Evidence map›Paper›PMID 37399436›Full record

ArticleBMJ open2023

Resilience among primary care professionals in a time of pandemic: a qualitative study in the Spanish context.

Ana María Palmar-Santos, Azucena Pedraz Marcos, Laura Alicia Rubio-Casado, Montserrat Pulido-Fuentes, María Eva García-Perea, Maria Victoria Navarta-Sanchez

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

0 citing papers in PubMed, 4 citations in OpenAlex.

No citing paper in PubMed yet.

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

6 authors at 4 institutions in 1 country.

Ana María Palmar-SantosDeparment of Nursing, Autonomous University of Madrid, Madrid, Spain.ORCID 0000-0003-2294-390X
Azucena Pedraz MarcosCarlos III Health Institute, Madrid, Spain azucena.pedraz@isciii.es.ORCID 0000-0002-4641-6891
Laura Alicia Rubio-CasadoMadrid Health Service, Madrid, Spain.ORCID 0000-0002-1784-6008
Montserrat Pulido-FuentesCastilla-La Mancha University Faculty of Health Sciences, Talavera de la Reina, Spain.ORCID 0000-0003-1975-3929
María Eva García-PereaDeparment of Nursing, Autonomous University of Madrid, Madrid, Spain.ORCID 0000-0002-6972-3261
Maria Victoria Navarta-SanchezDeparment of Nursing, Autonomous University of Madrid, Madrid, Spain.ORCID 0000-0002-9122-2260
Universidad Autónoma de Madrid · ESInstituto de Salud Carlos III · ESMadrid Health Service · ESUniversity of Castilla-La Mancha · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study explores the impact of the COVID-19 pandemic on the Spanish primary care structure and services and the mechanisms implemented by the primary care workforce to restore and reinforce their reference care model.

designAn exploratory, qualitative study with semistructured interviews and a focus group discussion conducted during the fall semester of 2020.

settingPrimary health centres in Madrid (Spain), chosen based on factors such as infection rates during the earliest stages of the pandemic and demographic and socioeconomic aspects.

participantsA total of 19 primary health and social care professionals were purposively selected. Criteria for inclusion were gender (male/female), at least 5 years of experience in their current position, category (health/social/administrative worker), and whether they worked in a rural or urban healthcare setting.

resultsTwo main themes were identified: (1) reflecting on a model in crisis-particularly the reopening of centres to users and the proactive, participative strategies implemented by primary care professionals to reach their community; and (2) regaining a sense of purpose-how healthcare professionals implemented strategies to sustain their vision of their reference model. The COVID-19 pandemic exposed leadership deficiencies that, together with the initial unavailability of resources and difficulties maintaining face-to-face contact with users, triggered a sense of loss of professional identity. On the other hand, the analysis revealed potential strategies to restore and reinforce the traditional model, such as the adoption of digital technologies and reliance on community networks.

conclusionThis study highlights the importance of a solid reference framework and enhances the strengths and skills of the workforce to reinforce the community-based service provision model.

Indexed as

COVID-19PandemicsDelivery of Health CareFemaleHumansMalePrimary Health CareQualitative ResearchCare ManagementCommunity Health SystemCOVID-19Healthcare ProfessionalsHealthcare WorkersPrimary CareResilience

Identifiers

PMID37399436
PMCPMC10314578
OpenAlexW4382798941

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.