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VOLUME 26 , ISSUE 7 ( July, 2022 ) > List of Articles

Original Article

The Impact of COVID-19 on the Clinical Practices, Working Environment, and Social Life of Intensivists in Non-COVID ICU

Tanmoy Ghatak, Ratender K Singh, Anup Kumar, Rupali Patnaik, Om P Sanjeev, Alka Verma

Keywords : Clinical practices, COVID-19, Intensive care unit, Intensivists, Social life, Working environment

Citation Information : Ghatak T, Singh RK, Kumar A, Patnaik R, Sanjeev OP, Verma A. The Impact of COVID-19 on the Clinical Practices, Working Environment, and Social Life of Intensivists in Non-COVID ICU. Indian J Crit Care Med 2022; 26 (7):816-824.

DOI: 10.5005/jp-journals-10071-24245

License: CC BY-NC 4.0

Published Online: 15-07-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Purpose: Enlightening the changes in the usual clinical practices, working environment, and social life of Intensivists working in noncoronavirus disease intensive care units (non-COVID ICU) during the COVID pandemic. Materials and methods: Observational cross-sectional study for Indian intensivists working in non-COVID ICUs conducted between July and September 2021. A 16-question online survey consisting of the work and social profile of the participating intensivists, changes in the usual clinical practices, working environment, and impact on their social life was administered. For the last three sections, intensivists were asked to compare pandemic times to prepandemic times (pre-mid-March 2020). Results: The number of invasive interventions performed by intensivists working in the private sector with lesser clinical experience (<12 years) were significantly less as compared to the government sector (p = 0.07) and clinically experienced (p = 0.07). Intensivists without comorbidities performed significantly lesser number of patient examinations (p = 0.03). The cooperation from healthcare workers (HCWs) decreased significantly with lesser experienced intensivists (p = 0.05). Leaves were significantly reduced in case of private sector intensivists (p = 0.06). Lesser experienced intensivists (p = 0.06) and intensivists working in the private sector (p = 0.06) spent significantly lesser time with family. Conclusion: Coronavirus disease-2019 (COVID-19) affected the non-COVID ICUs as well. Young and private sector intensivists were affected due to less leaves and family time. HCWs need proper training for better cooperation during the pandemic time.


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  1. Jagiasi BG, Chanchalani G, Nasa P, Tekwani S. Impact of COVID-19 pandemic on the emotional well-being of healthcare workers: a multinational cross-sectional survey. Indian J Crit Care Med 2021;25(5):499–506. DOI: 10.5005/jp-journals-10071-23806.
  2. Greenberg N, Weston D, Hall C, Caulfield T, Williamson V, Fong K. Mental health of staff working in intensive care during Covid-19. Occup Med (Lond) 2021;71(2):62–67. DOI: 10.1093/occmed/kqaa220.
  3. Arabi YM, Azoulay E, Al-Dorzi HM, Phua J, Salluh J, Binnie A, et al. How the COVID-19 pandemic will change the future of critical care. Intensive Care Med 2021;47(3):282–291. DOI: 10.1007/s00134-021-06352-y.
  4. Azoulay E, Cariou A, Bruneel F, Demoule A, Kouatchet A, Reuter D, et al. Symptoms of anxiety, depression, and peritraumatic dissociation in critical care clinicians managing patients with COVID-19. A cross-sectional study. Am J Respir Crit Care Med 2020;202(10):1388–1398. DOI: 10.1164/rccm.202006-2568OC.
  5. Rosenbaum L. The untold toll–the pandemic's effects on patients without Covid-19. N Engl J Med 2020;382:2368–2371. DOI: 10.1056/NEJMms2009984.
  6. Ruangsomboon O, Boonmee P, Nimmannit A. The COVID-19 pandemic: the effect on airway management in non-COVID emergency patients. BMC Emerg Med 2021;21(1):1. DOI: 10.1186/s12873-021-00491-7.
  7. Johnson SB, Butcher F. Doctors during the COVID-19 pandemic: what are their duties and what is owed to them? J Med Ethics 2021;47:12–15. DOI: 10.1136/medethics-2020-106266.
  8. Chakma T, Thomas BE, Kohli S, Moral R, Menon GR, Periyasamy M, et al. Psychosocial impact of COVID-19 pandemic on healthcare workers in India & their perceptions on the way forward–a qualitative study. Indian J Med Res 2021;153(5-6):637–648. DOI: 10.4103/ijmr.ijmr_2204_21.
  9. Moss M, Good VS, Gozal D, Kleinpell R, Sessler CN. A critical care societies collaborative statement: burnout syndrome in critical care healthcare professionals. A call for action. Am J Respir Crit Care Med 2016;194:106–113. DOI: 10.1164/rccm.201604-0708ST.
  10. Misra A. Doctors and healthcare workers at frontline of COVID-19 epidemic: admiration, a pat on the back, and need for extreme caution. Diabetes Metab Syndr 2020;14(2):255–256. DOI: 10.1016/j.dsx.2020.03.006.
  11. Khasne RW, Dhakulkar BS, Mahajan HC, Kulkarni AP. Burnout among Healthcare Workers during COVID-19 Pandemic in India: Results of a Questionnaire-based Survey. Indian J Crit Care Med 2020;24(8): 664–671. DOI: 10.5005/jp-journals-10071-23518.
  12. Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. Brain Behav Immun 2020;88:901–907. DOI: 10.1016/j.bbi.2020.05.026.
  13. Schwartz AR. Doubtful duty: physicians’ legal obligation to treat during an epidemic. Stanford Law Rev 2007;60(2):657–694. PMID: 18357657.
  14. Ruderman C, Tracy CS, Bensimon CM, Bernstein M, Hawryluck L, Shaul RZ, et al. On pandemics and the duty to care: whose duty? Who cares? BMC Med Ethics 2006;7:E5. DOI: 10.1186/1472-6939-7-5.
  15. Loera B, Converso D, Viotti S. Evaluating the psychometric properties of the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) among Italian nurses: how many factors must a researcher consider? PLoS One 2014;9(12):e114987. DOI: 10.1371/journal.pone.0114987.
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