'Death on an industrial scale'- general practice trainees' perceptions and experiences of dying and death during covid-19: an interpretative phenomenological analysis
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View abstract on PubMed
Summary
This summary is machine-generated.General practitioner (GP) trainees experienced heightened emotions and uncertainty when managing patient death during the COVID-19 pandemic. Enhanced support is crucial to prevent moral injury and improve GP wellbeing and patient care.
Area Of Science
- Medical Education
- Palliative Care
- General Practice
Background
- The COVID-19 pandemic increased home deaths in the UK, leading to greater exposure to patient death for general practitioners (GPs).
- GP trainees experienced significant patient death exposure between March and July 2020.
- Understanding these experiences is vital for GP support, wellbeing, and patient-centered care.
Purpose Of The Study
- To explore the experiences of GP trainees managing patient death during the initial phase of the COVID-19 pandemic.
- To identify key themes and challenges faced by GP trainees in end-of-life care during a public health crisis.
- To inform the development of targeted support systems for GP trainees.
Main Methods
- Interpretative Phenomenological Analysis (IPA) was employed.
- Semi-structured interviews were conducted with GP trainees in one region of England.
- Exploration focused on experiences of patient death between March and July 2020.
Main Results
- Seven GP trainees (2 male, 5 female) from diverse settings participated.
- Key themes included heightened emotional responses, managing uncertainty, and the importance of relationships.
- Participants noted positive teamworking but also experienced isolation; some found opportunities in new healthcare flexibility and a renewed appreciation for the NHS.
Conclusions
- GP trainees require enhanced support for managing amplified emotional responses to death and dying in the community.
- Uncertainty in managing patient death can lead to moral injury without adequate support.
- The study highlights the need for supportive environments to mitigate negative psychological impacts on GP trainees.
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