Back to Search
Start Over
Experiences and Insights from the Early US COVID-19 Epicenter: A Rapid Assessment Procedure Informed Clinical Ethnography Case Series
- Source :
- Psychiatry, Psychiatry, vol 83, iss 2
- Publication Year :
- 2020
- Publisher :
- Informa UK Limited, 2020.
-
Abstract
- ObjectiveThe Coronavirus disease (COVID-19) outbreak has evolved into a pandemic crisis, with King County in Washington State emerging as the early US epicenter. A literature review revealed few reports providing front-line clinical and research teams guidance related to multilevel, rapidly evolving COVID-19 directives.MethodThe Rapid Assessment Procedure Informed Clinical Ethnography (RAPICE) method was used to develop a clinical case series and conduct participant observation during an ongoing comparative effectiveness trial of peer-integrated, patient-centered interventions after traumatic injury. Participants were patients enrolled in the intervention arm of the ongoing trial, as well as front-line clinicians, patient peer interventionists, and clinical research team members implementing the trial. All participants were exposed to the Washington State COVID-19 outbreak.ResultsPrimary and secondary COVID-19 prevention strategies were feasibly integrated into ongoing care coordination and behavioral interventions for at-risk patients. Beyond the compilation of case studies, as an iterative method, RAPICE data collection naturalistically evolved to include observations of intervention team activity occurring within the larger pandemic epicenter context. A daily clinical research team huddle that flexibly accommodated virtual participation was also feasibly implemented.ConclusionsPrimary and secondary COVID-19 prevention strategies can be feasibly integrated into ongoing clinical interventions during the pandemic. Routine, proactive clinical and research team communication that transparently addresses ethical tensions and health-sustaining activities may promote well-being for providers grappling with rapidly evolving pandemic directives. Proactive assessments of individual provider vulnerabilities for severe COVID-19 related respiratory illness may also be a crucial element of the health care system pandemic responses.
- Subjects :
- Male
History
Criminology
Medical and Health Sciences
01 natural sciences
0302 clinical medicine
Pandemic
80 and over
Viral
030212 general & internal medicine
Community Health Services
Randomized Controlled Trials as Topic
Aged, 80 and over
Patient care team
Gunshot
Accidents, Traffic
Middle Aged
Psychiatry and Mental health
Wounds
Female
Coronavirus Infections
Multiple
Femoral Fractures
Washington
2019-20 coronavirus outbreak
Coronavirus disease 2019 (COVID-19)
Adolescent
Fractures, Multiple
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Clinical Trials and Supportive Activities
Pneumonia, Viral
Quadriplegia
Risk Assessment
Peer Group
03 medical and health sciences
Betacoronavirus
Clinical Research
Cultural
Traffic
Humans
0101 mathematics
Pandemics
Anthropology, Cultural
Spinal Cord Injuries
Aged
Patient Care Team
Infection Control
Clinical ethnography
Primary Health Care
SARS-CoV-2
Prevention
Psychology and Cognitive Sciences
010102 general mathematics
COVID-19
Pneumonia
Rapid assessment
Good Health and Well Being
Accidents
Anthropology
Epicenter
Wounds and Injuries
Wounds, Gunshot
Fractures
Subjects
Details
- Language :
- English
- ISSN :
- 1943281X and 00332747
- Database :
- OpenAIRE
- Journal :
- Psychiatry
- Accession number :
- edsair.doi.dedup.....4bedd94928bcfdd54362dbc790336ae2
- Full Text :
- https://doi.org/10.1080/00332747.2020.1750214