Department of Brain and Behavioral Sciences, University of Pavia, Pavia, PV, Italy.
Child Neurology and Psychiatry Unit, IRCCS Mondino Foundation, via Mondino 2, 27100, Pavia, PV, Italy.
Acad Psychiatry. 2021 Oct;45(5):587-592. doi: 10.1007/s40596-021-01442-x. Epub 2021 Apr 13.
During the first months of 2020, the coronavirus disease of 2019 (COVID-19) spread rapidly and soon reached a pandemic level. With the increasing number of hospitalizations, medical and nursing personnel resources were soon inadequate. As a consequence, medical volunteers became a key human resource and young medical residents in any specialty were hired on a voluntary basis to contribute to take care of patients with COVID-19. This study reports on the lived experience of residents in child neuropsychiatry who volunteered in Italian hotspot COVID-19-designated hospitals during the epidemic outbreak.
A phenomenological, qualitative approach using semi-structured interviews with open-ended questions was used to obtain in-depth narratives of the experience of residents in child neuropsychiatry volunteering in North Italy COVID-19-designated hospitals. All residents (n = 8) participated in the study. Interviews were conducted by an expert researcher trained in qualitative methods. Data analysis was performed by independent coders.
Five core themes could be identified from the interviews: acting as mediators on two fronts, facing the shock of COVID-19 reality, capitalizing from specialty education, growing as persons and professionals, and humanizing medical care.
This study is unique in providing an in-depth understanding of the experience of young residents in child neuropsychiatry volunteering in general hospitals during the COVID-19 pandemic in Northern Italy. The findings suggest that this experience may be highly beneficial for both the residents and the hospital quality of care. Insights for an accurate planning of residents' engagement in future healthcare emergencies are provided.
2020 年初，2019 年冠状病毒病（COVID-19）迅速传播，很快达到大流行水平。随着住院人数的增加，医疗和护理人员资源很快就不足了。因此，医疗志愿者成为了关键的人力资源，任何专业的年轻住院医师都被自愿雇用，以帮助照顾 COVID-19 患者。本研究报告了在意大利 COVID-19 热点地区指定医院自愿参与的儿童神经精神病学住院医师的生活体验。
采用现象学、定性方法，对意大利北部 COVID-19 指定医院自愿参与的儿童神经精神病学住院医师进行半结构式访谈，并采用开放式问题获取深入的体验描述。所有住院医师（n=8）均参与了研究。访谈由接受过定性方法培训的专家研究人员进行。数据分析由独立编码员进行。
从访谈中可以确定五个核心主题：在两个前线充当调解人、面对 COVID-19 现实的冲击、从专业教育中获益、成长为个人和专业人员、以及使医疗人性化。
本研究的独特之处在于深入了解意大利北部 COVID-19 大流行期间，年轻的儿童神经精神病学住院医师在综合医院自愿工作的体验。研究结果表明，这种体验对住院医师和医院的护理质量可能非常有益。为未来医疗保健紧急情况下住院医师的参与提供了准确规划的见解。
