Explorando las percepciones y experiencias de estudiantes de medicina en la atención a pacientes diagnosticados con COVID-19: un análisis de contenido cualitativo
DOI:
https://doi.org/10.17533/udea.iatreia.200Keywords:
COVID-19, Estudiantes de medicina, Investigación cualitativa, Infecciones por coronavirus, Atención integral de salud, Anciano, PandemiasAbstract
Introducción: los estudiantes de medicina enfrentaron numerosos problemas para combatir la pandemia de COVID-19, en la que fueron los miembros del personal médico con menos experiencia. Conocer el impacto de esta pandemia en los estudiantes de medicina es fundamental para gestionar y controlar sus efectos adversos.
Objetivo: este estudio tuvo como objetivo explorar las percepciones y experiencias de los estudiantes de medicina durante la pandemia de COVID-19.
Métodos: realizamos un estudio cualitativo en mayo y junio del 2020, el cual involucró entrevistas telefónicas semiestructuradas con 19 estudiantes de medicina. Los datos fueron recolectados a través de entrevistas telefónicas en profundidad y analizados con el software MAXQDA 10. Se utilizó el análisis de contenido convencional propuesto por Graneheim y Lundman.
Resultados: surgieron treinta subcategorías, seis categorías y tres temas del análisis de datos. Los temas incluían paradojas mentales y emocionales percibidas (sentimientos placenteros complicados por sentimientos y emociones negativas), enfrentarse a una catástrofe (enfrentarse a la falta de equipo y a una gestión desorganizada; trabajar en medio de la confusión) e intentar adaptarse a situaciones desagradables (esfuerzos individuales hacia el ajuste psicológico; intento de resiliencia como profesional).
Conclusión: la pandemia del COVID-19 tuvo múltiples efectos emocionales, educativos y laborales, tanto positivos como negativos, en los estudiantes de medicina. Este estudio destacó estos efectos al explorar las experiencias de los estudiantes. Se recomienda el diseño de un plan de respuesta organizado ante una pandemia, el cual contemple varios aspectos de la educación de los estudiantes de medicina, así como la atención al paciente y las habilidades para afrontar futuras pandemias.
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References
(1) World Health Organization. WHO Timeline - COVID-19. [Internet]. 2020. [Consultado 9 de octubre de 2020]. Disponible en: https://www.who.int/news-room/detail/27-04-2020-who-timeline---covid-19.
(2) World Health Organization. Naming the coronavirus disease (COVID-19) and the virus that causes it 2020. [Internet]. 2020. [Consultado 9 de octubre de 2020]. Disponible en: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/naming-the-coronavirus-disease-(covid-2019)-and-the-virus-that-causes-it
(3) Tabari P, Amini M, Moghadami M, Moosavi M. International Public Health Responses to COVID-19 Outbreak: A Rapid Review. Iran J Med Sci [Internet]. 2020;45(3):157-69. https://doi.org/10.30476/ijms.2020.85810.1537
(4) Liu Q, Luo D, Haase JE, Guo Q, Wang XQ, Liu S, et al. The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study. Lancet Glob Health [Internet]. 2020;8(6): e790-98. https://doi.org/10.1016/S2214-109X(20)30204-7
(5) Rose S. Medical Student Education in the Time of COVID-19. JAMA [Internet]. 2020; 323(21):2131-32. https://doi.org/10.1001/jama.2020.5227
(6) Nolan H, Owen K. Qualitative exploration of medical student experiences during the Covid-19 pandemic: implications for medical education. BMC Med Educ [Internet]. 2021;21(1):285. https://doi.org/10.1186/s12909-021-02726-4
(7) Al Knawy BA, Al-Kadri HMF, Elbarbary M, Arabi Y, Balkhy HH, Clark A. Perceptions of postoutbreak management by management and healthcare workers of a Middle East respiratory syndrome outbreak in a tertiary care hospital: a qualitative study. BMJ Open [Internet]. 2019:9(5):e017476. https://doi.org/10.1136/bmjopen-2017-017476
(8) Pincha-Baduge MS, Moss C, Morphet J. Emergency nurses’ perceptions of emergency department preparedness for an ebola outbreak: A qualitative descriptive study. Australas Emerg Nurs J [Internet]. 2017; 20(2): 69-7. https://doi.org/10.1016/j.aenj.2017.02.003
(9) Broom J, Broom A, Bowden V. Ebola outbreak preparedness planning: a qualitative study of clinicians’ experiences. Public Health [Internet]. 2017;143:103-8. DOI https://doi.org/10.1016/j.puhe.2016.11.008.
