Evidence map›Paper›PMID 34035110›Full record

ArticleBMJ open2021

Trainee doctors' experiences of learning and well-being while working in intensive care during the COVID-19 pandemic: a qualitative study using appreciative inquiry.

Jennifer Warren, Emma Plunkett, James Rudge, Christina Stamoulis, Tomasz Torlinski, Carolyn Tarrant, Randeep Mullhi

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.7field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. In their own words: Experiences of emergency health care workers during the COVID-19 pandemic.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Jennifer WarrenAnaesthesia and Critical Care Medicine, Queen Elizabeth Hospital Birmingham, Birmingham, UK.
Emma PlunkettAnaesthesia and Critical Care Medicine, Queen Elizabeth Hospital Birmingham, Birmingham, UK.
James RudgeAnaesthesia and Critical Care Medicine, Queen Elizabeth Hospital Birmingham, Birmingham, UK.
Christina StamoulisAnaesthesia and Critical Care Medicine, Queen Elizabeth Hospital Birmingham, Birmingham, UK.
Tomasz TorlinskiAnaesthesia and Critical Care Medicine, Queen Elizabeth Hospital Birmingham, Birmingham, UK.ORCID 0000-0003-2255-5317
Carolyn TarrantSocial Science Applied to Healthcare Improvement Research (SAPPHIRE) Group, Health Sciences, University of Leicester, Leicester, Leicestershire, UK.
Randeep MullhiAnaesthesia and Critical Care Medicine, Queen Elizabeth Hospital Birmingham, Birmingham, UK Randeep.Mullhi@uhb.nhs.uk.ORCID 0000-0002-2387-7126
Queen Elizabeth Hospital Birmingham · GBUniversity of Leicester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesConcern about trainee work-related well-being has been raised in recent years and is the subject of several reviews, reports and research studies. This study aimed to understand the experiences of trainees working in a large intensive care unit during the first surge of the COVID-19 pandemic from an educational and operational perspective in order to highlight what worked and what could be improved.

designA qualitative study using peer-to-peer semistructured interviews, developed using appreciative inquiry methodology, was conducted during July 2020. Responses were analysed using a thematic analysis technique.

settingA large, tertiary intensive care unit in the UK.

participantsAll trainees in anaesthesia and intensive care working on the intensive care unit during the first surge were invited to participate.

resultsForty interviews were conducted and four over-arching themes were identified. These were: feeling safe and supported; physical demands; the emotional burden of caring; and a sense of fulfilment, value and personal development. Positive aspects of the organisational response to the pandemic included communication, personal protective equipment supply, team working and well-being support. Suggestions for improvement focused on rest facilities, rota patterns and hierarchies, creating opportunities for reflection and ensuring continued educational and training opportunities despite operational demands.

conclusionsTrainees described opportunities for learning and fulfilment, as well as challenges, in working through a pandemic. Trainees described their needs and how well these were met during the pandemic. Ideas for improvement most frequently related to basic needs including safety and fatigue, but suggestions also related to supporting learning and development. The appreciative inquiry methodology of the project facilitated effective reflection on positive aspects of trainee experiences.

Indexed as

COVID-19PandemicsCritical CareHumansPersonal Protective EquipmentQualitative ResearchSARS-CoV-2adult anaesthesiaadult intensive & critical careCOVID-19education & training (see medical education & training)

Identifiers

PMID34035110
PMCPMC8154293
OpenAlexW3165261486

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.