Evidence map›Paper›PMID 34301160›Full record

ArticleHome health care services quarterly2021

"I felt useless": a qualitative examination of COVID-19's impact on home-based primary care providers in New York.

Ksenia Gorbenko, Emily Franzosa, Sybil Masse, Abraham A Brody, Orla Sheehan, Bruce Kinosian, Christine S Ritchie, Bruce Leff, Jonathan Ripp, Katherine A Ornstein and 1 more

Abstract read
In one paragraph

Article in Home health care services quarterly, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

11 authors.

Ksenia GorbenkoDepartment of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Emily FranzosaBrookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.ORCID https://orcid.org/0000-0002-7590-0316
Sybil MasseDepartment of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Abraham A BrodyHartford Institute of Geriatric Nursing, Rory Meyers College of Nursing, New York University, New York, New York, USA.
Orla SheehanCenter on Aging and Health, Division of Geriatric Medicine and Gerontology, Johns Hopkins University, Baltimore, Maryland, USA.
Bruce KinosianCenter for Health Equity Research and Promotion, Corporal Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania, USA.
Christine S RitchieDivision of Palliative Care and Geriatric Medicine, Mongan Institute Center for Aging and Serious Illness, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Bruce LeffCenter for Transformative Geriatric Research, Division of Geriatrics, Department of Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Jonathan RippDepartment of Medical Education, Icahn School of Medicine at Mount Sinai, NY, New York, USA.
Katherine A OrnsteinBrookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Alex D FedermanDepartment of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Funding

Home-based Primary Care for Homebound Seniors: a Randomized Controlled TrialR01AG052557 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI FEDERMAN, ALEX D · 2016 to 2020
$3.5M
NIA NIH HHS R01 AG052557
6 · The paper itself

Abstract

Research on professional burnout during the pandemic has focused on hospital-based health care workers. This study examined the psychological impact of the pandemic on home-based primary care (HBPC) providers. We interviewed 13 participants from six HBPC practices in New York City including medical/clinical directors, program managers, nurse practitioners, and social workers and analyzed the transcripts using inductive qualitative analysis approach. HBPC providers experienced emotional exhaustion and a sense of reduced personal accomplishment. They reported experiencing grief of losing many patients at once and pressure to adapt to changing circumstances quickly. They also reported feeling guilty for failing to protect their patients and reduced confidence in their professional expertise. Strategies to combat burnout included shorter on-call schedules, regular condolence meetings to acknowledge patient deaths, and peer support calls. Our study identifies potential resources to improve the well-being and reduce the risk of burnout among HBPC providers.

Indexed as

burnoutCOVID-19crisis managementhealth care workershome based primary carepandemicwell-being

Identifiers

PMID34301160
PMCPMC8783921

What OpenQuestion holds

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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.