ArticleCritical care medicine2022
Wellness and Coping of Physicians Who Worked in ICUs During the Pandemic: A Multicenter Cross-Sectional North American Survey.
Article in Critical care medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 30 citations in OpenAlex.
- STOPTHEBURN: A Randomized Controlled Trial of Death Cafés for Burnout Prevention in Intensive Care Unit Employees.Annals of the American Thoracic Society · 2024Trial
- Ketamine sedation in the intensive care unit: a survey of Canadian intensivists.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2024Trial
- Decision volume and temporal workload structure as dissociable correlates of fatigue and mood in intensive care physicians: a real-time observational study.Critical care (London, England) · 2026Observational
- Posttraumatic Growth in Intensive Care Unit Health Care Professionals After COVID-19.JAMA network open · 2025Article
- Healthcare resource use and costs among patients with COVID-19 in the United States.BMC health services research · 2025Article
- The Real-World Effect of Early Screening for Palliative Care Criteria in a Medical Intensive Care Unit: An Instrumental Variable Analysis.Annals of the American Thoracic Society · 2025Article
- Pulmonary and Critical Care Medicine Trainees' Educational Experiences and Well-Being During the COVID-19 Pandemic.Advances in medical education and practice · 2025Article
- Healthcare Provider Experiences With Unvaccinated COVID-19 Patients: A Qualitative Study.Critical care explorations · 2024Article
- Quality improvement collaborative for improving patient care delivery in Argentine public health sector intensive care units.BMJ open quality · 2024Article
- Eye on the Prize: Patient Outcomes Research in Medical Education.ATS scholar · 2024Article
- Keys to Successful Survey Research in Health Professions Education.ATS scholar · 2024Review
- "Being prevented from providing good care: a conceptual analysis of moral stress among health care workers during the COVID-19 pandemic".BMC medical ethics · 2023Article
- Excess mortality among non-COVID-19 surgical patients attributable to the exposure of French intensive and intermediate care units to the pandemic.Intensive care medicine · 2023Observational
- The Relationship Between Emotional Intelligence and Coping Behaviors Among Nurses in the Neonatal Intensive Care Unit.SAGE open nursingArticle
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Authors and funding
67 authors at 20 institutions in 2 countries.
Funding
Abstract
objectivesFew surveys have focused on physician moral distress, burnout, and professional fulfilment. We assessed physician wellness and coping during the COVID-19 pandemic.
designCross-sectional survey using four validated instruments.
settingSixty-two sites in Canada and the United States. SUBJECTS: Attending physicians (adult, pediatric; intensivist, nonintensivist) who worked in North American ICUs.
interventionNone. MEASUREMENTS AND MAIN
resultsWe analysed 431 questionnaires (43.3% response rate) from 25 states and eight provinces. Respondents were predominantly male (229 [55.6%]) and in practice for 11.8 ± 9.8 years. Compared with prepandemic, respondents reported significant intrapandemic increases in days worked/mo, ICU bed occupancy, and self-reported moral distress (240 [56.9%]) and burnout (259 [63.8%]). Of the 10 top-ranked items that incited moral distress, most pertained to regulatory/organizational ( n = 6) or local/institutional ( n = 2) issues or both ( n = 2). Average moral distress (95.6 ± 66.9), professional fulfilment (6.5 ± 2.1), and burnout scores (3.6 ± 2.0) were moderate with 227 physicians (54.6%) meeting burnout criteria. A significant dose-response existed between COVID-19 patient volume and moral distress scores. Physicians who worked more days/mo and more scheduled in-house nightshifts, especially combined with more unscheduled in-house nightshifts, experienced significantly more moral distress. One in five physicians used at least one maladaptive coping strategy. We identified four coping profiles (active/social, avoidant, mixed/ambivalent, infrequent) that were associated with significant differences across all wellness measures.
conclusionsDespite moderate intrapandemic moral distress and burnout, physicians experienced moderate professional fulfilment. However, one in five physicians used at least one maladaptive coping strategy. We highlight potentially modifiable factors at individual, institutional, and regulatory levels to enhance physician wellness.
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