ATs)的临床实践能力。

目的

描述 COVID-19 大流行期间 ATs 的工作状况、工作职责、远程医疗使用情况和适应能力。

设计

横断面研究。

设置

混合方法调查。

患者或其他参与者

共有 611 名 ATs(年龄=32±13 岁)。

主要观察指标

该调查由 6 个人口统计学问题、一个工作状况评估(3 个问题,1 个开放式提示)、一个远程医疗使用评估(5 个问题,2 个开放式提示)和 6 项简短韧性量表组成。使用 Text iQ 技术进行定性分析和描述性统计,并用韧性与工作环境和远程医疗使用的后续 χ2 比较进行交叉表分析。

结果

大多数 ATs 在 COVID-19 大流行期间继续以某种能力工作,并对其工作状况和环境恢复的可能性表示乐观。然而,参与者分享了因减薪、压力和对未来的不确定性而产生的财务和心理健康问题。我们还发现了该专业的多样性,因为 ATs 正在从事与 COVID-19 相关的新角色或采用远程医疗(n=251,41.1%)。运动训练师正在使用远程医疗实施所有临床实践领域,但大多数人在实施前没有就该交付方式咨询法律意见或接受正式培训。最后,大多数 ATs 表现出正常的韧性,这不受工作环境(χ2=26.901,P=.68)或虚拟医疗保健的使用(χ2=2.597,P=.27)的影响。

结论

COVID-19 大流行影响了 ATs 的工作,在许多情况下,ATs 在更大的医疗保健系统中扮演各种角色时表现出了适应性和价值。

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