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Article

The COVID-19 Clinician Cohort (CoCCo) Study: Empirically Grounded Recommendations for Forward-Facing Psychological Care of Frontline Doctors

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Department of Psychology, University of Bath, Bath BA2 7AY, UK
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North Bristol NHS Trust, Bristol BS10 5NB, UK
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Centre for Academic Child Health, University of Bristol Medical School, Bristol BS8 1QU, UK
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School of Science, Bath Spa University, Bath BA2 9BN, UK
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HAS-Nursing and Midwifery, University of West England Bristol, Bristol BS16 1QY, UK
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Department of Psychiatry, University of Oxford, Oxford OX1 2JD, UK
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Royal College of Emergency Medicine, London EC4A 1DT, UK
*
Author to whom correspondence should be addressed.
Academic Editors: Lonnie R. Snowden and Holly Blake
Int. J. Environ. Res. Public Health 2021, 18(18), 9675; https://doi.org/10.3390/ijerph18189675
Received: 8 July 2021 / Revised: 4 September 2021 / Accepted: 6 September 2021 / Published: 14 September 2021
(This article belongs to the Special Issue Workplace Health and Wellbeing during and beyond COVID-19)
This study aimed to develop empirically grounded recommendations and a coherent model of psychological care derived from the experiences and psychological care needs of COVID-19 frontline doctors, using semi-structured interviews and thematic analysis. Participants were UK frontline doctors specialising in Emergency Medicine, Anaesthetics, or Intensive Care (n = 31) purposively sampled for maximum variation on gender, specialty, ethnicity, and trauma-related distress; most worked in ICU during the pandemic (71%). Four themes were derived: (1) ‘coping strategies’, participants used many, including exercise, mindfulness, and “wait until it gets really bad”; (2) ‘sources of support’, participants valued embedded psychological support, digital services, and informal conversations with colleagues or family, though there was little opportunity; (3) ‘organisational influences on wellbeing’, participants reported a love–hate relationship for concepts like ‘wellbeing’, seen as important but insulting when basic workplace needs were unmet; (4) ‘improving engagement with support’, analysis suggests we must reduce physical and psychological barriers to access and encourage leaders to model psychologically supportive behaviours. Doctors’ frontline COVID-19 working experiences shine a ‘spotlight’ on pre-existing problems such as lack of physical resources and access to psychological care. Empirically grounded recommendations and a model of incremental psychological care are presented for use in clinical services. View Full-Text
Keywords: COVID-19; frontline workers; healthcare workers; qualitative research; trauma; psychological support; occupational health; guidelines COVID-19; frontline workers; healthcare workers; qualitative research; trauma; psychological support; occupational health; guidelines
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MDPI and ACS Style

Daniels, J.; Ingram, J.; Pease, A.; Wainwright, E.; Beckett, K.; Iyadurai, L.; Harris, S.; Donnelly, O.; Roberts, T.; Carlton, E. The COVID-19 Clinician Cohort (CoCCo) Study: Empirically Grounded Recommendations for Forward-Facing Psychological Care of Frontline Doctors. Int. J. Environ. Res. Public Health 2021, 18, 9675. https://doi.org/10.3390/ijerph18189675

AMA Style

Daniels J, Ingram J, Pease A, Wainwright E, Beckett K, Iyadurai L, Harris S, Donnelly O, Roberts T, Carlton E. The COVID-19 Clinician Cohort (CoCCo) Study: Empirically Grounded Recommendations for Forward-Facing Psychological Care of Frontline Doctors. International Journal of Environmental Research and Public Health. 2021; 18(18):9675. https://doi.org/10.3390/ijerph18189675

Chicago/Turabian Style

Daniels, Jo, Jenny Ingram, Anna Pease, Elaine Wainwright, Kate Beckett, Lalitha Iyadurai, Sophie Harris, Olivia Donnelly, Tom Roberts, and Edward Carlton. 2021. "The COVID-19 Clinician Cohort (CoCCo) Study: Empirically Grounded Recommendations for Forward-Facing Psychological Care of Frontline Doctors" International Journal of Environmental Research and Public Health 18, no. 18: 9675. https://doi.org/10.3390/ijerph18189675

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