Division of General Pediatrics, Department of Pediatrics (JL Wilder, CM Hark, CH Marcus, AS Winn, EW Pingree), Boston Children's Hospital, Boston, Mass; Harvard Medical School (JL Wilder, CM Hark, CH Marcus, EC Rabinowitz, AS Winn, EW Pingree), Boston, Mass.
Division of General Pediatrics, Department of Pediatrics (JL Wilder, CM Hark, CH Marcus, AS Winn, EW Pingree), Boston Children's Hospital, Boston, Mass; Harvard Medical School (JL Wilder, CM Hark, CH Marcus, EC Rabinowitz, AS Winn, EW Pingree), Boston, Mass.
Acad Pediatr. 2021 Aug;21(6):927-933. doi: 10.1016/j.acap.2021.04.006. Epub 2021 Apr 16.
Resident parents are at the intersection of converging challenges during the coronavirus disease 2019 (COVID-19) pandemic, and their perspective has yet to be explored. This qualitative study aimed to identify themes related to the experience of pediatric resident parents during the COVID-19 pandemic.
We performed semistructured interviews with pediatric residents who were also parents. Using thematic analysis, transcripts were analyzed iteratively until theoretical sufficiency was achieved.
Twelve residents were interviewed from 9 pediatric residency programs. Five major themes, representing conflicts or tensions experienced by participants, were defined by the data: 1) Duty as a doctor versus duty as a parent; 2) Balance of work obligations versus childcare challenges; 3) Appreciation of added support versus worry about peers' perceptions of accommodations; 4) Gratitude for the recognition of challenges faced by resident parents versus fear of reversion to the norm; and 5) Protective impact of parenthood versus challenges to mental health.
Both parents and healthcare workers faced innumerable challenges during the COVID-19 pandemic, and this exploration of the experiences of pediatric resident parents provides a unique lens for examining the tensions that this group faced. Our results may allow residency programs to better support their pediatric resident parents during this crisis.
在 2019 年冠状病毒病（COVID-19）大流行期间，居民父母处于各种挑战的交叉点，但其观点尚未得到探索。本定性研究旨在确定与 COVID-19 大流行期间儿科住院医师父母的经历相关的主题。
我们对同时也是父母的儿科住院医师进行了半结构式访谈。使用主题分析，对转录本进行反复分析，直到达到理论充分性。
从 9 个儿科住院医师培训计划中采访了 12 名住院医师。数据定义了 5 个主要主题，代表参与者经历的冲突或紧张关系：1）作为医生的职责与作为父母的职责；2）工作义务与育儿挑战之间的平衡；3）对额外支持的感激与对同事对住宿看法的担忧；4）对认识到住院医师父母所面临的挑战的感激与对回归常态的恐惧；5）为人父母的保护作用与心理健康挑战。
在 COVID-19 大流行期间，父母和医疗保健工作者都面临着无数的挑战，本研究对儿科住院医师父母的经历进行了探索，为考察该群体所面临的紧张关系提供了一个独特的视角。我们的研究结果可能使住院医师培训计划在这一危机期间更好地为儿科住院医师父母提供支持。
