Evidence map›Paper›PMID 34344683›Full record

ArticleBMJ open2021

Perceptions and experiences of healthcare providers during COVID-19 pandemic in Karachi, Pakistan: an exploratory qualitative study.

Anam Shahil Feroz, Nousheen Akber Pradhan, Zarak Hussain Ahmed, Mashal Murad Shah, Nargis Asad, Sarah Saleem, Sameen Siddiqi

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 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Stigmatization from Work-Related COVID-19 Exposure: A Systematic Review with Meta-Analysis.International journal of environmental research and public health · 2021
    Pooled it
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  11. Healthcare workers' experiences in caring for critically ill COVID-19 patients at a tertiary hospital in Malawi.Malawi medical journal : the journal of Medical Association of Malawi · 2022
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  12. Article
  13. Making It Work: The Experiences of Delivering a Community Mental Health Service during the COVID-19 Pandemic.International journal of environmental research and public health · 2022
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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 1 institution in 2 countries.

Anam Shahil FerozDalla Lana School of Public Health, Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, Ontario, Canada anam.shahil@mail.utoronto.ca.ORCID 0000-0003-0180-0213
Nousheen Akber PradhanDepartment of Community Health Sciences, Aga Khan University, Karachi, Sindh, Pakistan.
Zarak Hussain AhmedDepartment of Community Health Sciences, Aga Khan University, Karachi, Sindh, Pakistan.
Mashal Murad ShahDepartment of Community Health Sciences, Aga Khan University, Karachi, Sindh, Pakistan.
Nargis AsadDepartment of Psychiatry, Aga Khan University, Karachi, Sindh, Pakistan.
Sarah SaleemDepartment of Community Health Sciences, Aga Khan University, Karachi, Sindh, Pakistan.
Sameen SiddiqiDepartment of Community Health Sciences, Aga Khan University, Karachi, Sindh, Pakistan.ORCID 0000-0001-8289-0964
Aga Khan University · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore healthcare provider's perspectives and experiences of the barriers and facilitators to treat and manage COVID-19 cases. DESIGN AND

settingWe conducted an exploratory qualitative study using a purposive sampling approach, at a private tertiary care teaching hospital in Karachi, Pakistan. Study data were analysed manually using the conventional content analysis technique.

participantsKey-informant interviews (KIIs) were conducted with senior management and hospital leadership and in-depth interviews (IDIs) were conducted with front-line healthcare providers.

resultsA total of 31 interviews (KIIs=19; IDIs=12) were conducted, between April and May 2020. Three overarching themes emerged. The first was 'challenges faced by front-line healthcare providers working in COVID-19 wards. Healthcare workers experienced increased anxiety due to the fear of acquiring infection and transmitting it to their family members. They felt overwhelmed due to the exhaustive donning and doffing process, intense work and stigmatisation. The second theme was 'enablers supporting healthcare providers to deal with the COVID-19 pandemic'. Front liners pointed out several enabling factors that supported hospital staff including a safe hospital environment, adequate training, a strong system of information sharing and supportive management. The third theme was 'recommendations to support the healthcare workforce during the COVID-19 crisis'. Healthcare workers recommended measures to mitigate current challenges including providing risk allowance to front-line healthcare providers, preparing a backup health workforce, and establishing a platform to address the mental health needs of the healthcare providers.

conclusionThis study provides an initial evidence base of healthcare providers' experiences of managing patients with COVID-19 in the early stage of the pandemic and highlights measures needed to address the encountered challenges. It offers lessons for hospitals in low-income and middle-income countries to ensure a safe working environment for front-line workers in their fight against COVID-19.

Indexed as

COVID-19PandemicsHumansPakistanPerceptionPersonnel, HospitalQualitative ResearchSARS-CoV-2COVID-19public health

Identifiers

PMID34344683
PMCPMC8338319
OpenAlexW3189348406

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.