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"Survival Mode": Experiences of moral distress in Canadian primary care professionals during and after the COVID-19 pandemic [COVID-19]

Annals of Family Medicine

Context: News and scholarly reports have highlighted that primary care professionals, including physicians, nurses, social workers, and administrators, are leaving comprehensive family medicine practice because of COVID-19 circumstances that may have fostered moral distress.

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Deprescribing Super Special Part II: Podcast with Elizabeth Bayliss, Ariel Green, and Kevin McConeghy

GeriPal

Next up, we chat with Liz Bayliss about her JAMA IM article that studied whether increasing awareness about deprescribing prior to primary care visits can reduce the use of potentially inappropriate long-term medications for individuals with cognitive impairment. Liz, why’d you decide to do this? Eric: Can I ask? Elizabeth: Yeah.

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RCT of Palliative Care for Heart Failure and Lung Disease: David Bekelman and Lyndsay DeGroot

GeriPal

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. It sounds like this was a primary palliative care intervention. Eric: Oh, wow. Eric: The nurse and the social worker did?

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COVID-19 vaccine hesitancy and related factors among primary health care workers in a district of Istanbul: A cross-sectional study from Turkey

BMJ

Hence, we conducted this study to determine the risk perceptions of primary care workers for COVID-19 vaccines and the predictive factors in their willingness to have the COVID-19 vaccine before vaccination, which started on January 14, 2021, in Turkey. 150 (54.3) p<0.001 Doctor 83 (65.9) 126 (45.7) 162 (58.7) 228 (82.6)

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Palliative Rehab?!?: Ann Henshaw, Tamra Keeney, and Sarguni Singh

GeriPal

And so I did all of my research training in health services research, health policy, and then was very grateful to be recruited by Dr. Christine Ritchie when she transitioned here to MGH in September of 2020. And so I knew that I wanted to do something related to palliative care because I work with people with advanced and serious illness.

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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

It was like this patient is on hospice and call the case manager to figure out how the patient ended up here. So we did have a clinical decision support pop up that said, hey, this patient has serious illness, why don’t you go have a goals of care discussion? No difference in their primary outcome. No, no, no.

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Should we prioritize the unvaccincated for treatment? Govind Persad and Emily Largent

GeriPal

It means that we’re still having those one-on-one conversations between primary care providers and individuals who are vaccine hesitant to try to educate them and understand and respond to their concerns. And on the prioritization front, I think we ended up being pretty skeptical.