TY - JOUR
T1 - Psychologic wellness of PA, NP, and physician hospitalists during the COVID-19 pandemic
AU - Dugani, Sagar B.
AU - Fischer, Karen M.
AU - Geyer, Holly L.
AU - Maniaci, Michael J.
AU - Croghan, Ivana T.
AU - Burton, M. Caroline
N1 - Publisher Copyright:
© 2022 American Academy of Physician Associates.
PY - 2022/5/1
Y1 - 2022/5/1
N2 - Objectives:Hospitalists, comprising PAs, NPs, and physicians, manage patients hospitalized with COVID-19. To guide the development of support programs, this study compared the psychologic wellness of hospitalist PAs, NPs, and physicians during the COVID-19 pandemic.Methods:We surveyed hospitalists in 16 hospitals at Mayo Clinic, from May 4 to 25, 2020. We used PROMIS surveys for self-reported global well-being (two single-item measures), anxiety, social isolation, and emotional support, before and during the pandemic. Linear and logistic regression models were adjusted for personal and professional factors.Results:The response rate was 52.2% (N = 154/295). In adjusted linear regression models, the change in scores (before minus during pandemic) for anxiety, social isolation, and emotional support was similar for PAs and NPs compared with physicians. In adjusted logistic regression models, physicians, compared with PAs and NPs, had a higher odds of top global well-being for mental health (adjusted odds ratio [95% confidence interval]: 2.82 [1.12, 7.13]; P =.03) and top global well-being for social activities and relationships (adjusted odds ratio 4.08 [1.38, 12.08]; P =.01).Conclusions:During the COVID-19 pandemic, global well-being was lower for PAs and NPs compared with physician hospitalists. These results can guide support programs for hospitalists.
AB - Objectives:Hospitalists, comprising PAs, NPs, and physicians, manage patients hospitalized with COVID-19. To guide the development of support programs, this study compared the psychologic wellness of hospitalist PAs, NPs, and physicians during the COVID-19 pandemic.Methods:We surveyed hospitalists in 16 hospitals at Mayo Clinic, from May 4 to 25, 2020. We used PROMIS surveys for self-reported global well-being (two single-item measures), anxiety, social isolation, and emotional support, before and during the pandemic. Linear and logistic regression models were adjusted for personal and professional factors.Results:The response rate was 52.2% (N = 154/295). In adjusted linear regression models, the change in scores (before minus during pandemic) for anxiety, social isolation, and emotional support was similar for PAs and NPs compared with physicians. In adjusted logistic regression models, physicians, compared with PAs and NPs, had a higher odds of top global well-being for mental health (adjusted odds ratio [95% confidence interval]: 2.82 [1.12, 7.13]; P =.03) and top global well-being for social activities and relationships (adjusted odds ratio 4.08 [1.38, 12.08]; P =.01).Conclusions:During the COVID-19 pandemic, global well-being was lower for PAs and NPs compared with physician hospitalists. These results can guide support programs for hospitalists.
KW - Burnout
KW - Hospital practice
KW - Nps
KW - Pas
KW - Psychologic well-being
KW - Staff support
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U2 - 10.1097/01.JAA.0000824964.37126.d8
DO - 10.1097/01.JAA.0000824964.37126.d8
M3 - Article
C2 - 35421872
AN - SCOPUS:85129450089
SN - 1547-1896
VL - 35
SP - 45
EP - 53
JO - Journal of the American Academy of Physician Assistants
JF - Journal of the American Academy of Physician Assistants
IS - 5
ER -