Vaughn Rachel M, Bagatell Nancy, McGovern Heather, Feinberg Raiya, Hendry Katherine, Chowdhury Ramis, Cassidy Jessica M
Department of Health Sciences, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Qual Res Med Healthc. 2023 Apr 27;7(1):10823. doi: 10.4081/qrmh.2023.10823.
The year 2020 represents a historically turbulent period for the United States marked by the COVID-19 pandemic, a contentious political season, and heightened awareness of racism among citizens. This intersection of medicine, politics, and social unrest generated a demanding clinical environment for healthcare workers, including understudied groups such as physical therapists, occupational therapists, and speech-language pathologists. This descriptive qualitative study focused on experiences and perspectives of clinical rehabilitation therapists working in inpatient rehabilitation and acute-care units from September to November, 2020. Thirteen participants completed individual, semi-structured interviews focused on clinical practice and coping strategies. The analysis included a multi-step, inductive process. Four interconnecting factors chronicling participants' experiences emerged: sociopolitical, institutional, hospital unit, and personal. Stressors and buffers were noted that further shaped individual experiences. Utilization of an ecological framework provided a way to recognize the impact of a complex range of social and environmental factors affecting participants' experiences on personal and professional levels. Awareness of rehabilitation therapists' experiences enriches understanding of the pandemic's effect on healthcare workers and presents clinical implications for healthcare systems to promote therapist well-being.
2020年对美国来说是一个历史动荡时期，其标志是新冠疫情、充满争议的政治季以及公民对种族主义的更高认知。医学、政治和社会动荡的这种交织给医护人员带来了苛刻的临床环境，其中包括物理治疗师、职业治疗师和言语语言病理学家等研究不足的群体。这项描述性定性研究聚焦于2020年9月至11月期间在住院康复和急症护理病房工作的临床康复治疗师的经历和观点。13名参与者完成了以临床实践和应对策略为重点的个人半结构化访谈。分析采用了多步骤归纳法。记录参与者经历的四个相互关联的因素浮现出来：社会政治、机构、医院科室和个人。研究指出了压力源和缓冲因素，这些进一步塑造了个人经历。运用生态框架提供了一种方式，来认识一系列复杂社会和环境因素对参与者个人和职业层面经历的影响。了解康复治疗师的经历丰富了对疫情对医护人员影响的理解，并为医疗系统提出了促进治疗师福祉的临床意义。