(10) Liang Y, Wu K, Zhou Y, Huang X, Zhou Y, Liu Z. Mental Health in Frontline Medical Workers during the 2019 Novel Coronavirus Disease Epidemic in China: A Comparison with the General Population. Int J Environ Res Public Health [Internet]. 2020;17(18):6550. https://doi.org/10.3390/ijerph17186550
(11) Preti E, Di-Mattei V, Perego G, Ferrari F, Mazzetti M, Taranto P, et al. The Psychological Impact of Epidemic and Pandemic Outbreaks on Healthcare Workers: Rapid Review of the Evidence. Curr Psychiatry Rep [Internet]. 2020;22(8):43. https://doi.org/10.1007/s11920-020-01166-z
(12) Zhang WR, Wang K, Yin L, Zhao WF, Xue Q, Peng M, et al. Mental Health and Psychosocial Problems of Medical Health Workers during the COVID-19 Epidemic in China. Psychother Psychosom [Internet]. 2020;89(4):242-50. https://doi.org/10.1159/000507639
(13) Parsons-Leigh J, Kemp LG, de-Grood C, Brundin-Mather R, Stelfox HT, Ng-Kamstra JS, et al. A qualitative study of physician perceptions and experiences of caring for critically ill patients in the context of resource strain during the first wave of the COVID-19 pandemic. BMC Health Serv Res[Internet]. 2021;21(1):374. https://doi.org/10.1186/s12913-021-06393-5
(14) Liberati E, Richards N, Willars J, Scott D, Boydell N, Parker J, et al. A qualitative study of experiences of NHS mental healthcare workers during the Covid-19 pandemic. BMC Psychiatry [Internet]. 2021;21(1):250. https://doi.org/10.1186/s12888-021-03261-8
(15) Catania G, Zanini M, Hayter M, Timmins F, Dasso N, Ottonello G, et al. Lessons from Italian front‐line nurses’ experiences during the COVID‐19 pandemic: A qualitative descriptive study. J Nurs Manag [Internet]. 2021; 29(3):404-11. https://doi.org/10.1111/jonm.13194
(16) Khalil R, Mansour AE, Fadda WA, Almisnid K, Aldamegh M, Al-Nafeesah A, et al. The sudden transition to synchronized online learning during the COVID-19 pandemic in Saudi Arabia: a qualitative study exploring medical students’ perspectives. BMC Med Educ [Internet]. 2020; 20(1):285. https://doi.org/10.1186/s12909-020-02208-z
(17) Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today [Internet]. 2004; 24(2):105-12. https://doi.org/10.1016/j.nedt.2003.10.001
(18) Lincoln YS, Denzin NK. The Sage Handbook of Qualitative Research. 4th ed. SAGE Publications: US (Thousand Oaks); 2011.
(19) Sun N, Wei L, Shi S, Jiao D, Song R, Ma L, et al. A qualitative study on the psychological experience of caregivers of COVID-19 patients. Am J Infect Control [Internet]. 2020; 48(6): 592-98. https://doi.org/10.1016/j.ajic.2020.03.018
(20) Kang L, Li Y, Hu S, Chen M, Yang C, Yang BX, et al. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. Lancet Psychiatry. 2020;7(3):e14. https://doi.org/10.1016/S2215-0366(20)30047-X
(21) Su TP, Lien TC, Yang CY, Su YL, Wang JH, Tsai, SL et al. Prevalence of psychiatric morbidity and psychological adaptation of the nurses in a structured SARS caring unit during outbreak: a prospective and periodic assessment study in Taiwan. J Psychiatr Res [Internet]. 2007;41(1-2):119-30. DOI 10.1016/j.jpsychires.2005.12.006.
(22) Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry. 2020;7(3):228-29. https://doi.org/10.1016/S2215-0366(20)30046-8
(23) Eftekhar-Ardebili M, Naserbakht M, Bernstein C, Alazmani-Noodeh F, Hakimi H, Ranjbar H. Healthcare providers experience of working during the COVID-19 pandemic: a qualitative study. Am J Infect Control [Internet]. 2021;49(5):547-54. https://doi.org/10.1016/j.ajic.2020.10.001
(24) Mak WW, Law RW, Woo J, Cheung FM, Lee D. Social support and psychological adjustment to SARS: The mediating role of self-care self-efficacy. Psychol Health [Internet]. 2009; 24(2):161-74. https://doi.org/10.1080/08870440701447649
(25) Main A, Zhou Q, Ma Y, Luecken LJ, Liu X. Relations of SARS-related stressors and coping to Chinese college students’ psychological adjustment during the 2003 Beijing SARS epidemic. J Couns Psychol [Internet]. 2011;58(3):410-23. https://doi.org/10.1037/a0023632
(26) Munawar K, Choudhry FR. Exploring stress coping strategies of frontline emergency health workers dealing Covid-19 in Pakistan: A qualitative inquiry. Am J Infect control [Internet]. 2021;49(3): 286-92. https://doi.org/10.1016/j.ajic.2020.06.214
(27) Ardekani A, Hosseini SA, Tabari P, Rahimian Z, Feili A, Amini M, et al. Student support systems for undergraduate medical students during the COVID-19 pandemic: a systematic narrative review of the literature. BMC Med Educ [Internet]. 2021;21(1):352. https://doi.org/10.1186/s12909-021-02791-9
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