Evidence map›Paper›PMID 35578197›Full record

ArticleBMC health services research2022

Documenting response to COVID-individual and systems successes and challenges: a longitudinal qualitative study.

Natasha Shaukat, Daniyal Mansoor Ali, Rubina Barolia, Butool Hisam, Sheza Hassan, Badar Afzal, Abdus Salam Khan, Meher Angez, Junaid Razzak

Abstract read
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

9 authors.

Natasha ShaukatDepartment of Community Health Sciences, Aga Khan University, Stadium Road, P.O. Box-3500, Karachi, 74800, Pakistan. natasha.shaukat@aku.edu.
Daniyal Mansoor AliCentre of Excellence for Trauma and Emergencies, Aga Khan University, Karachi, Pakistan.
Rubina BaroliaSchool of Nursing and Midwifery, Aga Khan University, Karachi, Pakistan.
Butool HisamCentre of Excellence for Trauma and Emergencies, Aga Khan University, Karachi, Pakistan.
Sheza HassanAga Khan University Medical College, Karachi, Pakistan.
Badar AfzalDepartment of Emergency Medicine, Aga Khan University, Karachi, Pakistan.
Abdus Salam KhanDepartment of Emergency Medicine, Shifa International Hospital, Islamabad, Pakistan.
Meher AngezAga Khan University Medical College, Karachi, Pakistan.
Junaid RazzakCentre of Excellence for Trauma and Emergencies, Aga Khan University, Karachi, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to document the evolution of perceptions of frontline healthcare workers (FHCW) regarding their well-being and the quality of health systems' response to the COVID-19 pandemic over four months in Pakistan.

methodsWe conducted this prospective longitudinal qualitative study during the four months (June-September 2020) coinciding with the peak and trough of the first wave of Pakistan's COVID-19 pandemic. We approached frontline healthcare workers (physicians and nurses) working in emergency departments (ED) in two hospitals using the WhatsApp group of the Pakistan Society of Emergency Physicians (PSEM). Participants were asked to self-record their perception of their wellness and their level of satisfaction with the quality of their hospitals' response to the pandemic. We transcribed, translated, and analysed manually using MAXQDA 2020 software and conducted the thematic analysis to identify themes and sub-themes.

resultsWe invited approximately 200 FHCWs associated with PSEM to participate in the study. Of the 61 who agreed to participate, 27 completed the study. A total of 149 audio recordings were received and transcribed. Three themes and eight sub-themes have emerged from the data. The themes were individual-level challenges, health system-level challenges, and hope for the future. Sub-themes for individual-level challenges were: fear of getting or transmitting infection, feeling demotivated and unappreciated, disappointment due to people's lack of compliance with COVID-19 protocols, physical exhaustion, and fatigue. For the healthcare system, sub-themes were: Infrastructure, logistics, management, and communications response of the hospital/healthcare system and financial stressors. For sub-themes under hope for the future were the improved disease knowledge and vaccine development. The overall perceptions and experiences of FHCWs evolved from fear, grief, and negativity to hope and positivity as the curve of COVID-19 went down.

conclusionThis study shows that the individuals and systems were not prepared to deal with the challenges of the COVID-19 pandemic. The findings highlight the challenges faced by individuals and health systems during the wake of the Covid-19 pandemic. The healthcare workers were emotionally and physically taxed, while the health systems were overwhelmed by COVID-19. The overall perceptions of FHCWs evolved with time and became negative to positive as the curve of COVID-19 went down during the first wave of COVID-19 in Pakistan.

Indexed as

COVID-19SARS-CoV-2Health PersonnelHumansLongitudinal StudiesNursesPakistanPandemicsPhysiciansProspective StudiesQualitative ResearchCOVID-19Frontline healthcare workersHealth system-level challengesHope for the futureIndividual-level challengesProspective longitudinal qualitative study

Identifiers

PMID35578197
PMCPMC9109738

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LicenceCC BY
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Registered trials

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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.